This form is an official California Judicial Council form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law.
Title: Long Beach California Medical Service Provider Attachment to Petition to Approve Compromise of Claim or Action or Disposition of Proceeds of Judgment — Miscellaneous: An Essential Document for Legal Purposes Description: In Long Beach, California, medical service providers play a crucial role in supporting individuals seeking compensation for personal injury claims or lawsuits. The Medical Service Provider Attachment to Petition to Approve Compromise of Claim or Action or Disposition of Proceeds of Judgment is a vital document that ensures accurate and fair distribution of funds obtained through a settlement or judgment. Types of Long Beach California Medical Service Provider Attachment to Petition to Approve Compromise of Claim or Action or Disposition of Proceeds of Judgment — Miscellaneous: 1. Medical Service Provider Attachment: This attachment serves as a detailed breakdown of medical services rendered, expenses incurred, and related charges owed by the injured party to medical service providers. It includes a comprehensive list of medical procedures, treatments, therapies, hospital stays, consultations, medications, and any other relevant healthcare services provided to the injured individual. 2. Billing Documentation: This attachment provides the necessary documentation, such as copies of medical bills, invoices, insurance claims, payment receipts, and other supporting documents, to validate the amounts owed to the medical service providers. Accurate and detailed billing documentation ensures transparency and avoids disputes concerning the allocated funds. 3. CPT and ICD Codes: The Medical Service Provider Attachment may also incorporate Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes. These codes categorize the specific medical procedures, diagnostic tests, and conditions for which medical services were provided, facilitating accurate tracking of services rendered. 4. Lien Information: In some cases, medical service providers may file a lien against the proceeds of a settlement or judgment to ensure they are compensated appropriately. This attachment can include lien information, providing notice to all parties involved that the medical provider has a legal interest in the funds, safeguarding their right to compensation. 5. Statement of Services Rendered: This attachment may include a statement or summary provided by the medical service provider outlining the nature and extent of the medical services rendered to the injured party. It may also include explanations, justifications, or additional details regarding the necessity and effectiveness of the services provided. The Long Beach California Medical Service Provider Attachment to Petition to Approve Compromise of Claim or Action or Disposition of Proceeds of Judgment — Miscellaneous is a crucial component of the legal process, ensuring a fair and equitable distribution of settlement or judgment proceeds to medical service providers. It facilitates transparency, accuracy, and satisfactory resolution of claims, benefiting both injured individuals and medical providers involved in personal injury cases in Long Beach, California.
