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How Do Medical Records and Documentation Affect the Value of My Case?

Personal Injury AttorneyIf you have been involved in a personal injury accident, you may be in the process of trying to get an insurance company to pay out its policy for bodily injury. An Irvine personal injury attorney may be able to help you make the strongest case to your insurer, and tell you what your insurance company is looking out for when deciding how much to pay. Here are some of the factors insurers evaluate when looking at claims.

In the course of filing your claim, you must submit medical records regarding the treatment you received and the corresponding medical bills. Insurers are on the lookout for medical bills that do not have matching medical reports to confirm why that particular treatment was used. They will look at the diagnosis made and treatment administered, and if your Irvine personal injury attorney has not provided a medical report describing those factors, the insurer may not include those charges in the payment.

Insurers will closely scrutinize any records and claims submitted for discrepancies and questionable charges. Their job is to question everything and treat your case skeptically, so if they see charges in the settlement demand for which no supporting records or documentation has been provided, the claims adjuster may wonder if your claim has been padded or exaggerated at all.

Your Irvine personal injury attorney will probably provide an itemized list of medical expenses to the insurer; it is important that a copy of the bill be included as well so that the claims adjuster is able to reconcile and verify it. If they find a reference to a bill but not the bill itself, they will not give that bill much credence.

Claims adjusters are also skeptical toward medical reports that seem to be copy-and-pasted from the same root document, with only the patient’s name changed. Because adjusters come across so many claims forms, they often develop a sense of which health care providers and doctors submit which types of reports and how thoroughly, and “fill in the blank” forms from certain physicians often set off their radar.

If you have more questions about what insurance adjusters look for, contact Irvine personal injury attorney Samer Habbas for a free evaluation of your case.

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  • Samer Habbas Achieves a $880,000 Settlement on a Low-Impact Auto Accident
  • Corbin Moore Lands a $400,000 Settlement for Victim of a Six-Car Accident.
  • Samer Habbas and Kristina Akers Secure $11,000,000 for a Truck Accident Case
  • Jeffery Crissman Secures $150,000 Auto Accident Settlement
  • Corbin Moore Obtains $101,000 Underinsured Settlement for Auto Accident Victim
  • Samer Habbas Achieves $300,000 Settlement for a Three Vehicle Collision Accident Victim
  • $140,000 Broken Sidewalk Trip & Fall Settlement Against Kern County
  • Law Offices of Samer Habbas & Associates Achieves $3,450,000 Settlement for Motorcycle Victim
  • Laguna Niguel driver struck by an impaired driver receives a settlement in the amount of $235,000.00
  • Samer Habbas Settles a Premises Liability Case Against an Apartment Complex for $500,000


Samer Habbas & Associates PC
Based on 142 reviews
I had the best service and the did the job right and we had no problems with anything best recommendations for doctors and help me out when I needed it the most this is one good law firm I had the best experience and they gave me the max amount and it was the best service I had by far thank you law office of samer habbasread more
Ramon V.
I was involved in a terrible accident and had no idea what to do. Luckily, one of my friends had referred me to this firm and they took care of everything...
Derk B.
Very helpful, Jazmine always got back to me either via call or email within 24hours. Very understanding, open, upfront and honest. Didn't lead me on in any type of way. The prosse l moved a lot faster then expected! I hope I personally never need a lawyer again but if I did Samer Habbas & associates would be my go to!read more
Jasmine J.
I am very pleased with the service and support I got from everyone at this office, especially Mike Habbas. He has went above and beyond all expectations and I would recomend Samer Habbas and associates to everyone.
Zackery J.
I was involved in a car accident and was injured and decided to file a claim, the staff was very helpful and managed to file my claim very fast. Thankful for their help!
Yolanda T.
Best personal injury lawyers in the game!!
Jener S.
Dealing with a car accident and the insurance procedures that follow is stressful enough. Samer and his team have take care of all the details and made this whole experience as painless as possible. They understood my situation, fought for me, and in the end I came out with more than i expected. Thanks to Samer, his family, and the more
Colin I.
I was hit by a big rig and had major injuries and my attorney samer and Jennifer got the case settled and got me a big pay day
Lyle W.
As another professional in the community, I am happy to refer all of my personal injury matters to Samer. We've worked with a lot of personal injury lawyers over the years and he's head and shoulders above everyone else. Highly recommend.
Jonathan L.
This Personal Injury Law firm is the best. The associates and lawyer was very responsive and such a polite company to be with. This was the second time I had been in an accident so I was hesitant of hiring a lawyer for my incident but they definitely changed my feeling of having an attorney settle for a case. Very understanding and honest. I would recommend it to anyone with no hesitations. Thank you Samer, Mike and everyone at the Law more
Tanvi S.

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