Document System Survey
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Attorney:*
Mark H. Wright
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Legal Assistant:*
Katelyn Caddell
Kerri
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Assign to:*
Mark H. Wright
Katelyn Caddell
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Do You Wish To Create LOP to Medical Providers?
No
Yes
Do You Wish To Create Health Insurance Subrogation Letter?
No
Yes
Do You Wish To Create Letter of Representation for Premise Liability?
No
Yes
Do You Wish To Create Letter of Representation to UM or Host Ins Carrier?
No
Yes
Do You Wish To Create Letter of Representation for BI Carrier?
No
Yes
Do You Wish To Create Billing Records Request?
No
Yes
Do You Wish To Create Hospital Medical Records Request?
No
Yes
Do You Wish To Create Medical Record & Billing Request?
No
Yes
Do You Wish To Create Radiology Films Request?
No
Yes
Do You Wish To Create Final Narrative Request?
No
Yes
Do you wish to add another medical facility?
Yes
No
Do you wish to add another medical facility?
Yes
No
Do you wish to add another medical facility?
Yes
No
Do You Wish To Add Another Medical Facility?
Yes
No
Please click below to Submit