From BlueCross BlueShield of Illinois
Patient Name: Oliver Self
Treatment Date: 9/13/08
Provider: Children's Memorial Hospital
Dear Valued Member:
We have enclosed a Reimbursement/Subrogation questionnaire to help us determine if benefits provided for the treatment for the above-referenced patient may be the responsibility of another party. You can help us administer your health care coverage better by answering "Yes" or "No" to the following questions.
A. Was your injury or illness work related?
B. Have you submitted or do you anticipate submitting a claim for the medical expenses to workers' compensation insurance?
C. Have you submitted or do you anticipate submitting a claim for the medical expenses to your own or another's automobile, homeowner, or any other liability insurance?
D. Do you expect another party, due to a lawsuit or any other recover, to cover your injury or illness related medical expense?
Does anyone one day old answer yes to any of the above questions? Does no one read any of the patient's information before sending out these letters?
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