Loading...
HomeMy WebLinkAbout94-05457 " f J ~ ~ . '" 7 f ~ c ! J e- I.{) -::r \.0 I ::r a-~ RICHARD W. MCCURD'i Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNT'i, PENNSYLVANIA CIVIL ACTION - LAW NO. 'lIt-,rls 7 (t (,./. (), ( H"- I I vs. STATE FARM MUTUAL AUTOMOBILE INSURAIlCE COMPANY, Defendant : JURY TRIAL DEMANDED NOTICE TO DEFEND You have been sued in court. If you wish to defend against the claims set forth in the fol19wing pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. 'Iou are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. COURT ADMINISTRATOR 4th Floor Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 50915 I JKD , :i I ~, i ; , . RICHARD W. MCCURDY plaintiff III THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNS'lLVANIA CIVIL ACTION - LAW VS. NO. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPAN'l, Defendant JUR'l TRIAL DEMANDED NOTICIA Le han demand ado a usted en la corte. si usted qui ere defenderse de estas demandas expuestas en las paginas sugnuientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted de be presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corts tomara medidas y puede entrar una orden contra usted sin previa aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATEMENTE. 51 NO TIENE ABOGADO 0 SI NO TIENE EL DINERO 5UFICIENTE DE PAGAR TAL SERVICIO, VA'lA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CU'lA DIRECCION 5E ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. COURT ADMINISTRATOR 4th Floor Cumberland county courthouse Carlisle, PA 17013 (717) 240-6200 " . RICHARD W. MCCURDY Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW vs. NO. 1)"1/ ~-(/ \ '/ {\,-\I I It h.... STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant JURY TRIAL DEMANDED COMPLAINT 1. Plaintiff Richard Mccurdy is an adult individual and citizen of the commonwealth of Pennsylvania who resides at 603-B Reno street, New cumberland, cumberland county, Pennsylvania. 2. Defendant State Farm Mutual Automobile Insurance company (hereinafter "State Farm"), is an automobile liability insurance company with an office located at 115 Limekiln Road, New cumberland, York county, Pennsylvania and regularly conducts business in Cumberland county, Pennsylvania. 3. On May 29, 1993, Mr. McCurdy was injured in a motor vehicle accident that occurred on Interstate Route 83, near New cumberland, York county, Pennsylvania. 4. Prior thereto, Defendant State Farm provided automobile medical insurance coverage to Mr. Mccurdy pursuant to the Pennsylvania Motor Vehicle Financial Responsibility Law (MVFRL), 75 Pa.C.S. 51701 et sea. 5. At the time of the motor vehicle accident, Mr. McCurdy was insured by state Farm, policy number 667 7760-F03-38F. 6. Said automobile insurance policy provided Mr. McCurdy with coverage for reasonable and necessary medical treatment and rehabilitative services as defined by the MVFRL. 7. As a result of the aforementioned automobile accident, Mr. Mccurdy suffered injuries including, but not limited to acute I . I left C-6/7 radiculopathy, spondylosis, thoracic outlet syndrome, muscle spasms, and pain in his arms, some or all of which may be permanent. 8. As a result of the accident, Mr. McCurdy has been obliged to receive and undergo medical treatment and to expend various surns of money or to incur expenses for which medical benefits are payable. He will be obliged to continue to expend various sums of money for an indefinite period of time in the future in order to receive treatment for his injuries. 9. Following the accident, Mr. McCurdy incurred reasonable and necessary treatment from Dr. Jay J. Cho and Rehabilitation Medicine Associates, Mechanicsburg, Pennsylvania, for above referenced injuries. 10. Dr. cho has found it necessary to hospitalize Mr. McCurdy at Seidle Memorial Hospital, Mechanicsburg in the course of said accident related treatment. 11, Of this treatment rendered, fair and reasonable charges in the amount of $2,126 to Mechanicsburg Rehabilitation Hospital and $10,753 to Seidle Memorial Hospital, among others, remain unpaid as set forth in attached Exhibits A and B, respectively. 12. On numerous times, Mr. McCurdy has requested that Defendant State Farm pay the aforementioned bills, in accordance with his State Farm Insurance policy, as they have been accumulating during the period from February 28, 1994, through the present time. " , COUNT I RICHARD W. MCCURDY. plaintiff ':U.. STATE FARM MUTUAL AUTOMOBILE INSURANCE cOMPANY. Defendant 13. Paragraphs 1 through 12 are herein incorporated by reference. 14. Dafendant State Farm, pursuant to MVFRL S1797(b) (1) has contracted with a peer review nrganization, allegedly for purposes of confirming reasonableness and necessity of treatment, products, services, etc. The name and address of the aforementioned peer review is: Perspective consulting, Inc., 672C Main Street, Harleysville, Pennsylvania 19438. 15. Attached Exhibit C shows that in the year. 1992, Defendant State Farm Insurance contracted for over one-half of all peer reviews statewide. Exhibit 0 shows that Defendant state Farm either fully or partially denied over 76% of those reviews. 16. Exhibit E illustrates that Perspective consultants was responsible for performing 510 peer reviews in 1992, of which 76% were fully or in part denied. 17. Exhibit F illustrates that in 1992, Perspective Consultants performed 91 peer review reconsiderations, and 68% were upheld. 18. It is believed and therefore averred and the statistics reveal, that Defendant State Farm has violated MVFRL S1797{b) in that State Farm has an express or implied plan to intentionally cut-off benefits in violation of its responsibility under the terms and conditions of its contract with the insureds. 19. In May 1994, state Farm sent Mr. Mccurdy's medical bills to the aforesaid peer review organization and on or about May 20, 1994 state Farm stopped the payment of benefits incurred retroactively to February 28, 1994. 20. It is averred that all medical bills incurred both before and subsequent to the review are fair and reasonable and that all treatment was medically necessitated by the automobile accident. 21. It is further aVbrred that said peer review report contains no substantive analysis of why said reviewer has determined that the aforementioned treatment was not reasonable or necessary beyond mere bald assertions couched in statutory language. 22. within the statutory period, Mr. McCurdy did request reconsideration of the initial peer review report. This reconsideration was performed by Dr. curtis W. slipman, University of Pennsylvania Medical Center, philadelphia, Pennsylvania, an agent of State Farm, selected unilaterally by Defendant. See, Terminato v. pennsvlvania National Insurance Comoanv, ___ Pa. ___, A.2d ___, No. 47 W.O. (August 4, 1994), attached as Exhibit G. 23. On or about August 20, 1994, Defendant State Farm, through its "reconsideration" reviewer, refused payment of the aforementioned medical bills, addressing both casual relation and medical necessity, in violation of 75 Pa.C.S. S1797(b) and Pro Regulation 69.52. In view of the substantial number of PRO's which Defendant State Farm performs yearly, this frequently repeated violation is willful and wanton, for which under 75 Pa.C.S. S1797(b) (5), treble damages are requested. i\ 24, Defendant state Farm continues to refuse to pay balances due under the terms and conditions of its insurance contract and the MVFRL. Moreover, it is believed that Defendant state Farm is abusing the peer review process. As a result, plaintiff has had to incur the services of counsel to collect the payments for reasonable medical services. 25. Pursuant to MVFRL 51716, Mr. Mccurdy is entitled to attorney fees in the event that the insurer is found to have acted unreasonably in refusing to pay benefits when due, as well as 12% statutory interest. 26. It is further averred that Defendant state Farm has violated MVFRL 51798 in that the insurer, by relying on such facially deficient reports, is acting unreasonably, and is liable as such. 27. Defendant state Farm's unilateral action has forced Mr. Mccurdy to either become personally responsible for said obligations or risk delaying needed future treatment in contradiction to his insurance contract, the stated purposes of the MVFRL, public policy and established case law. WHEREFORE, Plaintiff Richard Mccurdy demands judgment against Defendant state Farm Mutual Automobile Insurance company in an amount in excess of Twenty Thousand ($20,000.00) Dollars exclusive of interest, costs, and trebled damages. Respectfully submitted, ANGINO & ROVNER, P.C. Da d L. ~, Esqu re I.D. No. 35~ 6 4503 North Font street Harrisburg, Pennsylvania 17110 (717) 238-6791 Counsel for Plaintiff(s) Dated: q\';1-\C\~ "I VERIFICATION I, RICHARD W. MCCURD'i plaintiff, have read the foregoing COMPLAINT and do hereby swear or affirm that the facts set forth in the foregoing are true and correct to the best of my knowledge, information and belief. I understand that this Verification is made subject to the penalties of 18 Pa.C.S.A. section 4904, relating to unsworn falsification to authorities. W~ 9/J~!tlf 'loJ.)lJd~ RI HARD W. MCCURDY Dated: s g ) '; I,.. r. _' ":.~ .( ,~.. j j .., II' . I .1 ',.'J l.i rTII'k.l 1n tJ rl jJ.O. (It)l'C ;. tJl rj':1J Cumb,'",'L.Hl\i P!\ 1....:: 0 ,1L.:....;.~ DONor STAPlC ItlTHI3' 'AFlI!A _'-<<.7.,-,: '1. ~)iI rrT'; ~lCA HEAL TH INSURANCI!! CLAllII FORM I. VI!'OC4l'a ..WCAlO Ct,""UJlU, Cll"~'" ~"nu~ 'U,;A g,..." ,..1HtUMiA).1to NuflllhA --,~~ ~ ~""'-'."-'H ""....._ J" r ~.'" ~l- 1/~l;r''''''~''lU\Ill 1""".......,1 i ~SNrJH)J ~ r~ I ": (lDJ t,,-h J4U- .). I ,.Aflrlr' """fllMllWol"'....,..,.., l,IoICl,II\OI"'I II. ,..-g.,r. WIn. :Mri to ~,~iUAlD'1 'Wi.r..."...... ,...............~ MaO ,~cl:u"IV Plr.tllll'U t..I "tlzl "l'!~ >;y:: urJr1 .,--, IIcelll-,II' niel'b",1 .."ntNrl ADO~.I""", "'."1 ~ ,,,,r.INr lIl...Allf......II 0 'W'I.o~lg t. \.Nt..Mla. ADpar.:sS "11. ""NO ,.. ',J.I 11'~f1~ :i I ..,r3......rl~r-i~'*;---i t)t1:1 i: Jtl(,l :'i t CIN IIT."'. Ij:-li,i,tiUH iTA'!"..' CITY III'A':1I l ,,~U 1:lJl1th",'ltlf1d :(~ .....CJ \I....c:J QI",,[3 "t'."" 1;II,ftt."I,l'lnJ f';l I'I.-;ori I JlI.""O..' 11n5"..u",uON.. ;za.a~o~., n.ll~"'OHI ~I...~. AA'A C!:gU I I" H.' U I (.' 111).....!~\n: .....LJ :.e:...":i~'::~-rJ ~.I P 'U C . I~ }.;!.n, li~iir..&..""o'. '....., IlMl ",...... '" .......... '-"W'.~ ,., I;' II 'A i'Nr, COHO"O"" "~....'I" TOI II. ,lo4u~lD'II'O~.C;T ~ QA ,.teA ..u""tA I tic> I 1I',:j':' ~; O;U(. ~jLiiiIJ'I.OI.CYOo'tOMO\. ........11'" .. ''''''-''YI,IIW1''' ~.I"'rOl' ~fVlOuq & ......,.g .c"'rI'~--' "ll.j o~ 'i '~.: . ",'..ov",.Mo\ ~. L-.J Ui\J U~,; Llf,lIt,~ ...--,;il.."A..UIll.>>I......eOA'JW)~~ ~~r.ltl:(t ~',\rm t'l~\UI..JIIl.~,' " . f}<EM A'iQ","U ,.U. TN liNtI'" ",..",.. C'lYl. ~oo ",...'ILIIIIlI.."......',........ IS. IkItJlltIO" 011 AlirHORJllID ~5CH'1 IIO""TUfIlI I aolV'l:lnD HympI" "'~DlN'I"" fill UN~'" ""J'II'II- ~ 1uODI.. a ,.n1... ClNOrO.OIIl:M. ttyrl.~ur~ Uti f11u ~ 'I. an"" '~u\.Rftf. ~r-...... ....In In ... I 00 I .,., 1t.4~,11 (.ll.I.'Ulnll,"~ IIUlAHA'" 0'" b. AlI'f~ACca~ OJ,.. ..OTt4'''.f.C:O:lium Cl,n CIJ.a ~o.a. "U''''flO ~ U)C,\I...a& Goo ,,--'C.(..... D'"' t'VJ4 h'UfQii ..~..... """"" KAD IACIC 0' IIOMM IIUOfU; COylt\m..o III","NO THI. 'aRM. ,.. 'ATlIIIT'I eN Al.lrwoNZlD P1n8ON'1 510l't\T\Jft1 I "Wlern me r.t... ~ IfIJI '"*"" Of' Dl~ '''li'IJImalD/t ~ III JfGHtf lhill ".... I tIN foIq.j" Pt)fMm Of ~"'"'" tfndllllllw to""'"" QI till :h.." ""'. 1Ol:'fMI .....M'~'rtriJ.ttLH tt 0" ~l14' O~J::b/94 StONtO OATS "c.."/'IOJlClJ''''''''' ~ I~U':.r.""""'~D.Il 1..',."A'IfHT'HA...~u.l.I.;"..lIlL""Il..LNIi.. ~ ' 00 . Y'! Ial,JU"" Mild",,, Ol' lMV' nl'l4T E>>of1l ..... DO' yy \111 !JL ~).J ",1'OHAHC'tt\.WO) ... ~.. '." 11.N""",i 11'N1UlIr<<:I.I'HTIICIAH Oft :1frlL1 SCUilC. 17& "D. "'1.1"'" OJ' nEFIMlhG PH"'~C,^'" Cho,JHY J, IL JIlU~'Dr'CW' IoCCAL.I.I'. CZ"l1l96 '1'10 caA4MJIi. ~~TUAI OJ' .w.UIG1t l"tr.Alt!Y.\I'I!l.Ali l~ij. 1,L:lO~ ..10"""''''.....1114:1 I,~~ .~~.:-4 l~W .., , ~lllt)o-UV'C.. .. ~'.:' yy .... ;: .,~. " . C,='" ..- "~to .oor~~.Ti~);!. C. '''''Pl''' I ~ .A"::" ',- ~,,=- ij~I:Lh'91l "~~:l~igiJ I I I I I I i , " 1 c , I' I .' l i i l' (' ; .' i ij < .. 62 , Y/111J ",2: l~ I~'I 0';:1 t& i ~'. "iZ ./, q 11I1I1 . i i j ; i , j ; , I , j ; j i i i ..~'..Iu. ~.... II. no c,"-nelllJ~ DrTl II, lNOw~~~J:..v.~ . ...,...... __... III ....-.. .,.. WltlIIMi_.-...lI'A" IIWMf J ~ ',1 , :i It" " 1.'ATlftn~TNO. ~~~:.~~~ mc:Curl al r-;]vul J'IQ .. "AWI}-_~A.DCAE_...c!'~"'" lIohlq ~~_ ~"W\.l_II'lI""" 11I__1 R.h~b M~dl~lnu A~.u~. "8cfl~nlc~hurQ,P~. J~y J Cha 1_- ~~ 1l;;;/~!./\l4 ~'bfft """CQI..,I\oCI.QIIl "'1QEAl"~IMI) WHC......',......, PLI!AS6 PRINT OR TYPE .~~ "'OA~,,,,.~I' II " r-;n ... .r! I . 'I. ~TII 'AnlNT tl"".' TO -'O-JC Ifrf i:1JlIUIII."TOCC',j~AT'-oN fRC..... i 00 ; YV TO YW I DO ! "' It HO..-rr...."lZAJ.()"I ::II''''l4llAnOTQC , IS ... . lX'I n ... CO' 'fY R'OlI laM ... ... TO "" "'I _~ fl. ao.~~ltl . Cl"IY'Ula r-l~. ~~! ~.Y~ I ilL WOICA.O M.u......ION CQ~' 0I't0IPW."'f1,100. .. ~AUT~ilA1lOH"l.ow,U1 , . " I J '~II "<l~'~ .... cot ....-. """ UHIf. ~ LoOCAL _ . 41\ 1111 1 C2"0!16 , .:J 001 I I ~ l 1~~!HHlf1 :,1 , , , J' I I '; ! , '! , , i , I I I D @ . i if i' , , , : 't.T01'ALO<AMMI Jlt-A"IO "T~"a ... Al.o\ftO&WII. I 6 b ..~() . 9 la,,' (; ~ ~ n .u_~~.. ""fIU"'lIMuHQ """"'I.NIIP'._.&II coot. 1l"t1"b IIldlclnw Acsccl ~12~ ~. TrlndlQ Road ~ooh~nlc.bur9PA 1'&5~ 1_. C;o9096 I~ .. ~>CI'I'.'" J1QJUO\oI(P-u. ,,- ~,.,.,.., ,)l)M:" 8r....I"''.-'- I/jTIlJ:I ~\H~A -~,~_, ,,,,,,",..-i_Ji J ~ I J "J ./.l~~-l. In JflHJ P. l) 0 .-:11"1 '. ~ ' ~t:1,., 1;IJlljli~.'lu""J p" 1/",'1' , .. ~ j' j,!' fl""I "'rA, HEALTH INSURANCE CLAIM FORM '"'CA c:I: r,.UIr:'WO"AC lllHlt;A,L) cw...".. l;~'rA U"'Cl.ill IlI<:.A (;'lir.n la.lN~lU'1:J ""'...~ I '.(..l.,1'",...... _.tI\'I...'lfJ,l>o. ..ill..U~,li1,..~'btl ~~c::J~I;[--l~~~,C!IW "'~c...,~ _,J_~H" l!__r-ll~ -l_~ ~'.".lliT..JWr.!iIUlMI"_."'''......... ....,.., 1.1"'...... ~,w"r,;;m a."""" ... .i....;;."'....."..........,""~.,"......1 ~.cCL'r'Jy ~ICh~~.d IJ ~;':,:.~ 'Cf.~ ","""'" .n "'n~lJl'<l'l 1'lon.l'Il 1. '4t'W'TT..r.tlH...." I". 0VNl .. ;'AI,liNI ..~l.on~....,.lUl"'!ll....&' 'iiMi.fiIW".AUMC"t,..,It,-.ru I tl~).t "'tt(l~) 'it ~L.::"I':-'_~"101twr_ ,J ,_L)~~'.I HflnU ~r. ,~N !I....!I: 1& jI...nl...,. )fA"\ji CIty I jtA~ I "n".... r;IJITl...'rl,,"J _L~ ''''''=:J -'~:::J -CJ rl','~ f;mt'ft' 1"',2-.... I I';, I, to? Cl;OI I.il.~~-"'i (o"'Q....", "'.. C~ ""<<:;0& "I' nllli'~"'l 'CLL:)1iI .n~ COJII i 1,U,'tl :(i""_")~':fJt:il j 'OI\f""::-:!~";:'i'L_[~~-:'.'-:J..~~iU.rU . C."I)~r,f,1 ,~m '1't4..-tU.H.u..t ~.I NM\I, ~... H.... Wd:t. Irll'~ I ,. III f',r'hl j I;o..OIra. ~tL",f1if;C:-== 11. '~""'1~~ JMC....-O.. 'fCI, '.." "III fI'J! 41~~119_i 1.:f~"~"'~.'''1l<T,,"'''''''''".," ~-. . .u."',,'.',-, ,0.""" O. ""'0... "_I".~.I1--' 'iiA i 1 "" I 'e.o .:1.1 .Y Ii T't)" .,-'] . ~ D n~l,"illMC'IM"13'O""H ICrl 1~"l/f'O-'<<IO'N" "~'(II14tI .'~IUNAAt.OJi.eQ,oo~"'lI.lf UU i OD, "" l.r-";1 'r--' ' CT'. C... L--l (I,\.j t1~~ flo.JCt ..~. ' ~o"t",. NA.... ""'U:oHOO!.""",1 I. QTJ.U'IoC:I;llHI? Co INa.'IA,.1.;1I .#lA'" .~"""I 011II .~y... ,.,"ut I CJy!. r ti~ 3l.:.,t..., l.lr"m r'1'OIH,!'h:", iiiQ '-UC!II'v1.g J.()i1l0..~ u.. ._ '. ~Il-"'QnoiA ~nfill~!!:'l'".ii..t"" J rJ YU r-::i1 'loO ".... ..."." l.-IINI .,.... ... . H IlIlAO &lac Of!,-oRM "I'OR' COIiI'U;:I..o,~i1"'IIIQ THII 1'01111II. 11. ''''URGO', QIlI A\lTHO'UZED ...lIlotONa 1la.......Tl.,tnll I ...1'01_ lZ.'''T1ItVT'''I Oo't AIJT)fOMIUtl III"MSON8 SIO"'iATUAI! I IWIID'\M:Iw,..... ~ WI' 1f'-.l1cll ~ o.'t;er trTromlllbn ~tDtIl'l"'~tll"'Il~_~"",,,,IIfIPl~"" .....NI)"~lhIiIGlam 1"'~II"'''''''loJP..It"'''~.lIlU\eIt!lI'''I'.''Ct.tI'.p:t'tJ'-..t'oKOlOII ,-",'OUdlarl_ Q... 1NIgt'Ir!I"!!f'!rrl"~lJ'.1I1 On flll~ ",.;o/."h.~lll ~!~r.'ltl.';l'd Un f\..1" 8Cl'lfC D,.i,.; IIQ".O ~ C.:;""-OC"'AloflW ft.I.I') w ..IIdUA4NClIIU""..,....O"HiI~,.A.... 1. 0..'" c;;P C'.;~l ~ UH'N\l::.%_Itoo.'! ~ NY ' ~o :'.'t:1 tfJtAlll' OR U 0 '. L ".J 'N"...,., ~.~ 11. iAiil!;AlHO "'TLlC:'AH ~ em4l,11J lOunar ChO..JbY J. " AUfJI'J!llJ fOlt U:le...... VIII 1'1' " I"AI1...-r..U >oA:! ..."'. ~ ~1lU."" Qlvln.q.rDAT' l,\otW ;..Qp i..'fI I ,fa. ,:) N'.,llntlt ~At:~.o 'H'I'5lC.lAN-~ , C;:~4i~," , ",0.'" "'AI...' ~LI TO Vo'O~ I~ C\.IAM1fr 0CC\.j.".,..,Q.~ ",o.1l.I" , 00 ; .,., TtI "''' i IX) , Y'i II. ~.lTAl.lotAT1CW(:AIW "ILoOTtg 10 C10IIIlCHT is&.~~H:n rnw"''''...j ~.i ,lY. TO ~"I no; Y'l. >>:-uur-,l'I.I....' . CH.MQ1 .,~. n"".! jJ,UU i .. ~O<'..., ............. 0( . 1 ';.\IItUiNIoL ngo, HO ~.AiOriI4U'HO"lArOol N~...t..... .II. OIAONUIl8OR "'.ilT;""C", hiNI!alJR 'l.o'l$lY,IJl'U.T'C~j;;"'.'''.JlJf.I'':''Q ~TW lilli' u"~J 101\,' h I j' ;.'3. i\ I, '_ &_'--' + .IJ!iJ~ .. , oAI"CiiOflu"",CI ANF,:"VY"'U;;...., 02'l;'9402'1/i!l4 " 1---. ... , '. H , . ~ ~ul"~r NllnvlCl ,eM ,:.It I'llr"IItW.I 001 LOCAoL U!OI: . 1/'IlfT! "'u . 11 Chlil..fi I 1 ,~.; 9:., '15 I ! i C;':~q'.~l) i I il 1 r. ,:9\1')'; ! , I '" ,I I , . c f"I:f' t~ -- . /"'lIIO';':U*'U. UIMCaIt, ~"-lU ~ '.....,wf't~~MC... , .. llIIO_. tOOOI 1 CifoIAnoU , 911111 i ; " ',' 1 : ,911.:4 I i '. " 1 ,fl I ~ 9/01;, , 1 - . q101~ I :: 1 ; 'r " I , l , i , 4,1 ~~ , , JI1 ~~ ~U Ollf , I 1'1 OQ' , , , , , , 6 " " i; "':' 1 1 ~ 11 'l 14.l1 l/' 9~ 6~ .. e..1 1 ~' ''ill u;:' 11! ~~, 621 , ", . "..'!t7~'f4 112' l7'~~ 6) . ! , I : : ,', " I~.__L I 'I '. L. i _..__~ a~ lAolCIQ NOWMA M,. I'" ~. ~..n''''-''AC~l.I'fl NO. ~~~......~~ ;:J-~l"i~:J~ I1L~'] mcCI~I'l-"l I~"'., ~1oO II_:!~ . o._>!,~....-o:u..OirtL"","l" "'_ NAo\oIi~"OAO~'CI'AU..I" ...."1 I~.e":"'.ltl r=~=~~;:~E:=: '~fY~"')'!?'t""" A-4~ouo __JQlNIo....._~".,~_) M9Chan Ie r-,bu"g. ;1'.. J"y J Ch.J :i " ATOT.4t.~ j,!I,.IIIlIIO\.,lIIrI"AiD ....~~CI"II . l;.HJ '-'0 I. k) :ue . lJ'J4utJ 3J. ~...ltlClo:!~" ~"'tI.u.Q ~r._~~ lJI'COOIl; ~~ ~~ulcln~ A~~~Cl &1;'4 f. 'fdnd16 IIuHI "ech~nlc.burqPA 1,~&S .... C:.'!H\<JG I .. ~2/"~/~4 ..,> ~.... AloiA Ct'\oJIa.,.'1. ()lIf ,,~0'CAl.~.... WH.:JlI.&..'W..J-I4 I'u.au PFf/N r OR TYPf P'CfIitlIICl'..,1oOO lIO'NOIlIC.".... ,- ~""I-I- r' .. ,;. 00 Nor ~'IAPt.C ,OTlUS AHf;;A ~, ~iif -~ ,"'.;<o!lA.;.,t , , ~ .'J. I ! ~ lIil] j..; .L 1 I ;t: .\ f~' I.' I: '..lIlt'"" t' 1.tl1d rr-l ";< HEAL TH INSURANCe CLAIM FORM ) I. ).jt~C~It. 1oI1tln.;..,.O :',"""~'J' ;I""..~A "M;~." I.'C. '-'ThE" '. J....l,i..tll " Co "IJW1tIA ;----- ~',,",I)l"'''''N ~,,",,'IIJ ~ltJ...tl!J'le ....Jnll ~.~~l'~~_"L J~~..~~~:-~ ~..~.~t)_C (""'~~~_[ -! ;~L"~ '1," 1 ""Ill"'" KAU' ,,,,,",,, \...." '11. OW..-, Ud'" 'U'>II) T., " ~Al\,,,,rO ",,"," OA', A" "fetur-efy . rdJtl..Jl'/! loJl "l',::: 'fl~ '.T~ ...~ ,~ 1 ;',t.T''lh'rilWHlI'\'''... ...;;I--------w'7i PI.. wirr A'M)"I~ TO ,N$....l..U f \.~,I ">In.) '.:or ___.___.__l....'-:IJ..--~...~..r=-::I'l.~ ~0,1 UO'\nu ',if ION fsf..'! .. ,."r 'NT :n~I\I. I.".,_~~_!"-l'ttlll(' l'l"';.~1 _. -__-.0~' .....l--t .....'.1---- CII'I":::; : tl,. ;;OC' P..,~..C',f 1'11-;.1.4' 4... C.~'l -, I Il"/lJ U' 'I) :'''l! r'~"'.;:...u..Ct """" r,... "'~ "'" ,...., u.... m... iiIoWi' - - ---1 i' ..., . v.'""'OU'" "" """_"v_'" ,. , ._ "=: 1;....;.:;:''''O<u~ I "fI::'~"" rn;jH''''''oiDt''''lfO'..'.-- ..... """",';.;;;1,., ......'..... WIt : go I .,.., . -L" r-::rj ';1 CE]'t1t L>+-''-lO l---l I;' llotf'lCNVlIl i.III:J1ll SOCXlL \MIC j. Qnl(}11 ACClCi"'" I ' =:J... CSJ"" ! a. ~A.(ci~.. ..M'i OM ~IIl()O"".. "'j'" ,'0iIl ttc\lriV~~~C;.4L ..sc , ..:..-.."" 0' Fe,,,, ........ co-.n...I. ."."".. '.11 .0........ 13. 'AT1!,.,.S OR .w~ "'"IO~. SC>>IATU" I IIU~ 'M ,..... ", ..,,. IUl;J1QN Of "'.,,, ~..~ ,..~,. MONt ""lcll-..m laiN rlq\l.~ JIIJ'lItVI:JI p.IlI,.,.,. '*"1lMI""''' IQ '",,,.,., J;J1.\' ~ 4ftO _..... -'!l'r"il'I,.. tll "IJ (In I'U ~ ~:: I;'!, j'lol 90NED O'''"i!: .......,.",r- ~"'"".---......r.....---, 'IJ~,_~" .~1IlI' I'~ a <I~~~~ri.cii'm-'I;;:O 11.000TI~CI.AWlI;HT, ~1C-"oI'''1f\t.,1''I-'''''.'0fIl ..... QU. "'Y "'.A'''!Io~'Ol'l U ~ ~ 1 ~I J '1II1'0faN7l' ItWpt 111. ",..c~-inN(I ~Tk;Nt OR OTl1\iA lQuMa- I , crlc..~ill J, 11"1Il"~~"'U j.Q1t...x1L us. j 'I OlAru<<:....~T..'l' CJl'Ll.),I:"O~ 1V.i1,ltl "'i1,ATI ,111o.1.1Ji'o;.. m.re-Iofl_ i64 i"LLHtJ I " II 4 7 ~_ . L!..:!.iJ.,,-1 III ""All""" ""' ~ ''''''1 CIll 5~Nf ,U."IU ~1l~1'I"'lM.l' WoI ;)0...... ... ."., ..... '--f'ii' 11'f1......ll':i#Ali"t"'AI;tQ'I...,.IC~ 1. c ;:'1 O~I, -~ ,I :l!; J~__ . lMT~r:I'~lC' - To .... 'fY . 'fY "..1 ~1 4 O~I ,: l' .:;,-t \12 : .' l Ill.' ~~I - .. .1 ~,' I :: 1 i ~~ It ',>::' '1 ' '14 , . II .,' " 'q" K ,.1 ; " .L- · t C . ... D ~ j-;';'-,lIIt)cIUU. illA'oIeU. 0.. IUM'\4I 0/ ... llaNo... iJ,1MI ~UIotIol ...... MC . '" H" . ............ ;;001 6l :971lU .. J .~.j.- - :; " ''11 L.; ~ i '91 II J {I J lp 1 I I , , , , 'I' I I I L .1't000000t~L,,"""''' ;SH -a,.. .\oIT"ii1ACeO.l1oft10 .".6CCcn~" I _ I ' __.__ '2]-~10;n;l;: CJ~" m,'':ul I-Ill ',.,.. "" 1)1 ~^'l.P10"~NCAfU""11l''' 3&'"".....0 _uII..tO\,.T"l'......IIf1tnR-.cu~ 'Cl.Jt-.Q ottaI'Ua Oft l:"toIN~ IVJofO(II!D ", -.......~..... '" d-" ~==:::::::.':."':';:"I I ""'h.Jb "'ffJLclno tL;t-o-.:. I ""!r:hllnil;,.UUJ'':j,Plt. a_ J" 'q.,' .....Tf" fl. I..:J, .. . '. '.1 " , J.y J Cho .... ~'''''-'''~ OHVUlGLft,ttYICr.... ....CI'A.f:;D.'j.f." PLI!A:l1i PRWT OR T'f'Pe ." tI,li\ ..' '" , ~ 1'-';;"~"'fUW.JIIlII'M 'I .-:-;HD..,.NUii-,,-....~.i~.t";:;.-w~.-;,......,.'-- "'CC,"df [Hch.II'" \.J .,.,........"us "Dg"l'Irl~'- ;ry - -----i11i.-- n !"'; Jal!;, I 'Ifill I: "\ ","coo. -p-.-:-I~..t.lll ",...(m.- I J ; ~;' 'I , (' 41~ u IJ I 'I fl~U" :u ;tQll "-3iiOUi'i:jllj -1'-' ~'ai,. ll..) i 01"0 ',;.: .. ..~U'.~....I:),.tt.~- lilt ---. Yjf . Coy"" r-ifl. ~___I I u.: ~'l II.. w~ ~~ ..il...~O'Yt...lI""'....O..~a."A.... ...-.--. I t1 i. () O(ofeo 110'; f.... ~"'....~A'Ct "'\.A1t ......jCiiliiOO^""" NAMa! !1t:JL.4 r,.,'m rn':ll~lr.lnCll 4 .il roo''''. ""Qn-.(1I '~l.'" u""",f '.AH' ,-,a ~.~ ,,..,'1C.tfI!'O....QQ'I'I...~Ml..,l 1t.1H8UA1.:>', 011I fM./THGllillIU PIAao~'. 'Il1'4ATUAI I Ill....,. ..,mtrt OI",~""", IG t" 1I......,1fttt ~.IC'... Of tIWllItr _ -.n.... ~~...Q ~ ~igrl~lur~ Un l.l.~ Q1C:U..O ... OIo"IIIIoT,..VT~"'~ fOWO"*,,;"'Uf'A~t Qt;~~1Ic."1 ..... go' ,y ....... . w' .,.., ~"" 'I T'Q' I I' HOP ALl "g....W.h:.iliiAf.ni'O;;,~fI ...... QU'''1 W'CQ'....... Ji~ .. ~ .". .... TO....I _,. .. u,------ .,.. -:>il"" .a WOICA. ~.......ICH <:Joe III 0" .""""... 1\,Il11 Cft'GHAL Nil UC. , I ti- -m:J'" .w~1Uo nON HUl.t..... . . OlAIIUI "'~\itD~1IIl """".... . 4'.1 \40 C;:~O'lh J~ ~q t~ ~9 ij ~llj nil C~~H'~6 , , :crl I ~--:--I !--i I I I 'l.~ ... ~uJ(fjl~ ,~ ~.ou, · .I ~i5 4~__ I. . ":t'" It l.J~J. a,) >>.~,iCiit~~IIA--:i&i."Wic-~A.:)()M'" ,. .~I, R~hljb M.dL~l'lV A~.o~l &1::4 0. ir1''Illd Ilo,,(j "~ct'~r,iCU~tlrqPA l1H&b "4 C ,~~ 1195 I Iltl CJ9 -0(,' ':> JOlt\a"CII4-'_ "UI'WQlIIICJ'.IKlll 00'" OU'W .~.'tot "'>rA urr r. ~ . .j i I~ II I a Ii If . '1..:-' ~.;. CO NOT ar,\PL. ", THIS ARCA ...I...\....-i...."'~~ J(."':r,f \ J \, L I /'1 tl~. ~ 1 fI " . lJ. ilL' h ";:.i. lfo;'..,J CUI'llJ;",.land t-"\ I! ',I ", ,:;.1:;' ,:,>1 I' If.. 1." .J..d ,"rn"", HEALTH INSURANCE CLAIM FORM P'o.rri !~''''Ir.>(;)Jt1! W:~CA!O 'tWlIl"JI CI"'~" '11llO\)I ,~~ OI""'..I""U""J"OH.,j..-tiLA. l'O..~AOuIUo..'..l.!\,II)! l.--. . _ "WIH"'AH ItuW.MJ A Jli'~uh~Cl-4hR j I 1""'-'M~==-',~~.~O_~~.~~r--},V.41lw"l:] jJIHotOI C!~~,C=L!~_ __. _ j'r;r.f'CHrI It...... t\Ml....... ~Il 1'4_. wrv....,..,... r J. fI"'m;~,..It'''1W Mr. 0'" " .....Uqo:',..AM. "--'...... "'11 H.-r.. ""M. ~Ia' , 11CG_ur-dy i'tJ,C't'I,'1I'I.: W~ft:.; cpr~ ~~ ...~_~:-, MllClJrdy r, ~c.:.tlcJl'd ~.I"""" "",..........,.....'. L fI.. 'j;. '~n~li". 10 ....."'. /, '~'\'''l)' __'''''::' _., (,rJ,l ,"itlll') ~It . .....L _.~..--r:::J~r-.-l~~ ~llJ ~I.~r.') ."t i ;-tY-- -.;~p.\JiiHn"-i~.~.-- I(TV 11'l'~n: j I~l'''j i.lhllb~\.ll1nu I"I:'''~-! ~r.lr llII_"1'! or..~ II'''J tIH'1~I, , 1"11 I 1\'1 ~"ct~, .-- - ItU.f..."'O"'lltll;'..:I.....~ -. ii"COO,'-- ' l'iu~..~'".r\l~~~OOl,4~U~otI L I 'H I " { ,;' (l).. ,..'!." '1 I ."'...,...~ ~ ~c=J;::~:;'4r-l J. ;',1/ 0 (' . ,,-).. ..1.1 1'-j....-I"Ih~"Il.C.s ""Y'U{...I H~ 'd 'It... ...u.. ..t...~11II r """11Vr ii'i3~ek "tLATlO~- 'I, M\."'O'. -0\.1(;, ~~ l;n r&CA'....J.m ~1 (~, It I, "J l'!' \ rr.... ",""'.. '0..0' '" 000....'.."'... "'1," ~1M'~'1Ii1'~ (ClJoIIAfKT cpt f'IltV'OWlt ...u.'-l,.I'110 5 oit'--6~-iaM1l1 I ... D'" C:::S'" "Il,\ "i~; ".'1. .,~ 1.,an.IR'''lluH'~.:t::l''T1Cf"IU"lot ~. '.AUTOACCDfNfy ,,~.~ i:T'~b'r6ifrl4""~~'C..lXt".ulI' , MW : ~ j Y'I' ~1 1" ~V" ClNO L...J 11..t,j lIt.l~1 n(IIJI:,., ..I....~tM." '-AUI Q~ lif:..CN4.ti...~. .01'''''' "'CoUIIK" ~ 1N1U1lA/IIll;. ,~..... ....w. OA'iiftWAilll "fAb' C]V'fI I ,\jNO ~.J':llt:11 '""nll I !lldll',HH~'t' d ''''''''''''1 "'-No ~ Q!Wr.llfoiiil /1G4. ooVll"..CO'lJIlI ~CI:<I.. .JoSe 1..1 T Ul",.u~--O&ijUl' itU/Iff rJ".OlfotO ",-....,.."...,............'*"...0. RU,Q UCk ptJ 'GAY INiJOII( CO"'''''.f1MO. IIQ'flf4Q T~" IrOJIU. 18, IN'IH'IO" 0" Aun.(JMQIO "f"Ie...... ~~T'...I I aw!llfi" If.P~''fl''T'' on AUn<<)"'ZlD I'!MOH"S IIQttA,Tunll ,'.4"0.", It~ ,...... crt -'1 ","cat Of' tJ!l'Iar 1"'o"IIUOI\ &af'N'\I 01 1I"\Hk.! b""..tt tct I... un'IIt.9"''' "".ICl.,. cu....,.. lu e.:.lH/Yla!lJllQln "'.oItl"" r ..........pevI'NI1lr;J.--.-c b.... tC'*..1!'\If'HllI' OtlO\'1IIl1/tf-.t'o01CCIOl1 Nl'f'mI dINOllOtCI NIGW IU9m~'~n,1t;UI r:l On fiJ.., 0;~1 ::fl/9~1 !;;.4'JnLltur'I' 00 I'il., 'l~lrrlfO D.4fW 9tnHlD 14 QA'ICJrCUIllW'tT: ~ IiJ.Hftlt"'" ~"''fi~ ~ It, " rJ"nlNfll.... -'AO""'r,O" SNll.N'!ILUtU. 'J,l3Al11'ATIIHT 1JIIUlM' TO WCIt'C 'IrICU....'hrOOOUl'Af1CN Iou .IQO . "(:I 1HrJ.;IIV:Aoa.'anI)OA ' d,Vlf\lIIlITDI4r1..... ;.l'>> i.9 illlol ' DO ' 'N w... ' 00 i 'IV 'no t L ~J "AiO~'tIl...... '..0'" r: "'D:. 1" JoloW'Of' "t'.H"nlha "H"l'$CIAHO"oa..~ '0I.i~" II'. 10 tlUWII" c; RU~t4''''Q ~hYJIC+AH tl. "'08,.UA&.lUoOOH ~ru HUA':'m TO(;..~"tI,r. U~'l;U (hO,J~ly...l. r~!)096 ..1tOW~~Q,P..jlY. TO~"',iDp~Yl.. "'ii"'iiii.i,ID ~ lDl;..lL un at, OU11lX",..1r . CHMun U,.. G..., 1 lI.illl i n. ""OCAICI AIILIIMa.t!O" COOl I 0'\(,1,""4. -. "'0. n. ,."rQfl MlnteAi1.Alll.iN NL"'.. L,I Ii ,! I' I I' ~'! Ul ! .n ! Ii Ii 1= '. I I. '1 11. Oi~"lu" .....r.J".C"l\,.lH'.. ORIN.UJI'ff, Iflln....7.1"'e'll.',u:>>t4fOltI..... t411"'Lft~ l,I.141,~ .1 .;:~~4 . I 3 a :,1< . Oo\TClQ)OfI,u""'CI ~" T. IolUDnO/"....""'(y . 9;~'1Ii 1~'1 ;'::~ J4!<14 I,l--. . c '... ~ -1'U.;!Dl.lAn, SLlWlCCS" 0" SUfll'LlU '::ct .~ II...nli;M1uoc:::....... , 'OUqJ . . C"'fl PlOf IQI.IoI'QU 1.Itt~. '):t U ~, 1111 1 , , ~,i 118 1 , I 4U ae t , , ,:,j 1111 1 , , ."A >Ill 1 , , , " J . ~ N'f:n'i'B1ItVl ""'.... . i c ~ III'" G ~ C.:~~~D I L~9"!JG r..(~9n9f\ II: 0 .: ';:l)U~tj ~ f .... 00' ,,., I I . l ./ .' . \ ft: l , .. 1 , ~ ; , " . U ~~ I 1'1: H'I :.~: 1'1' ')4 fi" ., fl.~ I l., i'J4 (l"1 14: 94 6:1 '., u.~ i 1'1 ~ 4 '1 i) ~-~ ! 111' '14 h ~~ . . 0".' I I" ! ~~ AI 0;'1 .I 4' '14 r\:: .. " it. , 1)1l1'1~ '91116 I 'P'J'lll/lllll '~~elll 1 I Ii! I I&.fUoI;JIW. UI.o.NlJI,l.1l UN Ut '::J-~l""\l::;: rim JI.IOIA~ll.06 ~'1';'~91l:'UI'I1.~ .,.:Llhloll tl!~11 Oil "'IOIJro/T'W.a fI"'~L"'___,,(,,-_ .... 'D"1llI .,.. .,..... ~.I ......, lArlCl It ,.~r, h*:ACC~~rAI'~ JW-gcM~__" mc;CIJI'I.-.Ol )( 'u I JHO 3. "fMII AHO AQU,..,~iUria'WfAIl ~"\~lJ''!\!.''ll''2''!!!fI'l!) A...."g, ~Hch~"le~hu,.QfP~. 21. TOT~c.HNlO. I"' ""'O...H' t'IlU a lIAo..llQ tuI . li'l 010 . " ~.iO . 111.'l)\I a ~.!.~L~'SBtlL~"........ot.JOfI\I I],h" """" R'-fMMf M~u...C LflH fl,:'iou~ S1.~" L. f,.inul", 11;0,,,,1 M~ch~nlc.burgPR L/"~~ . C ~91191\ I ,.."" r,JIII" JdY J Ct,u I-m ~_ 02/,'5/'J~ f"'~'If/UNtoCfll.lHClLo.tUB>>CAL~_ ...CI'....l.O~~ 1'OIW1'C1'/a.'. rtlMftJolrClLlfIIl """"'......,. t'''.'' I"l.EASIIPRINrOR rvn lledger] GIlARANTOR * 1 mcCur i -0 0 PATIBNT IlmcCUri-OO ASSIGNMENT Iyea-yea LAST PAY DTI10/18/~3 LAST PAY $ I 18.00 LST PLN PAYI07/18/94 LST PLAN $ I 150.00 AT coLLeCTNI 0.00 ~ Mocurdy, RiChard W 603 Reno at Naw Cumberland, FA 17070 Hah~b Medicine Aseociates PATIEN'l' LEDGER -------------- Mccurdy, Riohard W McCurdy, Richard W 603 Reno at New ~~mborlan~, PA 17070 EMPLOYER NAJoIE z Biq B.. Boata REF DOCTORI065 Cho, Jay J iNSUREr) i2 PLAN 1 POLICY GROUP Istate parm Insurance '138-6540-958 PRI--/.-/.. ,:doi 053193 TOI../../.. PLAN 2 I POLICY II GROUP II ,g,w: BILL II J:llL. CPT/PROCEDURll CHECK #: PLAN 03/17/94 136757 cho 99333-Initial Hoapital Visit 03/18/94 cho 99232-subsequent Hoapital Car. 03/20/94 aho 99233-Subsequent HOBpital Care OFl"ICE: 20 OX:723.4-RadicU1opathy, Cer State Parm In 03/22/94 137148 cho 99233-Subaequent Hoap tal care 03/23/94 cho 99232-subsequant Hospital Car. 03/24/94 cho 99232-Subs.qusnt Hospital Care 03/25/94 cho 99232-Subsequant Hospital Care 03/26/94 par 99231-sub..quent Rospital Care 03/27/94 par 99232-sub..quant Hospital Care OFFICEI 20 DX:723.4-Radiculopathy, cer state Pal'lll In 03/28/94 137471 cho 99231-Bub.equent Hospital Care 03/29/94 cho 99232-Subaequant Hoapital Care 03/30/94 cbo 99232-Sub.equent Hospital Care 03/31/94 cho 99232-SUb..quent Hoepital Care OPFICEI 20 DXI723.~-Radiculopathy, Cer state Fal'lll :in 04/01/94 137652 cho 99238-Hoapital Oiac~arqe OPFICEI 20 Dx:723.~-Radiculopathy, Cer state Fll1'lll In La8t statement printed on 08/02/~4 tor 0.00 Credit atatuBI Good aet on 08/24/93 Patient Plan ctTRREHT 0.00 0.00 .'AG!::: 1 OATI!: 108/12/94 0.0.8102/15/43 CHART I HOME :717-774-5876 DIRe 1774-2587 ISPLY1957-3838 ,8 S ,:206-32-0833 CLASS. 3 DRlcho PIU 1'01 R!m CHARGE 1 180.00 1 70.00 1 70.00 320.00 <------ 1 70.00 3. 70.00 1 70.00 1 70.00 1 50.00 1 70.00 400.00 <------ 1 50.00 1 70.00 1 70.00 1 70.00 260.00 <------ 3 95.00 95.00 <----..- Balance for Mccurdy, Richard W 0.00 Balance for Plan 1075.00 O'J1-0eo 0.00 0.00 061-090 0.00 0.00 091-120 0.00 0.00 J,A.g;t 0.00 1075.00 (.ledger) Rehab Medicine Associates PATIENT LBDOER ---------..---- OUARANTOR NlmcCuri-OO PATIENT NlmCCuri-OO ASSIGlfMENT Iy.a-yell LAST PAY DTII0/18/93 LAST PAY $ I 18.00 taT PLN PAYI07/18/94 LST PLAN $ ~ 150.00 AT COLLECTNI 0.00 INSUReD t1 McCurdy, Richard W 1S03 Reno St New CU~.rlanQ, PA 17070 McCurdy, Richard W Mccuray, Richara W 603 Rena Bt New Cumberlana, PA 17070 EMPLOYER NAME:Biq Bee Ba~t. Rl!:P' DOCTORI065 Cha, Jay J INsmtED .2 PUN 1 POLICY OROUP IState iarm Insurance '13S-6540-9S8 FRI../../.. "doi 053193 TOI../../.. PLAN:I I POLICY " GROUP . I DAn: .BILL of Q14 CPT/PROCED~J:: CHECK 'I PLAN 0:1/28/94 1351564 cho 99213-0tt1ce Vie1t, Existing Patient OFPICEr 30 DX:7:13.4-Radicu1opathy, Car State Farm In 03/08/94 136101 cho 99213-0tt1ce Vi.it, Existing patiant 03/08/94 aho 95900-Motor NCV, Each Nerve lt lIIedial1/ulnar 03/08/94 cho 95904-Sens~ry NCV, Each Nerve It medianjulnar OnICII 30 DXI723.4-Radiculapathy, Car State Farm In 0'/17/94 140318 cho 99:113-0ttice visit, Ex1atinq patient OFFICE: 30 DX:723.4-Radiculopathy, Cer state Farm In )7/08/9' 143165 aho 99213-ottice Vie it, Existing Patient OFFICE I 30 DXI7~3.4-Raaiculopathy, Cor Stat. Farm In lS/0!l/94 1448.57 cho 99213-0fficQ Visit, Existinq Patient OFFICE: 3D DxS7~3.4-aadicUlopathY, Cer State Farm In aat atatement printed on 08/02/~4 tor 0.00 red it status I Good set on 08/24/93 PAGE: 2 DATE 108/12/94 0.0.8102/15/42 CHART 1 HONE 1717-774-5876 IDIRG :774-2587 EHPLYI1l57-3838 S S 1/200-32-0833 CLASSl3 DRICho J'R: TO: EQ.i CHAR.O~ 3 40.00 40,00 <-..---- 3 40.00 3 120.00 3 120.00 280,00 <------ 3 40.00 40.00 <------ 3 40.00 40.00 <------ 3 40.00 40.00 <------ Balance for Mccurdy, Riohard W 0.00 a.lance tor Plan 440.00 ?atient 'Ian CUlUIJl:H'l' 0.00 40.00 J.4.ll:l: 0.00 320.00 031-060 0.00 40.00 061-000 0.00 40.00 091-120 0.00 0.00 .. , .~............u... ,;.~ ,'.01 ~T API,C IN TMI3 ~rA ..I.---::"'~L~''';''' .('. .' .... ...J '-"" ~~.. roJll';.. 11 (. L ~ ,nil k 1111... Jo" oj P.lI. Uox ~S7'~- Now Cumhorland PA 17~70 " I , fTr.,"' HEALTH INSURANCe CLAIM FORM ..r...rrr ~ I.IADI:MI . "'<<lICAO ~~. C)1M>l'V", n.-ou, ,ec,r. :.,..,.,_aTt..Jt 1....~..a.lJl..n.' ~D,,,,,,,,,,,, IfOR"'CGAAW IHlTI\ll, ~ ---- -- - "ulT\iIl'U.~~IW.(lu.~ . ~JtJ-bt)tJllI-~hO I ~'--'r.. Ifl ..I~"aHl rNA~,,1l N..YoNfq I I (SIN) (fOJ .. ,,~'ftiHl"H:;t.'ii\':;l~)'--tt N~. 1.Cbf:.1n..1 "i:.i'ntrr. '~Imt ~l' ,a . lNiUl~*~",....~ tw... ......... )/Ih~ ",,,Curdy IUghu~ W Wi./; lWlr.; ...:: .n ;n Mcr.urdy . Rlc ord - · ""ntllfRlLAMMih.,ftj~U) .1M1Io'MD'" e.,I~ ... r~'.....rlOo,f-' 0Nr rI 6" J ({ Q n" S t . ''':.INT .r.m... ,,,"llY ....0 w.....O -D Nrw Cumbol ,'"""'" ._ ~ ""'...,.-,....""'~ 11\1 ~ 0 "I I (Il"''''L-J~.n..''1 I III 10 '4nllll'l ~lWlTlYN "&.Armin; -. .. . cPl&....., tie:] II.IIU ~ I; em . - 1""10 Hew Cumb~rlMnd jPA DP OCC. I n~~HO". I,.... Ai. C.lidti 1711l~ Ie 17r' 74-fi676 .. trfJiI.M 1"-0. ,..4"11LMl ,...".. Inl HII'\t. iJlclltl "'1\*4 . RWt I"OLIC\I Q.lII o~, If..'W.", .. IU'LO'rMIN" O:UNlIIfT at ~ClI.m b.u- 'IQI,nt:l1_IltTW 1.1.. ! ~ i no 'ur*1 "r.IIPW'rtItlw.u.ulOllICl<<)Q.JrW,(1 ~"" PU<.I_ 0.. L-J "01lILll~"Tl' L 1m C!J... lad RUtM\'lO I"Qf\ ;.QaI"l.IJI '1lI .n Dvu ~ NJ1'O ACCIJEHn CJyn ~ IIU......... c-. '''00"'''' """". "AD ....c. 0,. P'~ IIPQJlI COWL01NQ, 8IOHING I'ffil RJIW. II. PAnlilu', OR AVrkJrlIJtD fll~ 1iIN4T1JAI I ~ I'. ,...... d .,..., "*110olI '" 0". 1111I""-'111'1 ~~,.,....wt""l ua .....,."'~8ffO~.,.~Mh..(g~"Of.IhI~WIIllI~ ."~"'ll'1a tur.. On PUs 94/17/94 I~~ _ OA~ 14, IMfWOf'Cl.MlNf: ~ 1.l.NU'(1n~qDl'l '...'NTtENl'HA.a!iAOOo\....C".I...W_LLlfI. \I!l" ~t" 1l!'Y "III::;~.\'. .l'/llfll\lJT.... .W~;oDD ~'" 11. HolIIIII (UI !\II"IMWJ ....Vl1aNf 0*' C"ti-otcul.c:8 In. 1.':1. "UlllBl' 0' ".flftRiHII PH'fBICJAH Cho,Jay J C~909G II. ""lAveD rQlIl; LDCAI. U.. ft. ClN;II..01~ onp--.ru"'Qfl.u.Hu. OH lkJUJl.'t. (I'&U'nrT1iWI.&IO". fa IrIJA lot.. I" l. ';:3.4 I,!.--,_ ,3r,~1l . . .. . 0iAT1l(1I~' ioVMC. lit.. rue ... '::" .. "" "~ ..." , I~ ill] i!J4 04; n; ~4 J.1 1 ~I.--,- . . ....."'" 000" 1 , -I.--, P~=~~c:...~~II' ,..,;..,;...... I Ul"!~". 99::38 I I .. " i i , , , i i i i , , ; i , i , : i i i I I I ; , ~ . " ..} I ! , , i " I j.; , I ,. i , ,; I ilL jI"nun-, ArCcom. NO. ~1~ ....1ImWI't." . V"\II.II""'" ....... mcC,uri-se k y~"n;" u ~~It: ~l?.~~~ rACL~T!J!..~ ~VIOl'Wi.u ~':'rd'r:"",:r:;,'ir.l'~T:'i"L Ho.pit..l "1..,h."J C..bUI'Il, pn I tItJiIAU lAA I.D. ~ "II IW ~J-~1"ill.l3c: I ",,' ;:.o;..~.r~'t ~=:- ::::-..::.t:""'::tJ lay J tho - .._;84/ ,1/9~ ~fIf AIM awJC,'1.OI>IWfDlC.A&.II'M1aI", ...,- PI.U./le PRlNr OR rYPf w 1'"," lond PA ll.U'HONlI1HCCuuw ""loA UCOI.I (1'1n~-!;O~6 .... 'uw... ... ,Il ....." t" DATU 'AN,," u....1L1 TO 'tI;tAIt.,., 1O~1IYT a;eu'AT!OM ....'OD'VV ftW'm,'rt '''OMI! TO II '" HOImAUZATCN Mfa flllArio TD CUI'tADIT aUlYlca .-'"63 If7; !1ll ro 'lI'4i 'lPlj '94 =. OUT1o.Ol LU, . Ctu,lQU n.,.. rxl"" I 0.illl I a WUJlCNg "~.......o,, caDI I ORIaINAl.IIUIIJ frIO. U. ~Klft ,u"lltOl'l\&A noN 1fU\1I1f\ ~ . Q " I I ")lMQi1 ~r= OUt) - ~ftYlDP'O" LtNlf1I ... LDC.w..UII 9f:; llil 1 C;;:YI1Yc, , , I ! , I I I , II> I a: ! 0 I i , ! , I I ..rCT""'HMOi '_AWe ",",1'lUO 1IlI.~~ . ,9& 11'0 . II :ell. YtJ.~1I .. ~_rw;wr".uo ~ . p, I'iO IiAoVI. ADM&II; Zl~ caw R~1f~~ ~.dlclne As.ooi ~li4 ~. Trindl. RDod h~ch~nl~~burgP~ 17866 .,., C29896 f__' fIOMIMQIl"'11OI P(lIIIfOlllQIIo,.,. - --.. "";- ..'''\. .:,""'. '..~ '. J j " d ...,: .. I .J ..: ~ l1r) liITllik.il\ )01111 ... n. U". .15/"" N.w Cumb.,'l.nd PA 1101U "- .....',...... ....~-~."' co Nil: 6TAPl5 IN THIS AR~ " 00, ,) Z ~ nTI'lCA HI!AL TH INSURANCE CLAIM FOAM .....rrn I. WrlUCNtt Jollgc;.40 c.\\"'l""... QlJ.~~ G~' ",-c\ OTt'I" lL 1"....'/"'. ~O,ItU...liA IPM MQU""", Ilfffl\l 'I - "'lAl.'h"'-.AH IM.(W'I1~ JoI-ij!:>~0"9&11 t::L-n_.il'_.,....I-".."''I il ,-."" bJ tfOf<J' ""'_ ,.. :.:...,~~., NAJllr.......... n.. ~.. ""'W"..1tiIl r..'~'~...;.~N~.t\MtMlro..,..".."''''....'''''.flftl J.M!1'!lrtT'liiii''rlIu.\1 .u W I'Icl:urdy Richard W wU<'j "'~ 'If;:' ~r~ '0 McCurdy Richdrd 1-' ,-~"",_, .-AOot'''I~. .._~ I ""mrr'"cu,IOh.''# t'OlktIJ..g ,.II'6MND'._ MAJUiil m.. ....0 liU:1 Il~no n ...r~:-,;:' ~I ]...-n 5101J Il,no St ~':, 1''''' r;.,'''' · ctrY I" ^'~ A I N..... Cumburl..nd PA '-0 N......O -c::J N..... Cumb"l'i"l'lIl lSP'WCI . 'TIl~II__,*~~1 \IN.. 17070 ('Llr714-6\l16 I -~ 1~"1"D 179'11 f 171"4-6C176 . _..1_.. ri.:IJMD'. ""..... fl_ ...........-- "'...... ~ WWI , 1;' I. "'ATlI""" . Mtu. Q r" " ::lI~~l~U.. A I , deli 111\31\13 I .. _"-,,INI\I ~u. .. u.."~"", fCUMM'~ 0'" '''''\ll'OUllf L'lil.U"'-lo!".:ATI ~ ."I'M ,.. 0- c:J... "'4 "a YlI2 .n .n .. DO D. AUtO ACt:iI;l'NTf """'- ......~...,~........:"~AoII/lI. ! .u - fDOfYT I.,...., .0 c:J- 0'" lUg 1"'0 II""C.. L-..J .. .,..,.,,--.~KAYlI Go 011i1R ACClOlIfO .. ,.....""""'. '"",,N H~ ......,fItOl!II\W "'...... S Om r~... Statw fllrm In~ur~ncY ~ .-- MN.i.q 1011 IlUDiYlo '''tit l,.CCAl. ..al ',11 nt!MlIIo-,01't""" "_l.TH -.1", /"UN' 1l'l'U ~HD .,.,...,...........-....M. '" MAD MCK 01'110"'11 -.a,,, COMPUlnta , 'lo.tHQ THlI nJNlL 1J.INi\,IlIilD" g,. "lITliCI"WZ1O 'INCN" IIIJHAT\JfIUl f ....... 1& PATIIHT"I CR IoUTHOflI2I.o NaKN'I .....T\lA. I ~ "- II.... at &I'If fHlIla.II Of cow t.lgrWlttIM ...""... _l'hI4kIII ~ 18 NlIl'l(JM'\l*I ~CIf""""" ~ "l;i' N eiotIfn.l... """rf:4 lJIlIO'i'tfM'_ DIndI ....Ia ~l ore hPt1MtQ... _.....~-' ........... IICUI" On F, '. 4/97/ 4 S gnatur. On Pll. -- 0"',. u ......., . '''DIIol'lQIIIC\..RIW:~ ~ ........C~''''' 1" lJ ....T1eNT.............u &l.W1 CiA IIMLAfllU......... Il DAria '''TtlHT u*... '"0 WOftC IH<:ut\IllINT OCCI;'AncN .. Illl" i1l0 /l!JI ~~ GfotI"'..,QAtJ, _W11 t 10 r w "IQIW4,OOj'tV TO....jOUj'N , , ,.. HCWrf~IJON OA~U UUTUl TOc~r .....~.. ' 1 r, -:- ~ ,.....,."...o".f'i'.""'" Of!; OnocA IIroAIKI IT.. d:CitUYUA C>> M,nARr." ~,,~ Cho ,JIIY oJ C<l9~96 -.."'8 ~ '!'li 9lI to ......j IG~ 'lit. ..._-, ,.... n OurUlI""'l n'N C'fJ"" I 6.1111 I ~WI NoloTu.lI (2Illu..&a,O"'"'*"ifllV. tl\CC.AJ1:rTia.w 1,l~0A" ml'r&.>>a.tafiYI.IH-, .. II w,~~" kIW~'- aUG"""'MI',1fCL ,"I]:?3:~ ~,---,- WOI I . >>"1UOn AUT~nDN M./tllDI" ~13l>3~ _L-, . . . . . . ~ "1'6(11 ~... 'Ir ..~U."IW.cU.OA.~LI.I. ........... ~V' 'NOT: ~...."'" - ~ "" .: .. u....tl JlIlt\IIIIIt ."""""'. "" ...." .... """ ... - - ,- ""'" ""'" ~.. c 83; <Ill i9'1 03; ;:U:94 ~1 1 ~Sl!lnl I ; .lj 1 " , r.ID 11 C~!'''9u I ~ 1,I}o I e3il~ ,':14 l:J;t; ":91~4 011 1 9~J~~ I ; 1 .. {~ <JO 1 t;!9U::l& ; la:ii :99~3:: I . , iHtl 83; 30 iSl4 ,::nj<i-' ;;3 1 , 1 1 , \\ 1 C;:!1I19o> r992~2 , I:' , I I U3 i:ll i!J-'I ua; J'l ; ~l" 2\ 1 i , t I. 11\ .li1 1 C,!9096 ! .. . ~ , !l! i I ,; I uL , I : , " ! Ii . I ... , i ; ; ; I i J I if I I --.: AJf I 0.. NUlo6HII .... PI ",~rcn'.ACall.JhT-.o F1i:r9:.... _'\,Ir,....~ I~__ ffr-Am ... ?3-~1979n I. -1L A J mCe u,' i-"ll1 . ZGb ~oII . . ie9 . 26il~il ".~.,t'J,q-OII"""~m"'.llll!" "'-""''''''''''~_N'''f'" ~rrt. R~~"~"iidl.'iirn7'TuOC1 "~ 55 OfOltIUQlltCAccw.JlALI :-:r= ~::-..-.:;...~ J '!'WlJlp_ "",,.two Clap tdi Il.chatlic..burll. PA &1<:4 E, Trlndlo Il.."d oJ.Y oJ Cho Ihch~nJ.c.burI;PA 178!'>1I , '!" 84/ 7/94 " C<l9I915 L.....; '; , ...... ~ft~COOUlIOfI.o.rlollClCH,"""'ca"ll .....- ' PtEABI! PRINT OR rrN lI'OIIII~'_ .'flOMr~ r.... . I ---- '.:.1':.' 1.J(m 1 1~) L i ITl tl K i 1 1\ .. 'tJ '" 1 P.O. UUlC 2$1 No~ Cunlborlutld CA ~...;.. <I..; ...: "."-0' . "'.<'7'." 4 . -. Ij r.# rl ,:__ t I rnl'''', HEAL TH INSURANCE CLAIM FORM _rrr. I, WiQC.AA' "ao'CAll cw.""lA \;IIIW..... ,,~,. H'c.Ir. "",n I.. ,,..INn',. Q, HI.l&.l'." ~ MCI.lI'NII iN."'lW 'I ' r --,,, .r-----, HIALn..."","l 'IJl~LaU I "'tl lil\,l~ ..'r_LJ ~d.~r-- -'~"IJ~...r.r,o,IL. ""~I!i tftHtltIDJ -~ ~1"1 L ......1 tY'I .J ,- '.J",,-~u .I ~i.1'\Ul'" ~.u,I(l.ul tl..,.. ~ Villi. ......~- ~L~1Ar:-UiiTi~ni~ &U '4. ,,.,....NI)I HAoW'l\.M..."., ...... Ii......~ <rl;'" IIcCurdy Richdrd ~ "Il'2: !'l>i ~ Mrrl ;n 11cCurdy 1I1r.hard l.J n.r~"aa.,.,.... - &"'it'l-tHr.....TTOtHH~lO~lN'D ,'_I~..wU"Ii.I_,~ ti Q:l H (fnO S t I ..,CWlt....rJ->>-r -.-Joe.CJ 51 J H ~n 0 S C ICoN . --fdT.'ra '..Jt""Dn'iTATtJ. ilTY "f*''''' No,", ~umb""l.I1J II'A -L,J -0 _~ Naw Cumbel'l..nd i ?A ~ 'OCI I T I1DH~1 jH'lWalo'.. \;..- I'll 1:0ClC !TllfrHUN. 11NCLI.DI~..". ~ llWIH 1 (1I1)'2"'1l7 ....-II~I J:::r"'1 1111711 , (14-)?6U7 I- fJn''''''IN.U''IrJ.NAU....-,.,..,.,.",."..,M....lltlllll Ill""T~T"alHO .0HIlIlAnJro II-H&U....'.1'U.~.,__~......P......JItUIIl_" - dol O!)319J .. 'MlNJolI.,., 00''1 0" 1111m< '6':1; 'f6: '4;: _, ".1 .. lWl"\.O't'."'. It".. g" 101'ClO\.__ ~ Big B.. Oo~t. ~l.iW<1 P'IwUI """'II: cn PNXI"""'IU..M. Sl:d1Ce f'dl.1n I'I~Ur"cSnc. ., IS TlII'I"I[ .lHOT)dJII ",&.q,~1 .tNlI"fT '-WVl'P c=Jws GJNll .............._._IlM...... f~ IN1UA10". CIII AUll1O"ItZm "iDUON'. 8ION4ruAI I ~ :J~"IIl"C&I t.......\CI N UI\0tn""* Pf'YtI*rl. ~_ ........ .....0.:0.. Sl~n~tuj. On Pi I. '10"'" , ! I . t.O' A9 1 1 ~H32 I i ~ 1 ~ lOJ CIlI 1 C26~JJ U 'AT;'''''', NXO:df kg. ~' ~tr ...,~...... _ roTALCl-NQI I :n. ~'NT.oI1O to. _._ lfI"I'.........-OIKoII .... meCuci-llll I'U "NO . 41111 liP . . ~o . ~I>D.~1I - PU.... ~ ~~. ~~,... ~ 1IItJ-. ....~ A ' IiUJNOHAYC.ADOMB&" w.ur ~r~'~~~~ H06pltal R.W~.lIadlcind AGacel "euh~nic$burg. PA 51~~ E. Trindl. Ruad ~ach."ic.bur~PA 1/e~& 1_ C2!lf96 L-. CQ lo.CT ST~PL. INTH'5 AREA . nt1A,N~.D.~CYonono."pJr,lj..~iPt . L~""lM7lCLMlKT Oft PMVlCLlaJ k ar>-B',INIUIIIDIOATlO'..fll IU ... i "", .,., J.~'II ..1~D'YIJt''''_~IC"-'-\Mr 0'" a. AUTO ACCtgl.'IM CEJ YII 0. QTt;iM .tor.f1IDIHTl m... '\11I;11.... 0" ....... 0'" m.o r 1011 I\UCR..w"'OftL()C.ll...llI I HfU,Wlt*I~\lNAW(. MAD Il4N cw P'ClftM .'~"I callflU'T1!fQ . ""MCI THII 'OM. .t. !l.\nfHr, 0.. ~rzm lIPtoffl .lo........ruAl I WflOI\&I IN ,....... DI .nv ""'*'" u ou.. "Ibm.,.. ....,.1O......U.OIIIIr\, I &llDftq\l>t..,..,.,..tntoflil"'lII\mfn&""" ..w..1lI,...,.,..,,,-P*tr-..tl:l..,. --s'r~.t...re On Pile' 03/31/94 SIOHIO ~"Te _ _ ,6. D.t.TlQacUMIIoft: ~ UJ....1S.1"'...~0I'f t&F..~T1iNTHAe;v..gIAW.0A81...ll,UIU)lIL&O. .....~JlO ':f' ""~"'.........."" . QMI...,...... 11-' 110 ' .,., (lh ..,1 S ,..~Tl,\1.." . " .. 11. ~UJlRI'IRMQ~"...SlCWiQllGniEil.~ 1',,1..). J\oULI&IA OF I'lI"lI!r"lf4(,i ""'Y1t:CWll Cho.Jd)' J. CZ9096 II MtD'MO ~ LOCA.. ... ". DWIHCleII c.."'l'\.l!W UJ'IUhlllc;;'III\lN.LIW. (fIfJ,AT' rTi:iit I,'," 0". fa In.. t4C.T UIre) , n3,4 t,L:...:..:..,_ .j. 1.~.__ ~ ,:JbJlI . ,_"'''~__.Q.. .... ';;" " ... cO .... . 0 1 ,... ':')'PI HlC"DU~~.... lKIt'I'ICM. Oft iM'l'llU i IV4H01l1 ~.~ (II-~"=:'- I 00<>1 Cl'T"""~ ~1 1 ~ J~l9=:::J.;' I ~ i 1 ; ~ !t , 21 1 ' :99;13.' , ; H 1 , eJ 12~ KJq '3124194 03 :2:J ~" I" J i 2::' ~1 1"3: 24 :\14 ;tol I;' 4 i94 1 I i of ~9~3,' - 1 " !')!1":J ' " " .. I. i , ~, l . I '- > ; , 99=:31 ,i 1 ::1 ;.3 ilf, ~'4 J:/ : 26 ''l4 21 1 13 i;:G "14 II.J :26 i94 2111 13Y' '114 '3 i 27 :91 21 . ~_L TAl W.W.." .... lUll 23-2l.1l7l132 I IIX I ,,-"'... !..~. li'lCW.oH:I.~~Cli"'E.~~ I::=::=.~";:,j J.y J tho - 113/ 1/94 . . ~ lV.IoMlccuca aN t4OlC.M. ~ MI) 'MCP............ PUA# P1/INT OR TYn 11 Il i ~ ... -0 I" ~n. "."'NT U~ T:) ~ IN C:~""aNI' ~""TIQH _... IIU DO. 'N ! MM ,"",''''' ,""'w " a ; \.. hUl",TAdl.Al1Cf4 Q"'~' M:LA~liNT'1JMCII ."","lbi i"7;9'4 TO .....i ,lI'.i 11. aa.OUI_LJllf ICHAI\OU 11m [3]"" i ,I. ~Q I I ~. ~~..."g "QU..........H CODa I 0AI0lI'cA. q" NO IJ 'fttO"'''''~mA''Ion'N~('' " . 0 . , CAYI IJPSDT .- OA 1IIn1I" tMCI UMT1 .... , ; 0' A" I , I I , 1 i ; ~), Ul I , 11 , J 61 Oil , i , 711' 611 1: i C~9"91i i i C~ 91l~1i r C~6Z3J .,.,. . 1Il"1'l'4J fOI WCAl u. ! c ;;~~096 C~'~1l96 "'M:~" 1IOlW~,.. ..... .....-- I ~ I I ~ I~ ~ ~ I , .~ .. il! ~ i :5 II . - '. .~ .-'- ""j ::- ... I'; oJ '. "~ j' I,':' :. 1.., J I ; ..: oJ 115 LI~~hJl( }U"rl P . 0, U 0 ,I( :: u ,-- Ho", Cumb,.'lorrd PA P~/0 '~---~~r<""'h<(,~--i co NOT STAPU' IN ,T11'S AI'.... ,.,..,--y"':.A HeALTH INSURANce CLAIM FORM 1, MWO". "',UCAlD CKNol'VI Of"...'VA. UMnl,;II flOC. Ulll.A I.. trtlW",Q', to, NL1I"" ~ .~ ,.......""'--."""- :Ie "."ll "'a r~/i 1"""'~L~]""''''':'M['_~~R..,~rnNtllq I ; "J~ rJf') [mJ -...,.."'1 - U '''TIt,vr.HI......(\UI ~ '1... ""'"" ""'U'lMeij ~n[h". r+I~rn 0"'11 II!.ll: .. lI'Ill.II"O" kA.WC 0..1C HIIIw. 'hIN.,...., ~4MI mlQ "cCurdy Richard ~ 'il'2: r't.: .'l'~ "0 ;11 McCurdy Richard ~llIIn"'OQhi"I"',hwO w,.....'..Jif"idriOIlli'ii1OIH.URiO' II4I.I"'O"ADe"Q1'(PrQ,,"~ 60:) ,iRno 9t ...CZ':-..r'.]...rIn..n 6ll:1 RlIno $1; filY . 1""111 I" ;AlllIN1 ar...,... ':IN , , N NY C umb e I'l ., n ,. .l" ~ ..... CJ .....0 ~ lTG.utmH.{lI'CI.........OIiiiij l' B '0 (7'/ "l-2C>Ul c"""r-I ~.:..,~~~.r--1 'uTtCJ ..t4J~iD" N.UQ jl..ul"..,...",. HItItI, U~'lT\Il:trQ 10. II "...n...T. calil5inOli Mll"'T1l~-ro . _I ^; Ne.... t.J;()og1 ~- -~-,..~ 'I r I I i I g Ii cC .. .. on"," mIilJN:Q" j:li ..." Cumb~rl"nd I ~" I TlI.iJlHCk' ~NCI.l.iOf MCA (::QQllI 170/0 I U"l-}15151 II, lHAUI'lCO'. ro..W1't (>>\O..l" u" "leA NUA.t.... dol "C.;SB:J ~"-6AnonA1)., 10 'Ir.?: 'l,\;: 11..: "r>r1 .Q ii:-I~"IPMi 0fIl tQOQ.l....... 810 0.... (1o~~o; ..1 PU.HN......:)It~".w. , ..... ql'lOV' NlI1.4it.M I ClolruI'I'..Ihf7ICUMIf<<l.lI4....lVIOlJl) lLiiffi'1A ,"1UIl'Q'. 00\1101' .rint WW.DDjW ~ ' . &. lMM.O'rtiU 1'1...... CIA iOtOOL ~A~ D- b. "UTO AC:IOIJIln 0... Co cmtUtAtUDIINT? 0... mHO 1\,'If, "'Kl'tvw foOf\ LOCAI....~ ~tdt. F.lrnl In~~rdnc. i:llllflAl N\IO,,.,.i!,l H~Tlt ..Hlm fI\.NIrt' rI "''' r->il WI) JI,. ,..,. 10........... bm.... 1i1,IH6UAID'8 M NJTHONlID "UtBCN" elONAnJAI I ...v"... IIIV"l1'nf gf In..... Mndtllll\l'lt ~"tw-4 ~an;tlW. Or .....d................ Signature On ~ilB 11tI~_ ,I. ~'np"mHT lJHA.I~1 roWON( NCOH......rOCCuMnON ,JIk;""..... i DO i VY Tc toll\t i DO i ". I'. HDaPrT.....~'ION GA.n. NtlATIO 1Q CUU!.llff.~ ,,,,,."1t3: \"1/:, 9'4 TO 1I"1.! I/".! ro. ao,gur"08W, .~ CJm r:;-,.., ; ".0" I a. IollglCAlO AtaUiiWIlII'Cf'j COOl I Cftg""AI.. AV'. r.o. I *.. I"Rl:R AUTtIC'''V,nON MlMKA ""," Q!J... 'UCl~ D""~ '" 1H1U'U.IwC:I..u.N IUNII ....... ..IAO BAQ 01' NUl,. _FOM c;:Q(II"-iT1NG , IIGHINQ THII 1fO"". 1" 'ATliHn OR I.UTHOfUlm "Ift:ION'S IIQ~TUAIi I IW'IWt h NlII" ol 1/'11 /flIN1c.tI M ~'" lnIcnnatm ,....,.lDpt....WI~lalIo~"J'WIIII101~tlll._.'''..>>"')''IIf1Q'Io...''n..nollClC'''"' ~!\rPI/ltul... On rile 8:J1;;4/!J~ I'QNth nA OJ l'.g,l'''DlCI,IIMHTI ... fl.LHIU~..pt""'O" 1I.tIlPA.TItHTHUkAOGNItIOfIa..luA"-UtEl&. e f)1MJ;j lW ~ r ~ =t~~~r 0..... "MT0I01' . ~.... .. ~D ..." 17. JIl.I.Wt ()IPAitVlMQ P"Hl"d&CIM QfIl OTlt... 'O\l~t;II Ira. \'0, NLIlIi!I!A Cl~ HIl,,,I;\/"tQ "~Cf...... Cha.Jllv J, '''lSaiM.~ ~ LOCAl... C29A96 ~IAQNOI.l'O"t4o\lU"'QII~1I0A1~'(_I"lI.A"It!N'I,UUA4 TO"i"~ ItY UN~ ,.17:"~~~ '.L--._ I y ., IJh.;lI) , 1ftIhDA.~g'''''''lnIt8T1 ~ ";::' 'fV ...... DO II,' i, 7 ;, 4 ..; 1,7 , ,----, . . . "':' 1).,CII' ~~~~e:~~... .,., ......... ~bI r."w-;;';' ~ 1 ~;;;"'1It !4d "1 I, '''9~;'3 I i ".9 ~:i;~ I : 9""1" I ; I I I . . CI H I DIAQI\IOItJ DAY11"1Ol' call 1'"""011 OA ....""" - COIl loN'" "1M , , , , I ~0' 0.1 J " I i 1 \ ? II ~ l')1! \ , , ~, , I 1 "0' lie 1 ~, , , , ~ , f I , , " f: , I I ,."..""" Pal ~ """"". ~ C "q<I'," 15 i I IS a III .. , if I"~our- ' , 32U.~O -. lU '''1 '.l. L.3 itA i,,~ ::~ l I. I"" 1 I I .: C "!lUll" A] :"3 b4 1:13 !ZU !?~ r:<'''IIH~ ! I; I! I I&. IllDfJW: ToU '.Do 1'IVId1" ...... tW ~3-2107832 r-lIX I if."'iiiiiA"-"I ~ I"N't8IC\AH eM '~'I" liIlIC\UOIMCI oeaMi. ~ C"I.OlAI'I1~ C'..-, ,... "'........ 1ft ,..__ WYlIiI..._ar...IIIId."PIIIIPIIrIol. ~ ,_,Aliai' NO, ~"/loCU""""IlO~"-ry ""gIM,~ ......, mcCuri-00 " ,,. I he . MAN' AHD ~~~ 011 'AOLI'TY w...'" .....-\CI. ~ I'tHOI'JI<<Ot"...ltwllllllloroflq, '" S.idle "'.m..rlai Ho~pJ C,'1. M.ch"nlc~b"rg. PA " Jey'J Cho ..... ' "'- &3/ ~i9"1 U.lOtAI.C>oAACM . 3.Z0 01l "~~-.r'PlIU" R.h~u ~.dLcin. A~.acl 61~4 E. Trln~l. Road ".ch..nLcHburg~A 11166 1_, C2!1ft915 J.-. /: ".. o fIlD ~ ~ NMClDUNCI., OHMIOICA&.IIfiM;I", WWCllI....11Ql1.a." Pl.EASE PRINT OR 'TYPe ' '~M:H..,,, "'IIMQIWIOI>II._ ,.... """'- .. I i ..c, rn- ~ ~ i ,~o NCi " ","', :..:.1, ..:oJ ., , ,,' In ll:, L L'I'tf4: 1111\, .'J~~'l ~;, . O. tj C.( LJ ,. Nu",", CIJiIIIJ"', lanrt P/l .t " ~ 7 J ...." I"~ ~ i I ~ Tn "c~ HEALTH INSURANCE CLAIM FORM .." + 1 'ol'U~1' w\:.;".-.n C!\,oVIoj"U, (;l't"..,...." IJ"'l,," ""CA C'1~~f11 '&,I'.LA,"I!O'l)U,lIAILfltA IIA "'1'L&-'A....oHill.. 'I .. ..tAl.lh ,"UN JUl lJ.hQ r i-'-I.~~~.Lj~(j::....:.~..~~~..,..."J[~ \~.!:~J_C':.!~~I ~~.~_ JII-tJr.40-9Gil I ,~""'ahAW' IWi.t_", 1'1,. ,....,4('1.. WU'J --, - ---, J l'"n,,,,,-:"tUIlHf... f;lotori' _ lIu ....~."[ci,~'T~... H-;;;;'~i:';;W:U~-'-;':'iIIIJ Il1cc~,~ _____.R:,~~~~I_.I~1 'If:>:~.{"~'Q<':"'O McCunly flich",'Q W, :0'"_,..,,....,.,...., -,. 1."fThfi"'~""'.H'"'~'L.''' ',:;;;;i'ritlii":W1iA,",,,,, -;.;..... II ~!2. R~~~________, . I .'I~"~~~C- ti0J ROrlo St: __ _ I ~~ . 1'iit.i,-flo"jJ-'\All~Nf ItAT;.'1 cnv--- "'All ~ N..... cumbO"".', nu.. . ~--1 .,.....1. 1 -..0 ""'. ~ He.. CUlTlb~rl.nd ",I~A _I~ ~~:III]g.;:t;~.;~W7.~.. I ~--c::1~~'~'~7"~ ';~:~e __ [":V';L::'~C~U~'~i Iki1'kiIrih'i'G;i!D'lNATi...~:n..;.~'loi~;U.r---'-II'3'(;'IAh~tJ(.l)ldUf'().;:::]TtLl fQ-- 11~"iD"" .-aerUHijjj"-OfII.J..loC,tklillll . 1!5! dol Ilt:l19J "' ' &. Q'T11U!.l".Jt>lol.l . PCV:f ;:;11 ofiiU)l tI....tll.~ ~ &. n.t"-"""'1oIT1 [\;~"ENr UfIl I'1I.(VlOlJll a. IN.UN.I1'. 'Ali (JII'-"'mf I .." ' 0... 0...0 ~;t\;;:{..r;n 'L~_ l!!l . 6ii;;:;;;""""JT,...~-, on . .,,,,, AC'~h" """"'" . .ii"lliffi't"".. ~'IC"""'_ --t i Uu 00, YV . iur"'l<] '0,___ [EJ,u C;..o L...J 9ig 9l'8' Iiuet.. I L Dlf'\.C....A'1 ~ all-~tliOl ~Wol' .. U:.ooiA N:I.JODm ~1\.tH;1 "'-AN "lAW' ~" I~.U'"'' N,I.M. !i I. "'VM'IU ~ H.IJd" ,N1G'iUlo1 1'1"....-- L__p ~.!.-__~~.~)...o .. ..,~.~~I:'O~.r~:; ~k~\~ ~~: C · I'! ,'ot,".U<<"'~/"OA~LUClli "U~I '. a.. II Jl t d I' I' .,.;~ I~. l. U"i C;,~9IlY6 '0 I~ !5 .. 0- !5 II> ~ ,Z Ig Ii I' il 11 STA~t: IN 1')-11:1 M.:;:A , ~ -. I . i i MAD &loCI( ell ~.. IlfOU COtlIfll.!'T1Na . '1lWflrtlG "tll FQMV. ". PAllkNTlJ (lll AJ'TlfOWltC :tfl~N'1 liJOf4ATuli\I! I ~"H .,. ....... Of &IT)' "'101_ 01 ~.t IlIfnlftl.llClIl '....""bJl"OOlN:I't4.I6i1\t,I....,.~1M111W\101~n.,. t:.."IIII1lJ.II'''IFI~OIlQll'tlllll1~_''.OIIl'h -"~f\'l'I1alUI'. u., "11. 03/'H/':1'\ SIQ"iD QA"! 14, Q,'llwO#CyMNI,,",. ~ IL~U.l"..cMl'J>l."" OA ,a.lr ""r,,,,-rHA' ".olO iAAf,la""l,Ilu,AII.LHIU U ~ ~ r ~ ]V , ~~"'t:,}~ 01\1'1\,",' o.rt . "I" ... j)O . .ly IT."'MiUc llI'N~QI'~'rt"~... ~(lfl1I!" iOl.l'lU!! I "Ll.:) 1i\l"~;Rij:i7uii~s:el"'l tho,Jay J, I C29D96 .." '.-"IER\'tOl'OA 1t:t:44.1.'1II CJ~. ~~ II....NnIn1ll;!_~..ltlII'la" II, INSUIUD'. OR AUnIQAllED .I!#IlICNlI 8C1N4TUR& . tvlMrlIlI PI."'''''I''".........IO Co', W\DtrtlQnlld pf\1tGan,V 'uO(/llllt b' ....... HtaDed "'-. Zl9ndtur~ On Pll. IlQH;O II. D.ATtI ltANlNT lJNMUlTCWClIl'f ~t:l,'U'l!!IIfOtC;U"T'C>>f ""'''''''''100 'fV ro.....jCHolj'N 1" H~II"'1li Ootru""'iIi'LAfl."1'OC'liMUiftflri\;tu ",D~""'"i liD..;.'tl TC WI4t j 1iO.-; ~T... , . I. . tCI1AMU UOll"IIOI~.t ~~ Ofl t.ATiiircJo-lll.u,lj,G 014 l'U\SlY. i.!.....T1i IT'~ I.U OR "lOI~J.rlUiii IJ..tj_____~ y aoo"'''L AU, NO. 1l.011 ,I I.l~~~'.~ ~L-. tJ. "'UOJlUun lUl~N"lJ"'EI\ 130JU . OAT"'l 0- &irro'lC' ...... " "'AI co TV I.... UII o ~ i:: n 'i t. (J.~ j ~ U , ~ I . L-.....-, o :;tc:)li!.S. ,W.\'r.t4. OR iijt~u (.",.. u.....w; Cnl.-.MIlI'1 . "'c~ . C 'lwJI: f)Ol ~ I ~ ""'-~~-. 94 11! 1 ~ . . , 11 I , 40' \10 ClACHCIiiI, CON . ""...... r ~ 9'':''1 J , , I I , : : hL-1 :' H-H-t-I: : : I Lil-Lr I a. J.ftlC""", IU II), """,,,aiR S8H riw : A-I'A'lt~r,NXOUJ.HO. 27, J.CCi"'~000rlMeW"" ...: or....CII__1NalJ _2J-.:10103J 0;1:-, .lIlcCurl-no . '... "" II, AuNAn,,.. :J/fPoo'rltC;....oM ~ .li. ,......~~ii"'0I' ~--...:.ilTY ~ IIlftlCESfrLlt; =~~;:~..= j rl"il'1V'J'jf'li"',,''''''',!;'.''cl'''rtrlndla fld ~.lI'.w""'''''''._~''''1 Meeh4nic~but.~.. PA J~y J Chu J9J031 '83/ 4/94 ...." c , , I " .ilt_~ . 411" , e 118 I. 4W.IIW n l'tt'ac:lAK"~ ~~~gJllU& l\III elm I flll'/'itE.' Modici.no A..ocl &1?-4 E. lrindl. nOdd ".ch.nlc.bur~PA 11ijG& C29095 I . , , .___----"<_..1.- za. ft".....0tA ~.YN4AC~afu~~... WtCF....,....... ~1iQI..llOO ~0'l'Wl:P.._ PlEASE PRINT OR TYI'E r.... ~.,..,It. -,j ,I~-;- $T..J,PLF. IN TLiIS ;:::tF). ..f ...J : ~ I 1 _ J 11 ", ". ... H.l "1 .. II: ............... 1-11 ! ~"--' '~~ '" ''''. ';':,;tt'l ,,' ';~';4"-i:t"~... '.1 'w I. i..J;r.ti",!;," ..'11.J :) \,' C" HE.lL TH INSUAANC:: CUlM FCAM ,A hI '4;.;.;,lO.(;L ut...~:...~ ~1II~U.' 1,".lN"~A ',,,r- " 'c..... (;.0''''111'. "'II...'''t;''''J l>tl1oll'lllOl ~f"1o.1W~ .\......'U.. I . -!.:',,",=,'c:... V~.....'l.::::1-~'''''''r::I''~~.L...J. -~""l. ::....:W<:~ ~'I _ jl::.!;~~~.2.r,..;___ _ _ t. t'A~""I.t~",\_..,... r.. '.... -"oJn. h'lIIJ r.l. l'A.f1lN"I./lIn'Q.&~ 101 ....S"''''.Il.tu.If.,lMl "..'., ......~ ~. ,...." L ..... '00.,., - r---'''' i'lr.C~dl.. __,_ ~<." Ird _U..=..lJ!., ~""L-2J ..L........L...!:!'o~ur!.!.:t _ -,-"!..!:.I'2.;.:L L rAll."'" '~~II.N.I~ ..IlnI'J, .. .."nl.H'''WIClNWtoMl.IlW f, 'lII"I'l..U ''';;.AU" .~, ""II r' ~.~!':!~._~----- -'---'-I"'~l.. ~,...t"1lI..r.2"'1~~_~..r~ r'..lfJ Rwl"Ju Sl; ....'r .. .....U.~I.,A1\.i~ 'n-r -I''" _r...~mcl-JI1I~~..l<lE1L_~__ -!....E..~ "-Cl .....-..E 1 w.ctj !\.~G.!.Lrr:..fl~ HId 101 1 ""''COol ItLU'~~'i\4Vol'~I.~'1 1,"00..11 TLfiin4b'fI'i'iNCll.lfi"""" __.]."1.:"'=,__ J.Jli::~,.t-1.::.rltJ I ~ 'O-Ll ::;::rJ.::::':-'~c :1 t I~I "'I-511/6 I (In..A.h!&LI''J;J,, "WoIc 1.....r..-"l1.. ~.. ""l!J'I ,..,,~ ig.,TfIo4t~ '-~;l,iiri\ti;At!O fO' ijJW""-----. r ! 15 i1 ~ .: L ---"::.OJ -ji ...:"..-...oo=~,,: Il1o<t~""''''iN..l'_''"'''~=r1 U;!J"-- il [---1~~'~-~ ~- ~5:~~~&~,.~~~-~.:-,- ~PHfCi:C...'\.-J,.~/...I.ift~.. ~ ~ Zllc~;~~LL ol~~V'.""'I~"'f-"."'" ,,~_ L ~L...D'i"~'c"'i4'OnO~u" I. ~l.'S.lfn :O\l"M"" ~ f'A1;'WIOJa i:i.u~Am-oAliC~'IMn4 .....,00,.,., . t. rm.~W'l" Ih"".. OR 8CH:O:.' 0""" a. AUTO ACQUJlJffl' L..;,jm Co an1:,. AeCI~"'" l....d"" "'.lCI"_J 0'" L-.J In .~'U.W~"~"""'^"'.---'-~'-iQl."~~-~:;;NO -___L _..., "....O....e<< 0"'1"0"- KK11'2 CCWPU11"a. '~illa nfoe I'OAI&. 11. .....Tlmir& 0'1 "l/TJ.fQA:rD P'tllaC'f'd llGHlll\.IAG I "'11m",. 11'1. ..'.... .. ..., mllnlOlN Of 4V\M I"/Qrn'..~ '*-..,.,10 ,Onltt.~/....... 1&l_Itq..... c:~t'" I~~", w~ ~1t:D"'YI'ilOItClUl.""""",IC\lIKU --mn~tll,.a On Pile flGIi:(;/94 Sk1Nm OoATlf_ '<t. QA~O'~A5W1' ~ I\L1Ilne.....~.bnlaH Ia.l.'"~''''' ~... tlNJ......., tM'lSlN.lNI'loUd'M. .... ' 00 . YV IIUJRV~.", tM ~"",~tif'Q.\tlfl .....' W) , .,., ~ ':1 ~q:1 '~~;\IIP'I ,..1...'.... 11.........0f& ,~"'J~IQA,..ClI4on,tH&C:i.H'lo1 .f.tn"~el'UJitn.Hiii~~h~--;u;------- <, (' 1l....J.~&. ' "'1lml'Qll L.u.. Cl " .. /.. -~'''''''' """'" "" ",,,,,v::i<fiAr.;;,M' IA,.o:rriQTr"i....... ""'-="-1 ' , ,u,~ 1 , I"~/""": 1._'_ . L1,!>-JU. .. . ,^-~~Wl'{m - To l'II on rf "'~l? (\'~":"~ I I ; : ..L...-j ; I I I -L--I ; i-I ;- L-r'~--'- ; i Ii: ~-..l...---i.-___.l.-_ . 1,'LLlfl'UoLTM1-O_f'\'UW.I.Jol ~.....". ~ 3-....'..-'.1L' a:...:.:... [,I r~ '~ru"l'G""'-";;-';""1,'ioa.T~~- 1ttC~~.ncu~o.'O"lIM' (J -..y tr.. I,.. ____........... Ip;JIllfl....-..N....1ft11ll'Wlf1 .L.~_, g l'aOCiCGRJI&. OUl....- c:'CO,r~I"I"UEI ~ .In-.,,;........... lIIODo"bI . T't: '-J r,M .. .. '(y ~........ , .....",- ";lOll j " u..L I, ' ...l.--_____J , ~ '< I ~. , ' -L~. Pehdb Had ~sg/rrlndl, J1f1Ch&nict.bunJI PA J9JU3\ 2G/94 Rd .ley J Cho IJ& ~ P'tIiltMIt. a:u.cu. OflllllW)c.t.L. ~l.... .;M.1~ ~SI! PillNT OR TY1'1i or.. ,K,A"...-:()!Uu"lrftlll !<)J......~J"1 ..~,.ttn'.tMJtlOTiif"'nJf Wltf ' 00 ' Y'f _ , _ u ~lL...1.L.. ~ ~ .. ''''''W'.'''t "'~ 0.1'1 c)-on. ~Ii I ~ i 5 '..c:L_~~ -I~ Ie 'a. I I I I + If ,.. lli'.l...1!AlJ Eluate.. eo ,MlJ~. PL.4H ....l,IQ'1iit,.fiWiU.. ....... ~~.ll;~ F....", lr'5ut"'''nl~'' II f..-n:fr"!tM'"arttU M'J.LI)f .0;,,," """.,., ~Jvq r-.JNO .,.w..rwtWI'I............,.,.,.. 1 J :H'hJ"'tt1., 00t AtIfHOmlm r'1:"-"JH'fI ~N^,1JNi I adllltU. ~rlfl'''d1_!W''''lIItn1~*,~a...OI'u~'''' WnoIC:M <k...,,* :JoIIo... $.1ynbtIJI'" (In 1'110 RU;IliEO III. DoITtI""-1ffT lI'fA81. T'O~ICIl'Icwuw.N1tx::Q...e..T1OH \,I"'oo'f., "''''00''''' 1'AOW1, T'O II l' 'to.w,....uzAnO'f t'rl;-i~tu~'iiHT~JMC "-"l . 1'1:1 . .,., . "Ill ' U~ ' .,., ~_--::.r_ .. ~ ..... TO -'''' ... .. JI aJ.WTlIIOi;;~, al,;KAAQU .~...C"~J u. WbDGl,tO IlUUWi&aCH 000' ~ lflJU CACltw. "Eli. "0. J U PACtl ". fl-1Ct'1I:Al1:w H'~1Lfl "M"'l HI'C.I'fll' , 3 " =~Y'I EPItOl" 1,/~,,"1:." 00Il PtilP~JlOfIl u:lCA&.u. . ""'-""Uu MUG .' I I 'H:I I ~ '.. R.h4b ~udictr1e A~~OI,l &124 ~. T~lndl~ R08d "eChdnlcsbllr PA 17~Gi C=9U96 IOq ,q-",- --........"" ,... fQMII....,.&II~ 1.1 J .. .' "1""" ,~. .--' '... "~ , .'........1 co ,~o;- 3TAPl.E I~ THIS AREA ' .. ':..:Il,Of ,:.\ rlr, \1',\ lj ,- dn,j tl 1 J :'} l.a. RI L: h ,~J., i;1 0 (J tJ P.O. (10. ;!57' Nay Cumo~rland PA 1/~:~ rrn.,.,. HEALTH INSURANCli! CL.AIM FORM .'eA,TI I,MlOc::.w ...~O ~t1.y"V8 CH4M...... . QMClifl ,~ fr-"" I.,"IIJIlIO', .g."UWOtl' Cn:m'"00~AHI"'IT"I' ~ .-, ...---,WIAl,lHru.".. ILMLl,I"':I..__ '"'Il Nr..':'ll UID ' -n-.r-~r-:_I<\,.A.I)L~ ........~ 1I'lUIf' ~ I"'" ", -U~~.~ . . l "r1Jirlrw..,:\.ul H6ttlI,'~ ,...,.... ""lNI.. ...u.;J 10 ,..TliNr, II,H,.. DAre 1l:C . ~.. How.I~...... ~ NIIII" "1ON11lGl1 IIcCurdy . Richurd, ,W '8'2:~:~' .;-;r'] .n I'IcCu....ly , RlchllTlI .. '4"," . iI'V&, .'''1) ., ,....ne,,, I\C'-A 110M..... f'O ,,,,,'~ I, IHtI.l"'Il". ~~IN tJ-M. kwlt tSBJ liellu ~ l.: "'~._..rlc".rlon..c=J G.,:I Hllno ~1: GTY . Ip ~1.;1'I P"'.!HT sr.i1WI CfTY I nAl_ Il.w Cun'~~rl~nd If.. ....0.......1 I _~ N,,,. Cu,"b'''rl'''tld I fJA fD'eo~ ''''Chl'''''''~ lJ(t~1 Ii Tru;~~[(1NCl.UC4AAll'lf.;QIJIQ Vll18 (/llt7l4-SB76, '''-1 T:~'':::Ll:-'::-.:''D li1HIl, P'-F4-5117/i ..OnlPIttIlwMQ'.NAW1ll.MIH..... "IIHMW,M'C"'IMIlj lo.ltM.rllIN' ClfkjNA:LATiOT'OI 1t,lft.SUlIllu'.POI..l Ofll'iC.\hWMtA dol 11&319:3 .. OTtfMIHU'Q'1 ~....., \.1'I...~UIt """'_I" ..'WIIlOy"""," ICU__HI!"IT DR ~OIJfl ....UMrl'.DAT.C1'M'lfII ... ,,"'DO''/'( ',~ ~ ! I 1"'1 "I '1 I C.'WI'I.~M'.""",~IC>>>OCl.1WM D~. ~"O .. AUTO ACClDthT' J'tAC( 1__ , i "1m U"" L-.J .. on..r""r;ClDlIrITl On.. m"" laI. Aarnvc;o KlI'I IoOCA.&. uu ~lIW<<:' P'I.AH NAoMI u. ""OOIWl H....... . ""g trACk a, F1)fIlM BIPOAG COII~Q '.,aNINQ fH'1 "q.tM, ,.. p",,,,"" 0IlI AlJTHOftII:Io I'IHlCN'S IlClN4T\JAI t Wlltlln Il'I4 ...... 01' 11)' ""akal Of ~., Mtem"l . "-tyta___t~ C*"" lalO relJl_ 5WpnI'" 0114......... b~.Itl4, 10 iIlPtI Q/t IDt1\41 N~ wtIlI....... ~~~.tur. On Pile 0,/14i9~ IKlh'1O 1c.DilTl~elJllMHTl ~ILLMI"{MI"~~ ..... ' f'" ~.... IIW""".._"" . "I) ~c ., .1- PRiOHAH~t\.WJ 1 . 1"IICMNM~_"IU;'JIl;;I Cho,JAY J '" NtItftW:) fg~ l~ u-. 0.... II, I' ""TltHr "AI ~AQ SANli OM MlI,tflAA 'l..LIiUL OIW"'''OI.lI >II ~\t ... ~ .. .:tV . , IU log, MlM'tJIl w Ht.P'!l'IA~'<<) Ph,.SCIA,. C291196 11, Ol"w.o...Oft""'ruAlSOI'1.l.NlIlOAIN.lJR....IRn.-~IT1....I.I.3Cft.IQnUltqJrl' ~JHE) 7Z3.4 I,t.:..::.:.,_ , + 01-,_ L,3b3" . '" uu '::::- VOl ... ',L..-, . " '~~~~.Cfl, OA"UPJ'lIQ ~PlM~~",... .. . c ..... Tw. '/'(~~.. . DIMMOIe """" 'To co 07 iDa '94 57: 0a :!J4 J l 1 : 51ll~13 i , i , , , ; i , : : , j ; i i i ; : .."'!O'"^" TU,.a ~IIR 23-21117932 1'~~~o..C"I~J." ....... N....... '" ""...... ...1O--..__.......PIl'1r-.... ,I I I I ' I ! I " " ; i f ~. H.1""nlHt"o\CU;UIIIJNU. ~'~T.qa.'aH1oICIfT'f .....~...... mcCUI'i-1l1il ~ ..... I I"" w. NAW McOAOOIIC,!!!! ~.!..T! ~H'AI IMAVK.OU WUW ~1II-U."'.0Ibt , Reh,ib "ed n&c/Tri"dl.. Rd M.ch4"lc~burg. PA 3931131 4/94 . 1 " U" ilN non ~ "y J C.ho, ~ t-.. ',' ',__ 97/ . .~ IVA6IACQ,fa. QIf WIDCAL tuMe&..... -'...... nv.S6 PRfHT OR nl'. (, I~ I I . J L~'lJH'O"Po'lrwOl'.~nt NIC U ~~.!i i'\;,i ll'~ u[/fl"11 i "IW\.Ioi"'l"" M"~ Off lIQi~ ~li i Big See a04~e . "1~l.fl~.lt&.NI. 101...... 0l'I ,.lK;uM,M HoWl i St.~lt Fdrm I'I~ur~no~ ! d, II JIol'''C N<<]THI" HIAi.fl1 ....orr "-"if, : rI'I1fS rxlNO .,...,..,n..,.,-.oI......... r 1'. ,H'UAED" 0" AUfHOJIU'ZJ::J 'I",ON'! SJQHAMII .......1' P~otllWCllllll...."..Wlr.W"G...."..~....~_ MMclM _~rtDlid bilow" ' ~~gn..ture On ~lle O't1Heo IL""'''''ATIIUT UMIUiTOWCIIN NW""-JfTCCCUH.TICW fl'OI4 uw .; 00 !, 'N . ro ..... i = I 'fV It. rc)VlJA.LaA1UN .LlATltii-AaU..fIII:) fa C..ttNN ",01.1 WI,,! .SIIl. _I .q TO 1M, i .PQ. i ~'(., In OUnl'OUAt . OfAJ\3u fl... [Xl "'I , Il,QO I, D. :'~F HIIIlUllrIIl..wr1 0At01"!AL "", No; Ilttvt, Uu~hlf!l. .1, "AIOA~l'UlAtlON HUMOIR " , . I . ~ 0...'1'1 PlOT lli'I"'-'lDfIlQIt "(,:h4IilQU 011 '--" IAOO coo ~CCAl uti lMIT. __ .. , c;.:g\l~.. ~ 4U'OIil 1 , I ill : ,~ , . , ! I , l'i , , z , j , , , , ... _.NI ;HiAWOtJHTI~Q a),~Q\,. 1 411 oil '. 9 i111 . ~II, 1111 .u.~'^'1" '11IIr..L;HGkNM:AWMt:~DI'COOlI Reh"'b M8Jic~n. A5soci 6124 f. Trlnd'l. Road" ".Ch4~ic.burq~A 17066:, I_C;:9095 "","', " -- IIOfMe OM>>.IMI '"'" .~Il"....I_ j;:ORl,I,U."- ,E',,;':;'1..,,j: '.,.._~,l,:."::: ::::,E~:'.j:: '-~';"s 'rXrE '-F~\RH---84f1 'BLUE CROSS 361 1;;,~,..J ',.::: ~.;..:-- ',,-; 3Soj409ja-' 20632083300 ---~.-.._.,._"--._~.,.__.~--_.~.~--------_._~------- -----. L.:c- I 1-' a , , RICHARD MCCURDY 603B RENO ST NEW CUMBERL~~D PA f o L ;~~';~~;";; IMCCURDY. >~.;~~~~ CArE I ceSC;:lIFT:O~ 03: 17 ROOM 5208 P) 03:17 ADMISSION KIT 03,17 CERV PILLOWS 03:17 MEDICAL/SURG SUPPLIE 03'17 MED, ACUTE OTHER 03:17 MED, ACUTE OTHER 03' 18 ROOM S208 p) , 03,18 CBC AUTO DIFF 03:18 ESR-WESTERGREN 03,18 CHEM PROFILE I 03:18 PHLEBOTOMY 03'18 IV ANGIOCATH 03:18 IV SOLU 34 2C0418 03'18 066500337 , 03,18 UR SUP CO~~ODE KAT 03'18 MED. ACUTE OTHER 03:18 INTERMED-PHY THERAPY 03:18 HOT PACK STANDARD 03'18 ELEC STIMULATION 03:18 HOT PACK STANDARD 03'18 ELEC STIMULATION 03: 19 ROOM S208 p) 03'19 CHEM PROFILE II , 03,19 PHLEBOTOMY 03:19 I V MINI BAG 03,19 MED. ACUTE OTHER 03:19 HOT PACK STANDARD 03'19 ELEC STIMULATION 03:20 ROOM S208 P) 03'20 IV SOLU 34 2C0418 03:20 066500337 03:20 I V MINI BAG 03,20 I V START SET 03:20 MED. ACUTE OTHER " I~ '..AT'e C!--lAROeS F:'CR SE~MCES AE"<C::::!S:I OC::..;R, 'fOU 'Nlu. AeC;:r'ie Ac:::mc!'U.l. BILuNO =.11";:',".,0 MAKE CHECKS PAYABLE TO: -. .-. -- ..-.-.... ,- ..... .....-.. ...--~,-----~ -.-......., -- 450,00 70 70 81 82 82 450.00 10 10 10 10 70 70 70 70 82 90 90 90 90 90 450.00 10 10 81 82 90 90 450. 00 70 70 81 81 82 17070 - , , ~ SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MEC!lANICSBURG, PA. 17055 717 - 795-6600 LR,S, 23-1352215 I rOTAI. C~ArHJ~ 450: 00 12: 00 35, 00 18: 00 20' 00 15: 00 450' 00 36: 00 22: 00 50, 00 7: 00 5' 00 10: 00 5' 00 3: 00 15' 00 67: 00 28: 00 51' 00 28: 00 51' 00 450: 00 45' 00 7: 00 40: 00 15,00 28: 00 51' 00 450: 00 10' 00 , 5,00 80: 00 5,00 15: 00 I P.\1"IENT AMOuNT 1 Sf COlfE.:l.AGc I aNO CO'~i;UQe: 450, 00 12; 00 35, 00 18: 00 20' 00 15; 00 450' 00 , 36,00 22: 00 50,00 7: 00 5' 00 10: 00 5' 00 3: 00 15' 00 67,00 28: 00 51' 00 28: 00 51' 00 450; 00 45: 00 7,00 40' 00 15, 00 28: 00 51' 00 450: 00 10' 00 , 5, 00 80' 00 5: 00 IS; 00 '-, -_.' '\" -- -', .' JPO CO\;E~Oi 450, 00 12: 00 35, 00 18: 00 20' 00 15: 00 450' 00 , 36,00 22: 00 50,00 7: 00 5' 00 10: 00 5' 00 3: 00 15: 00 67,00 28: 00 51' 00 28: 00 51' 00 450: 00 45' 00 7: 00 40: 00 15,00 28: 00 51' 00 450: 00 10' 00 , 5,00 80: 00 5,00 15' 00 , , ' PATIENT PAY ,HIS AMOUNT ::SC!--l.1I'lOE :"7E .ol\1CL.N't=-A,Q TOTALS ~ See Reverse Side If You Have Not Furnished Us Your Health Insuranc~ Information and/or Forms _ _ _ _ _ _ " _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _t{ES~ tHjS.POBTjQN.Foe YQUflflec.OilCs.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ , DETACH AND RETURN THIS PORTION WITH PAYMENT >'"".'-W' li"';'O CA:," 'ACMIS~'C","""c., ,'C I "'CUNf cu. - '. _..__________._n'_____ .________.n ~E',::.=.:) ;,3.]: .'.~\...:.~,C:; :::".i:.:l.l.~: -, STATE FAJlM 843l 'BLUE CROSS 361 J:lC~" ',~ ;l::~ :'1 ',::: I --------38;;-54 0958-; 20632083300 I 1 ':: LJ~ . ---, i RICHARD MCCURDY 603B RENO ST NEW CUMBERLAND PA 17070 SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MECHANICSBURG, PA. 17055 717 - 795-6600 , a ~ ;,.;:.1.""'..,== ;,~ ,::'<, ,<.lV= RCC,,", NO. ACl,lITTEO OISCHAROED I.R.S. 23-1352215 242742822 IMCCURDY, RICHARD 5208-01103: 17 ,94104, 01 ;94l PATIENT CAT: I cesC~IPTlON I TOUI. CHARGE 1 ST COVERAGE 2NO COVERAGe 3RO covERAG! AMOUNT 03,21 PHLEBOTOMY 10 7,00 7,00 7,00 , , . 03:21 CHEM PROFILE II 10 45: 00 45: 00 45: 00 , I , , 03.21 I V MINI BAG 81 20' 00 20' 00 20' 00 , , 03:21 MED. ACUTE OTHER 82 15: 00 15: 00 15: 00 , , , , 03'21 ULTRASOUND PHY THERP 90 28' 00 28' 00 28' 00 , , 03:21 90 28: 00 28: 00 28: 00 , , HOT PACK STANDARD , , 03'21 ELEC STIMULATION 90 51' 00 51' 00 51' 00 , , 03:21 . , , , , HOT PACK STANDARD 90 28,00 28,00 28,00 , , 03:21 ELEC STIMULATION 90 51: 00 51: 00 51: 00 , I , I 03,22 ROOM 5208 P ) 450.00 450, 00 450, 00 450, 00 , , 03:22 I V MINI BAG 81 10: 00 10: 00 10: 00 , , , 03'22 MED. ACUTE OTHER 82 15' 00 15' 00 15' 00 , 03:22 TRACTION-PHY THERAPY 90 30: 00 30: 00 30: 00 , , 03'22 ULTRASOUND PHY THERP 90 28' 00 28' 00 28' 00 , 03:22 90 28: 00 28: 00 28: 00 , HOT PACK STANDARD , 03'22 HOT PACK STANDARD 90 28' 00 28' 00 28: 00 , , , , , 03,22 ELEC STIMULATION 90 5\0 00 51, 00 51,00 , 03:23 ROOM 5208 P ) 450.00 450: 00 450: 00 450: 00 , , 03'23 PHLEBOTOMY 10 7' 00 7' 00 7' 00 , , 03:23 CHEM PROFILE II 10 45: 00 45: 00 45: 00 , I I 03'23 IV SOLU 34 2C0418 70 10' 00 10' 00 10' 00 03:23 066500337 70 5: 00 5: 00 5: 00 03'23 I V MINI BAG 81 30' 00 30' 00 30' 00 03:23 , , , MED. ACUTE OTHER 82 15, 00 15, 00 15,00 03:23 TRACTION-PHY THERAPY 90 30: 00 30: 00 30: 00 03,23 HOT PACK STANDARD 90 28, 00 28,00 28,00 03:23 TRACTION-PHY THERAPY 90 30: 00 30: 00 30: 00 03'23 HOT PACK STANDARD 90 28' 00 28' 00 28' 00 03:24 ROOM 5208 P ) 450.00 450: 00 450: 00 450: 00 , , 03'24 I V MINI BAG 81 20' 00 20' 00 20' 00 , 03:24 5: 00 , , , I V START SET 81 5, 00 5,00 , 03'24 MED. ACUTE OTHER 82 15: 00 15: 00 15: 00 , 03:24 , EXERCISE-THERAPEUTIC 90 28,00 28,00 28, 00 , 03 '24 EXERCISE-THERAPEUTIC 90 28' 00 28' 00 28' 00 , n. :?J. TO .bUY "'U<'b 'bY on .n: nn .n: nn ,n' nn , , 'F '...ATE ~",...Mes ~CA SE~CES TOTALS ~ , , , , PATIENT PAY ,Q5'<CE=EJ CC::....R. Ycu Wl1..L. ".<'<' " ,,,., b'''<' : , , THIS AMOUNT RE.:E,IE ~:IT1CNA!. BiL.l..;NG L See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms . _ . . . . _ . . _ _ . . . . _ . _ _ _ _ _ _ . _ _ .I{E51: LH1S.P08TJQI'tFOB YQUflfl5C.OflC!t _ _ - - . . - - - . . - - - . - - . - . - - - - . . . ...,_,_ ',C ~.~~~~~,~~D RETURN THlj PO~~~~ ~~H PAY'~:'~~CNlSE,""'CE "C ,...CUNT au> CISC"'ARQe C.HE I ",-,aUNT PAlO MAKE CHECKS PAYABLE TO: '.---1- , , . - ~-~'---- ,- -~-- .'~--- --.---, 3:;:',:;:=.:; ..:.._.:.: .,......-l..:....C:::::.::.....~~ ;.:.:_"',':; -1:. ,:- '.':: ---~STATEf ARM ,- 843y-----'---:J3M4t)9SS- !BLUE CROSS 36l 20632083300 i , i ,- iF: LJ'. --~----------~~----- R IClIARD IICCURDY 603B RENO ST NEW CUMBERL~~D PA , , o L ,).l,~;:" ";..V!;o:::I ~'o::', ,-/,l,'.'o:: 242742822 MCCURDY, RICHARD D.ATi I CesCRIFT;CN 03,24 HOT PACK STANDARD 03:24 HOT PACK STANDARD 03,24 ELEC STIMULATION 03:25 ROOM 5208 P) 03'25 PHLEBOTOMY 03:25 OCCUPATIONAL THER E 03'Z5 I V MINI BAG , 03,25 MED. ACUTE OTHER 03:25 EXERCISE-THERAPEUTIC 03,25 EXERCISE-THERAPEUTIC 03:25 TRACTION-PHY THERAPY 03'25 HOT PACK STANDARD 03:25 HOT PACK STANDARD 03'25 ELEC STIMULATION , 03,26 ROOM 5208 p) 03:26 I V MINI BAG 03,26 MED. ACUTE OTHER 03:26 EXERCISE-THERAPEUTIC 03'26 TRACTION-PHY THERAPY 03:26 HOT PACK STANDARD 03' 27 ROOII 5208 p) 03:27 CHEM PROfILE II 03:27 PHLEBOTOMY 03,27 IV SOLU 34 2C0418 03:27 IV 250 CC 03,27 IV 1000 CC 03:27 066500337 03'27 I V MINI BAG 03:27 MED. ACUTE OTHER 03 '28 ROOM 5208 p) , 03,28 POTASSIUM SERUM 03:28 PHLEBOTOMY 03,28 NEUOMUSCULAR-15 MIN 03:28 I V MINI BAG MAKE CHECKS PAYABLE TO: --'-,' ,---- , 90 90 90 450.00 10 68 81 82 90 90 90 90 90 90 450.00 81 82 90 90 90 450.00 10 10 70 70 70 70 81 82 450.00 10 10 68 81 17070 I TOTAl. 04AAGE 28: 00 28: 00 51' 00 450: 00 7' 00 69: 00 20' 00 15: 00 28: 00 28,00 30: 00 28' 00 28: 00 51' 00 450: 00 60: 00 15,00 28: 00 3D' 00 28: 00 450' 00 45: 00 7' 00 , 10,00 3: 00 12,00 5: 00 50' 00 15: 00 450' 00 20: 00 7' 00 , 60, 00 10: 00 ~ SEIDLE IIEMORIAL HOSPITAL 120 SOUTH fiLBERT STREET HECHANICSBURG. PA. 17055 717 - 795-6600 I.R,S.23-1352215 1ST COVERAGe: I 2NQ COvERAGe 3~O :OVERAOi ''''''I!~ AMOuNT 28,00 28: 00 51' 00 450: 00 7' 00 69: 00 20' 00 15: 00 28: 00 28,00 30: 00 28' 00 28: 00 51: 00 450, 00 60' 00 15: 00 28: 00 30' 00 28: 00 450' 00 45: 00 7' 00 , 10,00 3: 00 12,00 5: 00 50' 00 15: 00 450' 00 , 20, 00 7' 00 , 60,00 10: 00 28,00 28: 00 51, 00 450: 00 7' 00 69: 00 20' 00 15: 00 28: 00 28' 00 30: 00 28' 00 28: 00 51' 00 450: 00 60: 00 15,00 28: 00 3D' 00 28: 00 450' 00 45: 00 7' 00 , lQ, 00 3: 00 12,00 5: 00 50' 00 15: 00 450' 00 , 20, 00 7: 00 60, 00 10: 00 PATIENT PAY THIS AMOUNT CrSC......RG2: :,l,';'"f I AMCUNT PAjD " LAT'E CJ-lAPOE9 ~OA SEFlVlCES AI'CEREO CCC,R, vcu W'''- TOTALS ... PI;CEIVE AC:tT1C1iAI. B,I..Li~a ",..- See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~E=~ l.HjS.POBTJON.FOB YQuflflec.OflOs. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - w ".' '.0 ~,::~~~,~~D RETURN THro~::.~~ ~~H PAY~:'~~CN'SE""CE' 'c I >MCuNT CUE -" ." . .E',=~' ~ :.. . : , . ~ il--~ I ; . -.,' - ., - ~, ' - . .,....... ,--.; - - ':: -~..: STArE F,~M 8~JJ BleE CROSS J6l , R I CH,~D MCCURDY 603B RENO ST NEW CUMBERL~~D PA o , i_ ;~;';~';~;~; I MCCURDY , '~:~.~~~~ OATe I CeSCRPT;C~ )af}5'~11\}1d 21J~ J 2ilil J Jill) 17070 .-J SEIDlE MEMORIAL HOSPITAL 120 SOUTH fILBERT STREET MECHANICSBURG, PA. 17055 717 - 795-6600 03,28 03:28 03,2B 03:28 03'28 03:28 03 '29 03 :29 03 :29 03,29 03:29 03'29 03 :29 03'29 03:29 03 '29 , 03,29 03 :30 03'30 03:30 03'30 03:30 03'30 , 03,31 03:31 03,31 03:31 03'31 03:31 03'31 , 03,31 03:31 03,31 03'31 , II S.;~~~~1 i 0;:~;':o94 i 0:4::~'::~4 i I,A,S, 23.1~~":~:5 j TO;.ll. ::"'.l"Ua I 15'1' COI;E"",oe 4"'0 ::O'.E~aii JFlC co'.e::v.oe I ...ueuM EXERCISE-THERAPEUTIC 90 TRACTION-PHY THERAPY 90 HOT PACK STANDARD 90 EXERCISE-THERAPEUTIC 90 TRACTION-PHY THERAPY 90 HOT PACK STANDARD 90 ROOM S208 p) 450.00 PHLEBOTOMY 10 CHEH PROfILE II 10 NEUOMUSCULAR-15 MIN 68 MED. ACUTE OTHER 82 EXERCISE-THERAPEUTIC 90 TRACTION-PHY THERAPY 90 HOT PACK STANDARD 90 EXERCISE-THERAPEUTIC 90 TRACTlON-PHY THERAPY 90 I HOT PACK STANDARD 90 I ROOM S208 p) 450.00 MED. ACUTE OTHER 82 MED, ACUTE OTHER 82 EXERCISE-THERAPEUTIC 90 TRACTION-PHY THERAPY 90 HOT PACK STANDARD 90 ROOM S208 p) 450.00 PHLEBOTOMY 10 CHEM PROfILE II 10 NEUOMUSCULAR-15 MIN 68 MED. ACUTE OTHER 82 EXERCISE-THERAPEUTIC 90 EXERCISE-THERAPEUTIC 90 TRACTION-PHY THERAPY 90 TRACTION-PHY THERAPY 90 HOT PACK STANDARD 90 HOT PACK STANDARD 90 28, 00 I 30: 00 I 28, 00 28, 00 I 30' 00 28, 00 I 450' 00 I 7, 00 45' 00 60, 00 15: 00 28' 00 30: 00 28; 00 28, 00 30' 00 28, 00 450: 00 15, 00 5: 00 28' 00 30: 00 28' 00 450: 00 7' 00 45: 00 90: 00 15' 00 28: 00 28' 00 30: 00 30: 00 I 28, 00 I 28; 00 I 28,00 30: 00 28' 00 28: 00 30' 00 28: 00 450' 00 7, 00 45: 00 60, 00 IS: 00 28' 00 30: 00 28' 00 28: 00 30' 00 28: 00 450: 00 IS' 00 S: 00 28' 00 30: 00 28' 00 450: 00 7: 00 4S, 00 90: 00 IS' 00 28: 00 28' 00 30: 00 30: 00 28,00 28: 00 28, 00 30: 00 28,00 28: 00 30' 00 28: 00 4S0' 00 7, 00 4S: 00 60,00 15: 00 28' 00 30: 00 28' 00 28: 00 30: 00 28, 00 4S0: 00 IS' 00 S; 00 28' 00 30: 00 28' 00 4S0: 00 7: 00 4S, 00 90: 00 15' 00 28: 00 28' 00 30: 00 30: 00 28, 00 28: 00 , , :E~ci ~~SAbg!~:.;'t~~~ES MEC;i'~E Ac:::mc~...1. QIlJ..Mi PATIENT PAY THIS AMOUNT TOTALS ~ See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ES~ ~lS_P08TjQN_F08 YQU~ ~EC.OFOS. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - DETACH AND RETURN THIS PORTiON WITH PAYMENT Ii ,,,-NO :". ,.c"",c..""":" 'c .;I~ ,. ~'," ',:: ;;,~. ;:',. ..~...;:- MAKE CHECKS PAYABLE TO: \- \ ,u"C:.;~T:::l.E I :s:~'.Q' :.-, , , ,l,VC\.."-I:",4.,O I '. '.:i~';:':".:::: ::.':,;:;;':','j:; ;~':_J '.': ".:- -' '.': See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms ___________________________~f~~~YOBDQNJOeYQu~~E~OBQa___________________________ DETACH AND RETURN THIS PORTION WITH PAYMENT ,,"F',TN'ME I .,,",,"" 0'''' 1 'CY'S$CN>SE",",CE I ',e - -, --.~ , ',~ ~ .:;:; .,,_. -, .~.... '" ----~ STATE FAF.M843J. ! 8 LUE CROSS 361 I 38654if95S- 20632083300 ~ ... I- I 1 . I , , R lCHARD HCCURDY 6038 RENO ST NEW CUHBERL~~D PA 17070 SElDLE HEHORIAL HOSPITAL 120 SOUTH FILBERT STREET HECH/~ICSBURG. PA. 17055 717 - 795-6600 o L ~ .2,,'_', ',L.vS;=l 1..:....,..1\1; ROC,", NO I .l.CJ.lrr.;:o OlSCrt.l.~G~O I,R,S, 23-1352215 242742822 IHCCURDY, RICHARD II 5208-01103.17 1941 04, 01 : 941 .....fliNT C.l.TE ,oeSCFlIF'MCN I 1CUL. cwAAGa: I lS1 COIJE.:l.AG= 2NO CO'JEAAoe JRO COIJERAG& AMOl.lNT 04:01 PHARMACY DRUGS 40 655, 68 655, 68 655, 68 1 1 . 04:01 PHARMACY DRUGS 40 336: 56 336: 56 336: 56 1 1 1 , 04 '22 LATE CHGICR PHARMACY 25 336. 56 336' 56- 336, 56- 1 1 I ______1__- . ~-----'--- 1 ~----_!.._- I I -----i'-- I ------i-- , TOTAL CHARGES 10753' 68 10753: 68 10753' 68 1 6750' 00 I , , I , I -.-..-r--- ----....- ......~_. ------,.... ------j"'-- I , , , 1 , 1 , , , I 1 , , , , 1 , , , , , , , , , 1 , 1 I , I , 1 I , I , 1 , , , , , 1 , , , , , , , 1 1 , , 1 , , 1 , 1 1 , 1 , , , I , , , 1 , 1 1 , 1 I 1 1 , 1 , , I , , , , , , 1 , , , , 1 1 , , 1 , , , 1 1 1 , 1 , I 1 I I , 1 , 1 , , 1 1 I 1 , I 1 1 , 1 , I 1 I , I 1 , 1 , , I 1 , , , 1 , 1 , , , 1 1 1 , , 1 1 1 I , 1 1 1 1 1 , 1 I , 1 , , 1 I , 1 , , 1 , 1 , , , 1 , 1 1 1 , 1 , 1 , , I I 1 , , 1 I , 1 1 , , I , , I , , , 1 , I 1 , , 1 , 1 , , 1 , , 1 , , , 1 , 1 I , jF LArE Cl-lAAGE5 FOR SER\i1CES TOTALS ~ , , I , PATIENT PAY ~E~CE;;eD CCC:JR. YOU 'Nlll. e".. I, .e~ 0',-" : I 1 THIS AMOUNT RECEllJE ....ccmcNAI. BlWNG ;:Iii:E'4l'-'O .l.MC\.iNT Ol.;e MAKE CHECKS PAYABLE TO: ::ISCH.l.F1Q; JArs I .lMct,.;..,.rpA,iO I --:-\ - ~~u~__ ~.,:..~ I ---~_.~_.. -------~,--~_._--_.._"-._--_.__. 3;:',::= ~.. ~:.J'::: ...s'....~,:.,..:~ ::.;:"1:.:.: ~=<-::..;J '.~ "':..:Y',O ATTE~TION PATIENT THIS BILL IS FOR YOUR INFORMATION ONLY AS REQUIRED BY ACT 89 - COST CONTAINMENT COUNCIL. IT IS NOT ~INTENDED FOR INSURANCE PURPOSES AND IS NOT TO BE PAID BY YOU. YOU WILL RECEIVE A SEPARATE BILLING FOR ANY BALANCE DUE AFTER THE INSURANCE COMPANY HAS PROCESSED ~YOUR BILL AS AUTHORIZED BY YOU. ! I I ; C I I ,i I i 3 -~, , T C ,'STATE FARM 8431 BLUE CROSS 361 386540-958! 20632083300 I RICHARD MCCURDY 603B RENO ST NEW CUMBERLAND PA 17070 a,':;", "-;\...1,,1 :; .:Ia.::~ ~,l,\1 Flce... NO. I .lCVITTeO Ol5CHAFlGEO I,A.S.23-1352215 242742822 IMCCURDY. RICHARD I s208-011 03,17 :941 04. 01,941 PATIENT OArs: I DeSe~IFrnCN TOT.lL. CHA~oe , ST COIJERAOE ilND CO\lERACe 3,"0 CO....EAAas AMOUNT S UItMAR CF CHARGES -- . . :Qn DESCRIPTION INS C[ AMO~NT I I , 19 LABORA TOR Y lC 461' 00 I , 2 PHARMACY 40-4, 992: 24 I , I , 15 M I. S SUPPLIES 70-7' 145' 00 I , 57 PHYSICAL THERAPY 9C 1845: 00 I , I , 37 ROUTINE SP CARE OTH 81 368' 00 I , OBSERVATION UNIT 8, , I , 17 250, 00 I , 8 OCCUPATIONAL THERAPY 6E 279: 00 I , I , 15 R I. C PRIVATE P 6750. 00 I , 1 LATE CHRG/CREDIT 99925 336: 56 I , I , ------""-- TOTAL CHARGES 10753: 68 , ..----.... , , I , I , I , I I , I I , I , I , I I I , , I I , I I I , I I I , I I , I I , I I , I I , I I , I I , I I I , I I I , I , I , I , I , I , I , I , I , I I , I I I , I I I , IF: l.Af! CI-'AROES fIlaA SEf'VIces TOTALS~ , , I I PATIENT PAY R!:}IICE,:lEO CC::..:1=l, vou WIt.:. I , I I RECEiVE Acom~ iJUJNQ THIS AMOUNT L See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms - - - - - - - - -71T': 795--=00 - - - - -- _I\.E;~ 1:rUSJ'08TJQN..FOB ~QU.El.Elec.o.ElCs. - - - -- - - - - - - -- - - - - - - - - - - - - - - uu DETACH AND RETURN THIS PORTION WITH PAYMENT I >:I.l....::...., -.0 I "TO.,T ""E I .,,,,NO CATE ACMISSiCN'SERVlCE , .,t.,,?74'~?" ,,"'(rrtn~nv RrrHAR!:!, I t MAKE CHECKS C'SC"A.OE CATE PAYABLE TO: SEIDLE MEMORIAL HOSPITAL Fie AMOUNT CUE AMOUNT FlAIO -.---_. -.... " -.-....,...,. :l~'"T'"'!" ~. . . ~.. .... \ .-, .-;-~-:'- ~. See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms 6750,0 - - - - - - - - - 71T':: 79F6EOO - - - - - - _I\.ESI: tI11SJ'OBTJQKFOB YQuflflEC,OflCs.. - - - - - - - - - - - - - - - - -- - - - - - - - - - DETACH AND RETURN THIS PORTION WITH PAYMENT E 'Or,,, '0 I 'Or", ""' I ?~?7~?R?? ",rrTmnV" TrlH"~ MAKE CHECKS PAYABLE TO: FOAM .aau, i 3~'.E::~:; ..:10:; ~;j'...~J.,'.:;;: ::'.:';.;;:.1= ~~:~-' ',;': :.':_.:/ '..: ,STATE FARM~433 'BLUE CROSS 361 386540958-- 20632083300 r--T--1 U -, , , ,-- I . , . . T o PA 17070 SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MEC~ANICSBURG. PA. 17055 717 - 795-6600 RICHARD MCCURDY 603B RENO ST NEW CUMBERLAND L ~ n:e,,+r ....u""B_~ ~A.::," '-lAME ROO.'" NO, I .lC'AITTE:l OlSCI<AFlOEO I.R,S, 23-1352215 242742822 IMCCURDY, RICHARD II S208-011 03: 17 ,941 04,01 :941 ,IlAT!ENT CAre OESCAIPTlCN faTAL. CMARGe I 1 ST COVERAGe: 2ND CCNERAOii JPO COVERAGE AMOuNT TOTAL CHARGES 10753, 68 10753: 68 10753, 68 , , , . CH4RGE INELIGIBLE UNDER COB 6750: 00- , , , 6750: 00 , , , , ~-----,..-- , , , , CHARGE ALLOWABLE UNDER COB 4003: 68 , , , , , , , , , .......-. , , , -....--.. INSUR~CE ---- , ~-----~-- ------~-- , , ------1-- ~OVER GE BEFORE DEDUCTIONS , 10753' 68 10753' 68 , , , , , , , ""'I" "" -- , , , , T~TAL DEDUCTIONS , ______L..__ ______i.__ ______L..__ , , , , , , , , , -----_!-_- -----_!.._- -----_!.._- , , , , BENEF TS-COB PLANS BEFORE COORI 21507' 36 107SJ1 68 10753' 68 , DUPLI ATE COVERAGE - COB PLANS 17503: 68 , ._--_.~_. , ----....-- , , , ------"--- , , , , , 4003: 68 , , , , BENEF TS - COB PLANS , , , , , ______L..__ , , ------..- , , , , , , , TOTAL BENEFITS 4003, 68 , , , , , , , , , , -.---..-- , , , , , , PATIENT ---- , , , , , C~GfS INELIGIBLE UNDER COB 6750: 00 , , , 6750: 00 , , , ------"--- , , , -----...-- 6750: 00 , , , 6750: 00 P:TIEiT RESPONSIBILITY , , , ......'-.. , , , .....-.- , , , , , PATIE T BALANCE 6750, 00 , , , 6750, 00 , ......1..- I , I -....1... , , , , , , , , , , , , , , , , , , , , , , , I , , , I , , , , , , , , , I , , , , , , , I , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , I , , , , . IF LAT! C"",lROeS FOR SERVICES TOTALS ~ , , I , , PATIENT PAY RENC:::;:lED OCCuR, YOU WILL. , , , , THIS AMOUNT FlECEive AccmCNAL all.UNa Bll.lJNQ 0.\ TE ACMISS:ON/SE~ICE ~!c .MOUNT :l,;E , , l OISC,..ARGe ~:'Te I AMC\,;NT PAiD SEIDLE MEMORIAL HOSPITAL .~"""_~""___'-_.""""_W'~"_-:.":._:~"~'\ _ ~ _ .r ~_. \-_..-\-~ , .. . , .!." '.,:,; ~ " ~ j ~ : '. ~~',. -.' . S L\l E HR:\ ~'d \ eLl:E ([\Us) 11)1 IMI))~,j")~ 21)" 3 21J~ J 31JO ., ,........----- . : I I ~---~ R lCHARD MCCURDY 603B Rf.NO ST NEW CUMBERLAND SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MECHANICSBURG, PA. 17055 717 - 795-6600 . PA 17070 o ---1 L Ii s';~~~~1 i 0;:~~4i ;t~A;:~41 I TOU~ CrtAI=fOI i I sr cO'II!;:u,ai aka COVEAAGE ~ ~'. "I. ',' ,... ,.' .~','!: I 242742822 I MCCURDY R (CHARD I c.are I ::ISC":~C~ CLAIM NO HIC NL PRly N, E ADDR PHONE HARRISBURG MEDICAL RECORD NO. PATIENI CONTROL NO. FEDER A TAX NO ; I P At NAlIIE MCCURDY I PAT ADDR 6038 RENO ST I , BIRTH DATE 02151942 : I ADM HOVR , I COY PEaIOD 00000000 I LIP'E T ME RES DAYS , NO. HARRISl!olJRG PA I 206320833 I 24274282i MED PRay RICHARD , ' , NEW ~UMiERLAN~ STATE P~ ZIP SEX M HARDTAL STATUS S ADM DjTE 031J1994 I : I : L : TYP ADM SOURCE ADMj ACC: HOj ~ISH rOUR : PAT 04011994 COY FAYS ~ NON COy! DAYS OCC COD DATES' , , bCC SP~ ODE DA~ES : PARTY NAME (JAST FIRST MI) RICHARD MCCURDY PARTY ADDRES$ (STR~ET) 60;lB RlENO ST: PARTY ADDRESS (CllfY) NEW CUHIlERLAND PARTY ADDRESS (STATE) P~ : PARTY ADDRESi (Z:IP) 17~70 : PTS BLOOD iN : [PTS BL~OD '"EPL : BLOOD CEO PTS: rPEl PROG rND RESP RESP RESP RESP RESP calm CfDES PT~ BLboD NOT REPL YAWE ODE AllTS . LAn- C""AAon .ell SiRl,1CIS Fle"C&,;E::l C~':;.oR 'leu 'Nil..... RIiCi,'~i AC:,T:CNA4.Ilu.....a TOTALS ~ , , T I,R,S.23-1352215 3~C CO'iE;:u.ae PRaY: ioER , , , 170:70 STATUS (1 DRG , , , , , , , , , , , , , , , , , , , 462 I , , , , I , See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms - - - - - - - - - -n 7 -.: 795':6-00 - - - - - - - t{E;~ lJ'ilS_POBTjQN_FOB YQuflflec.OflOs. - - - - - - - - - - - - - - - - - - - - - - - - - - - o DETACH AND RETURN THIS PORTION WITH PAYMENT I "~::~'~::" I ~rrflRnY .~'T';:::: II '~NaO'TE I ACM'''CNoSE~CE 'c MAKE CHECKS I o,"O",'OOE 7'TE I .c......... PAYABLE TO: SElOLE MEMORIAL HOSPITAL 04 ' 01 ,Q4 . ,~' ~~..~. ---.--."'-'.,'.,\. , 'J: : TRNS TO HO~P I :AL ; ~ QUTH F~ONT STREE;r , I ZIP '1711'1 ' , , I , , , T:tPE :BILL: B.C. P~O'I NO I I , NO: : EDICA;ID PRaY NO: I I I , I I I I I I I I I I I I .A.T'1e~T AMOUNT , CO INS' DA' S , , I , , , , , , , , , , , , I , I , , , , , I PATIENT PAY THIS AMOUNT 'I I ., +.__.,,__,___.. _~ ______.______ n_~_ ____ _"_ -----.... ., . ~ '.3_~':".::.;, :::. :;:'1..J::: ~",:_" ',,': -'..:". ~., ;';-sT,\,fCFARM--843r-- BLUE CROSS 361 ------..---- '. -r-' i L . , . , . o RICHARD I1CCURDY 6038 RENO ST NEW CUI1BERLAND PA SEIDLE I1EI10RIAL HOSPITAL 120 SOUTH fILBERT STREET I1ECHANICSBURG. PA. 17055 717 - 795-6600 I.R,S, 23-1352215 DUE, , , I , , , INS GRDtP NO : , , , , , I , , , , , I , , , , , , ;IS~ C'f ';8 386540958 I 20632083300 I I 17070 -.J ROOM NO. -'CMI1'Ti:J OISCHARGEO II S208-011 03,17,94104: 01,941 TOTAL CHARGE 1ST COVERAGE 2ND COVERAGE ~RO CO'JERAGe DED' CO INS ,ES' RESP , PRIOR PAY;- I I I I I I I I I I I I I I I I I I I I I I I I GROUE NAI1E : , , , , , , E~ PLOYEE: I. D. SSN.HIC. I.D. 3865'40958 20632083300 , , , , , , , , EI1PLOYER LOCATION ' : i : PRINClfAL AND OTHER DIAG DESC ' I PRINCIPAL DIAG CODE V571 OTHER DIAG CODl S 7210 I PRI,NCII'AL AND OTHER PROCEDURES DESCRIP',TIOI : OTHER PRlN P OC CODE DATE 9338 03 - 17: : - PSRO/Ua APPROVAL INDICATOR ' , STA Y ffOtl STAY THRU GRAC;; DAYS: TREATHEN' AT;ENDtNG PHYSICIAN 1.0. OTfER PHY~IC]~ I.~. IN~ ALID DOCTOR CODE HOC 35027Y: : , " , " , " , " , " , " , " , " , " , " , " , " , ,I , " L ~,:', ..1....' l: ~'" '_~ ,,<.loVe 242742822 IMCCURDY, RICHARD ce SC:R1FnON :Art I PAYER tD. STATE fARM 8433 BLr crSS 361 INS NAmE LST,fST,l1ID RI AS SEX REL , , , , , , Eln ESC , , , EI1PLOYER NAliE '~LAT: C~ARaES FOR SERVICES .llE"tC:::lE::) ::::C:.;~, YOU WILl. ReCE,'.E ;'cCrr:C~ Qll.J.J~a TOTALS ~ , , , , , , , , , , , , , ' , , , , , , , , , , , , : PC : OC CODES AND DArES , '- , , , , AUTHORIZATION CbDE P"TlENT AMOUNT , , , , , , , , , I , I , I , , , , I , I , , I , I , , I , I , I , , I I , , I , , , , , PATIENT PAY I , , THIS AMOUNT ~_--' _~:-_r - '~'.---"'--- ---". SEIDLE I1EI10RIAL HOSPITAL F,C AMCUNT cuE See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms _ _ _ _ _ _ _ _ -nT': 795':6600 - - - - - - _I\.E~~ !HIS_P~BTJQN_F08 YQuflflec.OflCs.. - - - - - - - - - - - - - - - - - - - - - - - - -- OETACH ANO RETURN THIS PORTION WITH FAYMENT I ,~':::::,~ I HrrTIRnV .~~';:~:: I al~NaOATE AOMISS'C",SE~CE MAKE CHECKS OISC"A.OE OA'E PAYABl,E TO: ~MCUNr PAID ~ ,- -" .---- , - - . t.~ -:~.,; ~ . .i ~ .:. : " _ .~..',:.i ::.' . -l." ~ .,...; ~ . -'i " ; .:l:~ :' ....: 3865-409S~ 20632083)00 "srArE FAI\~ 343f'- BUll:: CROSS 101 _.---~' h~ ~=;. , o I '--- --.J SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MECHANICSBURG, PA. 17055 717 - 795-6600 J,R,S, 23.1352215 R lCIIARD MCCURDY 603B RENO ST NEW CUMBERLAND PA 17070 l '," ,'.l ~. ~. "'.'I: ~CCM NO .&CUI1"'i:!:O "ISCHAAaEO II s208-01l03,17,94104, 01,941 242742822 IMCCURDY, R rCHARD CATi I CUCIII~O"l roul.. ClolAFloe 1ST CovERAGE a....a CO\tWGIi 3RC CO'JEiUoe PAnENT AMOuNT RE~RKf : PR;VIDjR REPRESENTATIVE SIGNATUjE :ATI , REVENUE DESCRIPTIONS ACC":;RATE R~COl E : oboo , , , , , , , , , BILL SUBI !TTED ' ' , , , , , , UNITS CI~GE-AKT NON-COVEREI 1 I t I 0, 1;075368, I I, I I , , , , , , , , , , , , , , , , I I , , , , , , , , , , , , 1 , I , I , , 1 , , , 1 , , I 1 1 DCN NU'I'BER Tn ~u...~. annT _. '..... CH.'O!S '0' "!Mcn IIE..cE,:IEO OC...:",A. you WIlL ,AICEN; ACOlTlOkAl.. SlL.UhG I I I I I , , , I , I I I I I I , I I , ENTER DATA AND I KESS ENTE' OR ....., I _1:1:'V'<_ ' .... TOTALS ~ PATIENT PAY THIS AMOUNT See Reverse Side If You Have Not Furnished Us Your Health Insurance Information and/or Forms 6750.0 _ _ _ _ _ _ .. -nT: 795':6000 -. _.. - _I{E=~ trllS.POBTjQJ'l.FOB YQUililEG.OilCS, -. . -. -. - - - - - . - - - - - - - - - - - - . I ''IT ~~,..o I ~A~~~~~A~~D ~ETU~N THIS11 PO~~~~ ~~H P~Y~:I~~C~ISE~'lCE =c OlMCwNT O\;E n?74?R?' ~rrllRnV RTrfl>R~ [07 , :94 01: 17 :94 T ti7~0 O~ MAKE CHECKS ~ISC""AHa= :::.\1'= I "MeUNT ~AiD I PAYABLE TO: SEIDLE MEMORIAL HOSPITAL 04 ' 01 -94 I -V..'_ .....-..,.--. - . -.~~~--, .,_._", """"":"-. _ u \_~y_-: , - ~',- --- ".'1 See Reverse Side 11 You Have Not Furnished Us Your Health Insurance Information and/or Forms _ _ _ _ _ _ _ _ -nT: 795:=00 - - - - - - _I{l:;~ tHj.S.P08TJOI'_F08 YQu~fl~c;,OflQS. - - - - - - - - - - - - - - - - - - - - - - - - - - "" DETACH ,AND RETURN THIS PORTION WITH PAYMENT I ? :'::: ::?? I ~rrtlR nv '~~';: :'~': I; '~NG c.~ "C"'S~CN,SE~'CE' 'c i MAKE CHECKS ;::ISC,..A~GE ':.10-:': II ol".CL.~T ~A,::: PAYABLE TO: SEIDLE IiEMORIAL HOSPITAL 04 ' 01 '94 _.~-----_._---- ------~_._-_. ;:- :- '.:~ :::i:'.,;; -~ ~~.:;: ~I:_'::;""::~ ::.~;::.;.~:: j:;: -~ ',: . STATEFAR:i-:- 8~3ii--- BLUE CROSS 361 3865~0958 20632083300 I SEIDLE MEMORIAL HOSPITAL 120 SOUTH FILBERT STREET MECHANICSBURG, PA. 17055 717 - 795-6600 3 RICHARD MCCURDY 603B RENO ST NEW CUMBERLAND PA 17070 , o --1 L I ,,-.,-. .,,-. I r OCCY NO ,l,CUIT"l"!:! OlSCl-lAi1QEO ! IRS 23.1352215 - - .... -= - '- 242742822 i'lCCURDY, RICHARD 115208-01103,17 :94104: 01,941 "'TlI~ =Ars , CE3C;:lIFlT1CN I TOTAL. CHARQi i 1 ST cC"e;u,Oi I 2~C CC'~wa& )RO CO....iRAQIi oWOl,oNT SO~IAL1SECURITY NO. - 206-32-08l3 , . . , . . . . . . BIRTH ~ATE - 02/15/42 . . , . . SEX - r , . . . . IiARITA STATUS- S , , . . . , , . , . RACE ,- ~ W . . . . . - 97556 . . 11D03502lY . , ADHITT,NG DOCTOR CHO, J"!Y J , . . , ATTENDING DOCTOR - 97556 CHO, MY J , , Mo035027Y . . DRG CODE - 462 . , . , . . . . , . DIAGNO~IS - P v57.1 . . . . . , . . . , DIAGNOSIS - 5 721. 0 , . I . . PROCEDVRE - P 93.38 , . . . . . . . , I PRINCIPAL PROCEDURE DATE - 03/1 /94 . I , I I PRINCIPAL SURGEON - 97556 CHO, JAY J , . I I , , . I I I AD~INI~TRATION CLASS - 2-URGENi : , I I I , I I I DISCHARGE STATUS - ROUTINE . , . , I PO~ICY I HOLDER EMPLOYER - BIG BEE BOATS: /99~ I , . I I . PO~ICY HOLDER - RICHARD/Z ' . I . , PO~ICY HOLDER - RICHARD/Z , . I . , I , . I I GRACE UlAYS - 0 I , , , I COVERED DAYS - 000 I I I I I , I I I , TREATMENT AUTHORITY - I . I I , APIiROV~D FROM - , , I I I I I I I I APPROVED THRU - I I I I I , . I I I I , , I I I I , I I I I I , I I I I I I I , , I , I I I I , I I I , , , I I I , I I I I , I , , I . I I , I , . I I I , I , I , , . , I . , I . I , , , I I I , I , I I I , I , I I I iF !...Are CHARGeS FeR SE~CES TOT ALS ~ , I I I I PATIENT PAY ,Q!:Nce-=EiJ OCCt,;Ff, 'fOU WlU. , I , , THIS AMOUNT ~ECE;ve "COITIONAl.. SlUJ,.a ~.lo.=". ....l."- ~ r , ~ I; ;, ~ [I !j L 'I 1: J " r' , ~_----c-:-._. I I . , -' -~ -','; , : p :c::..'\~~~) 'J i) 3 ::~ ~:;. ~: ~;.) ,"- ,', ~! ;::-i _ _\~'_i ~.!:l !~.~ !..:'\ ~ I ". _..2-': 11 . ~ ,: I .:... .~ " - ... 'f '. , q '", ."...: . '''';,:','.:' ,\1L.:J,. 0;; LJ L;! _~ I ~. :~_11~ :~!)t)1~(jH,3-~ ..___.__~ JCO,RII11't\:c '.:1 OC::t.;Hlt"ll;!;.! j.t ,;,;.. IlRO.':'.l5 {~_~I'r.L'lLt ' ;.. . 1;(::,;;"111',(;( ~J~.. .\ j,' L--,--~L~.__,_~ u,.UL,I____~!~..h.........l ~ 1>"0 ...>--__.,. .-'t______~~t:l\...l~'" ...JiAll, _..<.. ...L'!';'! _~__~~~,~. ".n.;~ , __L.______L_____...~ " ,'~.,11 j J ~~Lt.f. C~HH!t ...., ,b , , 'd~ ,,----_.~, ' 'J~b(;IlIPfQ~ . 441'C1Ir:~AAlf1 ()',(i'IV::,uE "U~VIJ~IT$ 10 ROOM-BOARD/PVT 5Q., PHARMACY." "., .. 58 IV SOLUTIONS 70 iMED-SUR SUPPLIES 00 _LABORATORY 00 ,LABORATORY 00 -LABORATORY 00 [LABORATORY 00 LABOP.ATORY OO:LABORATORY 20 'PHYSICAL THERP 20 IPHYSICAL THERP 20 ,PHYSICAL THERP 20 [PHYSICAL THERP 20 'PHYSICAL THERP 20, : PHYSICAL THERP 30 OCCUPATION THER 01. 45000 15 ..1 2 67 1 1 1 6 1 9. 1 2l 2 13 12 8 8 ,169 I i I '85025 185650 '80019 180006 184132 IG0001 , 97720 197010 , 97128 197012 , 97110 197118 I i J I ..___, d , i'IP"OV1CEA!tO, =-~.::t.~.!tlKlR ~nM[lfTS Yi I Y' Iy ii'll ! , I :11 15/STATE FARM 39/HEALTHASSORANCE 1 SEj90014~ . U/lREU &OCERT ,5S/rrI,HIC."C "10 , t!Qi;OUP"I.....E , '386540958 I.J,20632083300 D ;\, _l,LQ..7.D 1.1, 1 ,:!H..~r)- :.' . :1 B C i.,.....LVALl"ti55D,C[~All,.ECOO!S ,~ ~ -~l~.!.l.U_ .tMll,1i1 i J I I i i LJ HTor"'I.C"AII(jE~ !&I~,.,(Ovt:AEDC""'R(jES 14' I ._1 I I I.. I I I I.. 675000 65568 1500 74800, 3600 2200 I, 50.0 0 27000 I 2000 6300 'I 6700, I 58800., 5600 390'00 I, , 33600 I 40800 I 27900 I 10753ii8.:I '.m'.,.. ,. i ..I,_.,..._.u>~,j .1. .", .'''. ...J I I -. i ~SEsT."UOll'lr DUE .. ,I 1'-." , ,:'._~:-:~.'. ::~~~: ~ .~ ~ ~~ ~:~~~~ I I QINSUR"'/rrICEGROUP/rrIO, IHI5/STATE FARM I :,IH39/HEALTH ASS I..~:: I I Itl~ "!"PlOleR~A..e foI[l,IPlOlERLCC.t.TICH -BIG BEE BOATS /999 1617 STATS RD, DUNCANNON "., L.. .0.,_. ,., PA 17020 I I ~l. ,I \ I " , j' t ,. UtlU 'I(Xl~f OTlifflCiAG.l;::oh ~1~~1 j ntC14' '1111.1' rteLl" "ttft '1'i71,~ 7210... ... IJ ~'U.C.;II.... ;;"(.~E:',"Ie , _.T--Ct___~__..:"L- U'1'1P n'11'7Q OrHt~;;fl;,J<..;.tUUi't I1lql :1"'0'1 01...0. co, 1 nE<COE I I I" ! C11'l~~..;';(.i.llUtl.t: 00" ~(r, ~..;t::i I~:':;'~.~~ iitt;i~i-R'oCi.ciJ'RE- ~ ~'" "". a OfHFR PK"'~, 0 ~RPt(t'!l.ID MOD 3 5 Qll.'(_CHO,_J AX->T. 6-'12 HCF,.\.14-;.J IIDP~'10t"'jl;:llt~UI'A,'''1; .!lAlc .~_L.D_.......sT.J::R[.rNG.,-r:J\'l'...hC.C'l'G.- _0.7.12 9.4, cc;.;, C~:<-j;~P.L. ------ '-__._~:--___'''.1 --....- ~ ~ c APPHO:<l:1ATED ST,\TlSnCi BASED m: I'}'}c A:::WAL REPORTS PEER REVIEWS - INITIAL DETERMINATIONS BY INSURANCE COMPANY Insurance comoanv State Farm Nationwide prudential Allstate Aetna Life Hartford Liberty Mutual CNA Metropolitan American Independent Motorist Mutual General Accident Travelers Harleysville Ohio casualty continental Loss Adjusting Co. USAA Federal Kemper Penn National Royal Keystone Colonial Penn GEICO statesman Amica commercial Union worldwide Maryland casualty Kemper Insurance progressive Insurance Crum & Forster Donegal Mutual Old Guard Mutual Hanover/Amgro Erie Medimax Chester county Mutual Fireman's Fund U.S. Fidelty & Guaranty progressive Casualty Highland Mutual Port Authority Transit Transamerica Chubb Mutual Benefit Number of Initial Determ, 8054 1788 1158 1059 992 661 622 394 369 328 284 265 228 223 164 159 147 136 136 129 119 114 100 89 80 77 67 67 66 62 59 54 53 51 46 44 42 38 37 34 33 28 28 27 26 Pe~centacte 41.6550% 9.2475% 5.9891% 5.4771% 5.1306" 3.4187% 3.2170% 2.0378% 1.9085% 1. 696H 1.4688% 1. 3706% 1.1792'0 1.1533% 0.8482% 0.8223% 0.7603% 0.7034% 0.7034% 0.6672% 0.6155% 0.5896% 0.5172% 0.4603% 0.4138% 0.3982'0 0.3465% 0.3465% 0.3413% 0.3207% 0.3051% 0.2793% 0.2741% 0.2638% 0.2379% 0.2276% 0.2172% 0.1965% 0.191H 0.1759% 0.1707% 0.1448% 0.1448% 0.1396% 0.1345% 196 APPROXI:1ATED STATrSTrCS BASED 0:; l'!')c ,\~:lI''\L REPORTS PEER REVIEWS - INITIAL DETERMINATIONS BY INSURANCE COMPANY Number of Initial Determ, 8054 1788 1158 1059 992 661 622 394 369 328 284 265 228 223 164 159 147 136 136 129 119 114 100 89 80 77 67 67 66 62 59 54 53 51 46 44 42 38 37 34 33 28 28 27 26 Insurance Comoany State Farm Nationwide Prudential Allstate Aetna Li fe , Hartford Liberty Mutual CNA Metropolitan American Independent Motorist Mutual General Accident Travelers Harleysville Ohio Casualtj' continental Loss Adjusting Co. USAA Federa 1 Kemper Penn National Royal Keystone Colonial Penn GEICO statesman Amica Commercial Union Worldwide Maryland casualty Kemper Insurance Progressive Insurance Crum .. Forster Donegal Mutual Old Guard Mutual Hanover/Amgro Erie Medimax Chester county Mutual Fireman's Fund u.s. Fidelty .. Guaranty progressive Casualty Highland Mutual Port Authority Transit Transamerica Chubb Mutual Benefit Percentaqe 41.6550% 9.2475% 5.9891% 5.4771%. 5.1306%' 3.4187% 3.2170% 2.0378% 1.9085% 1.6964% 1.4688% 1. 3706% 1.1792% 1.153H 0.8482% 0.822H 0.760H 0.703H 0.7034% 0.6672% 0.6155% 0.5896% 0.5172% 0.460H 0.4138% 0.3982% 0.3465% 0.3465% 0.341H 0.3207% 0.3051% 0.2793% 0.2741% 0.2638% 0.2379% 0.2276% 0.2172% 0.1965% 0.191H 0.1759% 0.1707% 0.1448% 0.1448% 0.1396% 0.1345% 196 L . f ~ . 25 22 19 19 19 18 16 15 14 14 13 12 12 12 11 11 10 10 10 9 9 8 8 8 8 8 8 8 8 8 7 7 7 7 6 6 6 6 6 6 6 6 5 5 5 5 5 4 4 4 4 4 0.1293'; 0.1138\ 0.0983\ 0.0983\ 0.0983\ 0.0931\ 0.0828\ 0.0776\ 0.0724\ 0.0724\ 0.0672't 0.0621\ 0.0621\ 0.0621\ 0.0569\ 0.0569\ 0.0517\ 0.0517\ 0.0517\ 0.0465\ 0.0465\ 0.0413\ 0.0413\ 0.0413\ 0.0413% 0.0413% 0.0413% 0.0413% 0.0413% 0.0413% 0.0362't 0.0262\ 0.0262\ 0.0262\ 0.0310\ 0.0310\ 0.0310\ 0.0310\ 0.0310'1; 0.0310\ 0.0310'1; 0.0310\ 0.0258'1; 0.0258'1; ~ 0.0258'1; 0.0256'1; 0.0258'1; 0.0206'1; 0.0206\ 0.0206\ 0.0206\ 0.0206\ , ~ ; ; Delaware Mutual CIGNA Home Insurance State Auto Insurance Old Guard PIMCa Brotherly Aide Liability Selective Insurance Goodville Mutual Reliance Insurance CIS Insurance Group Horace Mann Shelby Insurance Company PRUPAC Gay & Taylor American States Insurance Westfield Insurance Company PAR Group Crawford & Company Motorists Insurance Corp. ANPAC National Grange Aq'"ay Republic Claims United Services Automobile Amerisure vocational Rehabilitation Philadelphia Housing Authority Allegheny County Port Authority Universal Underwriters constitution State Lebanon Mutual National Indemnity Motorists Insurance Co. North Carolina Farm Bureau Charter Adjusting Service Pennsylvania Millers Johns Eastern Electric Browning Ferris PMA Group Equitable Claims Management Services Celina Group Maryland Insurance Group ITT Hartford West American GAB Sentry Dairyland Philadelphia Gas Works Northwestern National Merchants 197 - " ... '" ~ "' '" ... :!: Z z < N '" '" z C ~ iil VI < .. VI U ... VI - ... < ... ~ ;: < '" - ~ ;;: .. .. < . " '...1' 1 . I I I I ' . . " I I. I i~ ~~5'S~""~~'~5~'1 u 0 1 , ' I I ~ ,~clc~-col11~0~-~eo ii.. U.. jj~ ~~ .JjJ.J.J~.J J~~~ ~ n~~lO~I~mIO~~.I'O~INM!~~I~~~O ~ Uii igl~l~i~~I~g ~1~~i~I~I~I:~i =1 1: 3~~ o. ~ calNI,... "" f'1 "" Q\GI.IJ""I~ olN G ~ ~I II ol1oj;Z: '" 0 "'1m'" N'" "'-''"'1'''1 -I-N I II~ CD~.N~ N MI_IN - II .-4 f'4 II if 'll"'~~ .... ~"I" ~1~1:...I.. ~'''I..I.. "1 ~ ~...l u N~~~~~r~~o~~=nCnN~C ~ 001 II . . .. . . .... .,. . 0 i II \O<t:'CCO\DC)a)N NII'""l:"'oc-'l I'""toc:a ...... I II ~MN~MNI~"" N_~1'""t Mn.. ~ II .. II '" II ..... II 0 II "' II C II II 1 II II II II II II II II II II II II II I II II II II II II II II II II II II II II II II..... U 0 II II "" In II '" 3 n .Q.~ II eo > II II .2 CI II - - 1 II' U " II II " II I III " 0 130 I "'.... I .....~ I > "'I I QJ N I :::; '~I I 0, to .. '" ~~ "'roo. :Sw rol", ......: >", rol", '" '" I rolUl rolZ 1100 ....... IC'" =0< ;z:Z ;z:.... ..:~ NW "'t _C 100..:1 0": M >0'" ",M ~~ = to ~I 611 ....1...1....:_ cl~lolO C co OI,QOO Jd JJI,~~I ~I~I ~ ~I:I~ 11'I'" N pof ml... ~ -, ~~~~ . . .0 Cl.t'i.;o.... "' -1- ~ c _ ,,1...1.. I OCOO~9=N~~O~~_.O\D~CCO .. %M~~IN~ ~ ~_N_ ~- "='l/'l..... - N - ..~...~,~:I~I:~~~~~~~I~~~~.~' : t~ .-. r-:I...ocr-.;,\,Qf"'ol/'llt"" ~C\IMONNI~j~Il'I" ....1 .~ .-II l/'lll'\I~r.' l/'l \,Q \f'. ~l ~lq' ('r-'IN l'"'- ~ I ~ > 01'" '"' N 0 "'I.'''' "'loI"'I''''loI~I,",''' ",10" ... el~1 - '" ...Ie Co ~I"I~;:: ~:: ~ :: "'II~ "'IT" "'1- I I -I 1'011 ~~~~1~" 01 "'j~l~jjj~oIU~ ~ .LJ .Jj~,.. G M.~N~OM~C.N~I'"'IN~N.O ~ 001 0101'"'0 ., ..... .. c . . . . . . . ... . . ~a ~~OI'"'~1 ~~~NM~~.=..~ ~ ~~ i~ N~N N N~ N~~I~I~MINN' ~ 1M i~~~...JN~O",~~jjJ,",~,",,,,~- ~ 00 JJoo ......9tZQ\~~IN... ".... ~1..-41~1'" II~ ~ 1C1 "'... - '" -, I I ..,...!""t clolc 0 .; .;10 "'I""' "'I .... 1'::1 OJ ::1 C.l ~i =- ';:1 "',,~N~_r--o\C\Cor--Iq'Nr-CONr-I"l: c ~ QO~ ~~ ~rcl'" _I"'''' ~~ ~IM: MI \r.1~IN ~ ~j..cil g U~i ~I~.~ ~ ,~ U .~ ~~~I,~~1 ~u ~ .2 ~~~]' '" "'I"" '01 "" c:J .o..Q "-I:;; "::l w .~ = ~~IOI ~_u ~~~~ ~ ~~ "C '13 ,o,w'UI .=:= "'1:1:'" eo :1:"" '" ::: ~ 111.c tJ.c1 ~I 01 ..... ~ aJ u tt:1'~ Cl). X < ~I ;,//..;;;. ~ t: rei, ~ Q,j, c::: c::: .~ .,; .... /U ~ .I.J 1":1 ",- o ~_ > .r: ..... .r: 04 ~I >1 .. 0 '0 s:: c...... Q.l C J...I .... OJU~ll11ll11 cuI 01'- ~l~!~ Q,jCl11aJl11lUU ~~ >111 "::l '0 0::1 0:: ""I 0: (.; "" 11I1 "'I:' '" > :1:1'0 "'I '-I "::l::1 .. '" '_~'_I X Cl ~ CI~,1 ~o = _>~C~ll11='~ 3IOJ"'I~_ml~~!-~t QUI~I~~C;~~~~~ICl11C::>I~'" 'O"'IOEOJIEll11l-ll11l~C~1 '~~'~"'ll11l~=IU~IOI~CI-d~1 :;i~I'~~:;lgl.~:tl~~:~;~ti~~_I:~~r:I;~I~~UI~:;I~ O! El OJ -I ."::1 CJI O! ;0:;; C1 :./; I: ::; .-i ~i ~: L.. ,...., d C CJ I ~ = QJI:"'; ~ ~'~'ut~I~!~'~I='~f~,_j_,=,~,~'~'~'-I- ~ ~I_ -'~'~l ~- N~i~r '1f'!O I " I I I I I I I :: ... ..! .. "..l~.. II w 010 01=10 II II " II .c: II ., II 0 II 0 00 00 0 II Z II I J II II ... II .. ~,;; ~ II ......1'" 01;; II II .. a . a a II ..,: ... ......... I "s: ... 110" ...e .. ~ . ....0 A,., NN'" O",z .. .. :;I~ ~I~f~ 0 0 ~ I"' ~ II I I"' II - II '" II I '... . 01"' ~o~ C ~ QI C I! :;~ .. ~.. ,-- 1"'00 .0 II- I"' I"' II '" II.... II ... II ": . 00 ~NO ~ ~ ~I~ II II I II ;; ~ ~ !~I;; II II ., II ... .. '" a . II 0: .. ... ,., II :r~ ,., II II II "0 " : ~ . n "'0 ...00 II .. 0 II too..:z II I II .... II 0 II II UI II .. :0 /I G.I QJ ~ I"' 1"''' II ,Q.. II E > II ::J QI II :z: e: if c II QI <Jl II E ":Ig II QI II ~ tl' '" . II UI ' '" I~I~ II E U C C II ~ .... C ,; '" 0 u'~ II "j,: c To ,. II :o,~ .... c ... I'. 0 II cu. t) '" ;.,'" .., ~ "001 ~ :t .... .. '~ U ~ ::' c,~ Q. '... U ~'": I "', ....0 I c: ,; U > .... UI I g C I C .... " .c ,QUI Iw~ we: '" "'< w 0 IQI " J: UI ,.., ., I ~ ~ .!! ,,'... IE ~ ~ ... ., ... ... N ... .. ... . ... ... .. 1ft ... . ... .. ... . ... . .. .. N . ,., ~ ,I i f i 1 l .. ... . 1ft ,., a ... III . N oil' III . ... N 1ft . ... . ... 1ft N a . III :/ 1 III W CJ ~ W > .c ... III -'l < '"' o '"' 209 w E :c ~ 4 , I j , I ! , ----- i' - '" ... '" III 0 t< 0- '" = '" 0 -' Po ral < = ::> :z: ~ II: ral N ...Ill '" >:z: '" 1ol0 - ~... t< C =.c 1ol:Z: ::> Iol'" '" Po~ '" < ..:I" ., .ct< '" :>Iol u :Z:Q ... :z: ... .c..:l '" ... .c !;; N'" "'t< ... "'... '" ..:z: [;j ... '" ~ 0 ... >- >< = 0 .c '" ~ 0- 0- < :> III :1 II.. II II" II s:. II +J II 0 II II :! II n~ II III I" II ....~ II .w ., II ~.~ II .. II Po" II...Q II 11I::- II .. II.... '" II 0 Po II t< M II II II II II .. '" ~I..I" ..~ .. ~ ...... ..l,.... ~OI~I~~MO=OOIO~NC~MCO~~ ~ co. ~ 9~ ~~ ~~ I g ~ 0 '" '" ~ 0 :- 0 0 01, ~ 0 ::;;,:: 0 0 "'1::, r,~~"'OO~~~N~Q~O.~.g.. . . . . . . I .. .... .~CN~.~~~m~~O~~N."'.O ~~m~~m~~m~~mmm~~~m~m I ~N~"'~.~~MO~~~".mN~G~ O~om.~.~~~"~~~~~~~~~~ _~.N~.O~M..MMNN"""'"~" ~ N....;..... " ... '" .... e " Q ,..I::: '" ;0 '" ~I~ :\ :: ~ :: ~~!: ~ ~1~ 0 N l" ~ .; '" '" '?.,; ..; ..; ~ '" .,; ~ l" '" '" ";1:::1"; "'..; '" ~M ~MN~~~MN~~M~I"M~M~ 01 ~ ~ CD r-I CD 0'\ ltl r-- Lt'l CD l""" N I/'l ,.., CC ~I "ll r"" I"'" l"'- _1~M~~r""CCr-ll"'-O'\l/'lr-lCCCC~~~l"""lr-II""'M -O"Im.... \D'Q"Nr-I r-Ir-I Nf""I I- ... L ~~]:,::~5~:SS~5Is~3:';':3 Il.~ IN]~ "' ""'1'" '" '" '" '" ~I"'I 1~ln 1",:;;1 II :1~~~'occ~oO'\~mO"lccN~I""'~CC~I""'CCCCr-l~ II~~ r-I~~CCI~ltl~I""'I""'Lt'lI""'r-1f""1MN"'O'\~CCf""l II I""'IOCCI""'I~l""'ltlNMNNM r-Ir-I ~ II ]~ II \1 ~ ~I~I~ ~I~ ': ": ~ ~ ~I~ ~~I~I~'~ '" ~I~~. a~"""'o"'I""'''O'''''''N~..O~~''''''''' "~~ NN~ N~NN~NN~I~~~.N~~~ Ii a ~ II .... 0 II".. I II" i5 .......CD"'C7'\QCD..N....,O......CG'lO\~CDr"'" II~~S.."'~~..,..~M"'....~~~..NOI~.I~N II ~-m"N""M""~"" ....~I ~ " " "" " 0 II II ... III II " :J II .Q.~ II e > II Z QJ -c: III e :J 0 1I QJ'" lI'oo4~ II > IQ II Q.I N II e::.oo4 " t: II ~ ttll :: ~ Ef 1I ~ ""';1 ::: ... "'I ~ '" '" I" o .. .. '" ..' ..I... o=>o '" ... '" o~o ~ ~~-:. N I" l"I"N CD "'I" ... '" .IN '" "'I"'" ~ : ~55 ~I ... ~I-i ... l" N ~ ; o '" '" ... ~ 2 '" 0 . ... ~ "''''~ C\..~ ~~~~ 00 "'''' 0...... "'''' u ....ID . . . NIDI" "NN .O~ .....N "' "',::, 0 "", ':' ""I... In ... 0 ... N N NI. ... "'I '1'1 ~ ... ~ U"lQ\I~I'" ''QU'\M\ON'''lcr--~\O..cl'"'\ 1'" C'\ ~ l" ~ :::' U"l1 ~ M ~ CD ..c U"l ll'l U"I ~ M NI r; N N ~ ~I;" ..... ~ ~ ~ _ u .... I":'" '... [; ,Q 0 _ .- 10 > ,_e "Ill e 0 = I:" u " g '. ,I!' """'I~ ,""u '... c:' ,..... I. ~~. ~~u ~ ~ +J _ lIl"'iO U ~"--....,, III '" ~i~~~u~~g~u ~ ~;i~~~~X~~ ~ ~~~_~C~~ ~ ~O'oo4~~~~IO~- o ~ > .c jooo4 J:. .001 ..., ~ ;:. .: 0 ~ 'C c.. IC C C ~ l1l'''' I1lUl'lJIVaJ cuu 0- QJ.JI;:L.t Q,lta CLlI._lUaJCJCJ.c 'C ~~= ~oc~~ ~IQ.I~ ~>l'lJX~U~O ~IQ ._ 'C . )C III 0 U! Ol.t: I tt:I 01 '... I tC 0 C .-4 >.;: r.n :a 11l. _ VI _ It! L.t 1Il 4-l _ c.:1 Q u~ 1n),j,.I ~ c: 0 '"C U VI QJ "=' IC L. Q.I C ~ XI 0 81 aJ e Q.I .:::: - QJ C.l 0 ~ '-1::::; ~ tal l1lt..-I lJ1 a. C U Q) c:: 0 _ ,- ~'- .....- > ,- > 1Il""j "'-.... "'I ]1- c: ....Ie <( '" '" '... till ,;. L..l c ~:l 'tJ OJ tJ E I.. ~:........I - L..I"'O.... - C ._1._ ~ "0 U ~ OJ E 0 _ IQ CJ 01 WI t'Cl at :'1 I I C::.- C,.II ~I ""'.... aJ Cl - :: CJ C::1 e ::' .....1 ~ \1 r' ....: .,.. -, t )1 - r )1 :..: ...1 _I :::' :;., _. :"'1 '>' =... -, , J ..... 'r.: -= ,:"1J 202 ... "',:, ... 0,_ ~I'" '. .' " 'I " " " 'i ;l 1/ ... 1/ Qj 1/ .<: 1/ .., 1/ 0 1/ 1/ 1/ 1/ 1/ 1 1/ 1/ ... 1/ :I,~.... "" II "". If ....rl II · r: II ~ II I/...e 1/ 1.- '1/, .:l ~.. ci 1/ 0110 Z 1/ i< It 1/ 1/ 1/ 1/ 1/ 1/ 1/ .... 1/ .. II.... 1/ C 1/ Qj II Q 1/ 1/ 1/ 1/ 1/ 1/ .... 1/ .. II.... 1/ .., II "', ' II trJ it; 0 1lQ.,a..Z /I 1/ Ii 1/ 1/ CI 1/ ..,"'1" II c:.~ /I CIa ... 1/ II .u 0 ~ :~... ci 1/'" Z 1/ i<.o: jL 1/ 1/ ... /I 0 1/ II w U'I II Q,J:J :1 .c.~ /I a> /I :s CLl II Z IX , 1/ /I /I 1/ 1/ 1/ 1/ 1/ III 1/ C /I 30 /I Q,J.~ 11'001'" /I > ta II Q,J N 1/ p:: ,_ /I < 1/ ... pi< 1/ Qj II Q,J L.o II c.. C .. o z .. o 2 .. -: "" ... '" '" ~ ... ,... . ... ... .. o ... - '" - .. ~ CD '" N '" ~. :I~ ... ... III ... '" CD '" r- "" o o :; o ... ... .. .. '" '" "' M ... ...r- NN .. ., 00 ....t..."'...... OONCOOO o ....,'" ... N ...~....~ 0000 0000 :::!:; ~ ~ .0 . . M....... .. .... ,...,.,........ ...N....lI'1 ~;;~;::: o ' . _N'" N'" OM~N N .. ;I~I~ ~ M N" .. "N r--OMU1 - .... ~I~I~ ~ . .. ... 11I11I '" 1000........ MMaJCO NN .... .. o .. ... '" 0 '" :;:; . 0 .... ... ~~ ..... '" -CD ~,:;; r-N "'''' CD'" :;':; '" ,., 11I0 '" - ~~ -~ .\'~ 00 :I~ '" .... : :;;;; 00 NO-,..,OOO N .... o .... 0 00 NO M Nr- ... "'''' M ",... M MM "'... ... o ..... 0", ,...'" ~!~ ~ ~ ... 0 ... ~'~ ~ :; ~ ::::; . . ..Ill ...r- ... ... ...... . I I . . . . ..... .... NG\."G\O,... loI'ICDlt'I"''''IIll' .. ... o .. .. ... :;; "',... ....... NN :;; MCD "'''' ..,... ~:; . . III III ...", ...,., M N ....... Qj 0 Ie ~ ~ ~ ~ .~ en u';.. ~ ~ (J ~ . . . ..<: u 0 ,- '" > Q c .. _ Qj C .. 1-01.... ~ g;: :t; lJ ~ I? ~ C" H ,~I a. -;;; ... g' II- ,~ t: ~ '<:HIO QjIll...3 P:: Qj '" au ....~u .. cC.Q '0 ~ Q,J Q,J ~"'~Q,J ~ p....c~....o....... taOta+J Q,J~ P::III= cu... -... )......::E;.Q,-,o CIIIX'~.eCIOXCU ~~''''>U'lta ta Q,JCLl~ '~ta"'CLl~Q,Jw +JCUCLlQ. ~.~ "'QjQjIllC"'~QjQjU >'-.QU ~"X~QQj~..p::a .ell.., ~U>EQ,J-Q,J~U,~ >~ :JQ,JQ,J~ ~ c....... CLl~~~U C .001.... Q,J 'tI =' z: .~ -c CJ 0 Q,J -4 C cu .., a:/... ...-j ~ c.... 'o-l U "C ~ 0 l.4 UJ to o ~ .iJ ,IJ C Ul ...-4 > aJ IV ... c:: a: 0 ta...."' 1_ ~ ~ to E.-1 0 Q,I rtI ::I cui ~ ..... ~ lU 111 Q,J c: '1'0 J,., z: > ra CL. 0 "-' u > ... ....... C Itl U to..... VI U c:: c::.c enl ~ .4.J 4.1 >.~ Co 0 co U ~ I..... 3: ..... ..... Q) V) QJ .c 0 C ..... x .Q VI C' ra 0 I/) en 0 ra VJ 0 tn ~ t.J ..-t Vl . 0 ra c:: ~ . 1... c:: I en ra .~ -=: w "-J to < /U X .-t ~ 4: w U c ~ <~ VlU'lI_<Q~~ '~U~u ~ VI > ~~ .~ o c:: C 'aJ . a.: CJ t-- ~I . e 1.0 ~I Qj!1l3 e .~ ~ tl ...j .c '" .... .... lULL - ~'-':r.i:.:!-';;: '"'1":121- ;;: 10 !< <:1:>.. It) ". ...... O\O\~f'oo"'N" N""''''''NN :::I~ ~I~I~;; ~~I~ "'N M... MMM NN N"'N M ~ MNO.-4MO _.... .... .. ""...... ..I.. ... lt1 "" 0 U1 Nle e:~~~~~~ ~\QMO\r--~~ r--\DO'\r--~Q'I'" NM..-4..,M.-4.-t ~!: '" 0 . ol~ . . . . "0" ..... 00", "'Ill", .\OaOONf'oo .. ...", L(lL(lNOO"'l..,..-t U1L(lU"ll-n..,<q>M 203 ... .. '" .. ... .. .. ... :;; ~ ... ~. .... N .... ... N N N .. o o '" :;; ;::, '" '" '" '" '" o '" .... -: ~ ::: ... '" . . ,., .. '" ,., .. . III CD ... r- ... 11 11 ... 11 ., 11 .c. 11 .... 11 0 11 11 11 11 Ii 11 "... '", II'" I'" I' II........ . II.... IS N II ~,rt f"o II ~ r:: II ~ '" II ... e . illS ~ III ... II ... . II 0 Po 0 II" ;I; II 11 it II II II II II... II", 11'004 II r:: II ., II c !! I II II II II 11 II II II II II II II II I II II 11 '" II '" '" II .......'" . II a.~ ~ II "'S'" II II "'" 0 . II : ~... 0 II w :z; t"1 II....: II II .... II 0 II ... III II OJ ~ II 1l'~ II ::l > :: Z~ ~ II 11 II II II 11 11 11 III II C II 30 II QJ'~ 1I.....a,.l II > to II OJ N II e::..... 11 C II J,.. f'tI II IV ?1 :: ~~! ...... o ... ..u: '" '" 0'" Z .. .. M ... '" 'M t ~ . M "'p.,O '" Z ~ ~ go o ~...;............ O~OOOO: o 01..,0000... '" .. ~~~g~gOE CO ".r4 Ill'" III t; . o ... .. o o '" '" I' N c; ~ o ... t; o .. ... III '" m,.,calnloAO,,", .. .. o M M ~ t; o .. .. ... ... o ... .. o .. ".!.oN' ~~CO""~o . o. . ....r;....r-l""l .... ........ ....co ,., o .-4.... c:o...."'oN ... .. ... .. .. .. ",I - .. oN' ,.... N 0 Ol~ 0 rf . I'N I'N :;;I~ ... .. '" ... ,....NO~I""lO\O o '" M ... Ol~ t; ~ ~ . . ..... ...... . I' ... '" ... o .. ...,.,Of"tQO.... ... ... '" '" '" ","''''''''''0''' . III .. 'tit: UlIl g~ ~ 8... c g ~ I'~ to lJ) ra ~ .... > . J...c: Q.l > ..... ~ OJ QJ co 51....U"' 3 ",..:ecc:w ~.......... QJ U'ItOo.c C) ....ra>......... C>UO......JIlC OCll...."'U1> ...to U'l1tI" U:::.,C.,.,,,,.cZ"''''CW C U) 0 () " .... to .... 0 > ~ lit ..-4 .... 0 N . "01 i.i .... tIC 111 . en > 1""'4:J: I"'"J.... tit...... CCll~cn~.l'C.-J+J O'OUJCD o c s ClI OJ U ClI W C ~ .... OJ ~ .... '.-4 :I: ~ tn .004 :: OJI 0 :J ta ~ ..c +J1I1 0 "0 'O+JtCl:JO.... .\! ~ ... ~ 081::;'" .21 ~ ~ 204 ~ !l. .. ~ lJl I- 0: o "- "' 0: :;; ~ ~ N '" '" 5 '" "' lJl < '" lJl U - I- lJl - l- i': lJl '" "' I- ;'! - .. o '" "- '- < ~""N""C""C::_<o:r'C'<o:rC\C'\C"lO _r-N_NI_ - l~ ~ ol~ ~ ~I~~, :;:;; ~ ~ I~ ~:~ M~1~1~,:; :;: :;: ~ ~~ ....~~ ~ NC\~ C'\~NO""N ~ N W N NMN ~ M....N N....NMM.... M.... ,~ .... ;~I~C'\CCM~O~O~QC\o~=~c~~c o_I~~ M~M ~ ~....-.... N.... :0:- 111 "'jl~ ": ~ ~ ~I~ ~.i~ ~ ~I~~,~. ~~ ~I~!~ ~ O~ ~ ~ ~j~~. ~Nm~.~~mNNmoM:l.~~~I=Q :1 01 Jlo'N ~ ~~~~~~~Nm~~~=~l~~~~~= .i m ml~l~ 91 I I I I ~~~M~M~~~MOMNM~NI~IQQI=N~ . ~ m~~ oz~~~mm~QM~~~.~MN~~NM~ ~ NI M -iN P"4 f"'4 1"'4 N ~ ~Iell , 0 I ~I ~ I g ~ ~'~ C g ~I I ~ CJ ~ '~ g . ..... .r; Ul ""' ta.... U1 .. ~I:.J .~ ~ .- -:! y .6J 4.1 .c.... 't] 40J Cl '::.!:I U .... 'tf .6J "'_- .... _ Ul~taO ~I, ~"I'-_~ ~ ~ ta ~~ III ." C' :J:...... lU 0 L.. U :: .-::.: .;.J 01:1 u :tl X - e .-,J aJ C ,",: ." CJ.o U .0 '" ..., 9 ....1 CJ CJI III U .. CJ IllI'~ ,~ c: :I 0 ... ~ lU.... to C to Itl !'- aJ c: C:I 0.... \.l ""' .j.J ~ IU lit .- III Q,I .... 0 4J > J:. .... .c .... ..a '"' > .. 0 I C "01:' I'tl c: C - ~.... ..... OJ .... .., QJ U to aJ 4J C1I tJ 0 '... (1J ~I j,., Q.l I'tl eI 4.11 .... lU eJl U U ,J::. tG U >.. ." ."c:c: c:ocu", III~~ "'>I"'I:O:-U'CCj -Ill C- diN ''''''C'''' )( tfI0 U g::'l roo'''' tOOt: _>&.U10> ~._ )lU_tfl_l'C~lII.6J_! ~U1U1~""'IC'C"CUllllU"Cta wc.~~ Ie, ~~oe~e~C-~~C~~-I~~~1 ~.~~~c,u~~o~~ ..... -,~ III'~ ...'~ > ~ >1 1II1::l CJI - .oJ CJI' - C1'" C < CJ IllI'~ '" .~.. 1Il I CU '"' e e ~ ::l 'C 0 (,J e '"' L.. cJ 6ol1- L.. ~ - - :: ,- .... 'C 1'0 (,J ~ u !! ~..., ~ ~ ,0 -; ~I ~ ,g ~ ta ,c~i ~ .!.!.:!~,~, ~ ::1 '.::. 9, ~t r; .: r S :3 ~ ~ :i ... ~ 5 ~ ~:6 ~: ~i:i~ ~i~lsi~i1~~i~i~i:i~i :: ~, 1 I II ~E~coca~o~acc-co~C~OINIC II 0 -..., l"'" II II :1 ~ I- ~j~ ~.,~~. ~ ": ~I~~. ~~~ ~~~.~~ ~;~~., ~ ~~N~~~~~~~~m~~~.~m~ ~~ M~MN.MN~~.~M~MN...~ U " ~1~lo.~~NN~~~~~~~~Nm~~r-Q Z ~=~~~~~~~~NN~~" N :: !! ............ ..I.... .... ...... 4"1" ..~....I I ~M~~~~~~~O~~~~~~~~~~C ~ _~M~_O~~~~M_~~CI~M~q ~ M M _~N______ N__ III ... CJ :>OMltl~NC" ~Z~Nltl~- ID t- '" o 1'0 (oJ I>: :a (oJ ... &lID I>:~ cz: .... 11 (oJ t- II (oJ 0< II 1'01>:11 (oJ II Q II ~I~ ,I o<1;l :, Ng:U en II en II .. II '" o >- I>: .c ~ ::> III I , II.... , II II 0 'C II ..,"" II CJ III :1 .c a II au II Z ~ JI-=-~ Ii I II II II II ~~ltl~~NN~_~_~~_~C~~~~ ~O~l~ltln~-~M~~~ltll~-~ltl~- ~M....I.'__N_.... I 205 ~I ,I '"'I ..1..1 ..I clclcl ..1 cl I 01 - I d d ~~~ .:1 ..;1 ,.;.;..: \It ..-t ~.,.., coo III III "'....., 0 .. .. ~ .J~ ~ ell r-:~~ .., MON - _1'1<"' ... "'1'1_ - I~~ - - ... 01'11'1 '" 1'1 - '"' ~I o o ~ o 'Ii Ii I " I r I o o ~ o .. en '" II II II II II I II II ".... . II 0 'tl II...,..... II III II QI C II .c 0 II Il U II :> ClI II Z" I II II II II II II II II III II C II :J 0 II CII..... II ..... +J II > lU II CU N II 0::..... II C II " ~ II QJ:-'I ~ ~ ;:1 :: II II II II II II II II II II II I II II II'" ~ II <l - II ...., II.., II 1I II :: II .~ t) II ... > II'poI.. . II .., Ill: 0 II 0 :z: II lC II II II II II II II II II II II II II II II I II II II I 1-- .,0 .,lI~ o 00 ... ClI .c . '" 0 a" o 00 c; C;I~ . . on 0 N .. .. ..0 ~ ~;; .. 'tl ClI III ... ClI , > 0 &,. '" .... '" 00 -- ...... "' 00 '" 0 .... .. I'" 'tl ClI '... ... '... 'tl 0 0,. :E '" ..0 ....j"'.~.'t\........ ~ ~oooooo '" NOOOOOO :. ~ 0 .. 0 O!e; o .. .. .. rJ~~~ 0000 0000 ::.!~ e;1~ . . . .. .., 00 .., "'0 .. .- o .'" ..,~ 00 ..,oJl",.. ~ 000 ,.,OOIl'lONN .. ... N ...-........-.. OOOY"lOCDO :: "'0 o .... 00 "'0 .. r40,.,,.. "' .. ..I.. ... 0000 00 "'''' co....""" ............ Mooe .., 00 .., ..'" ~o'" .- o o o 00 .. o 000 o o 0 01 ~ 0 M N WI'''''''~H'''H 100001.001"10 o .. '" .., .., .. e; e; ~~ c;1~ ~ c; MOOU"lOQ'lO .... ...... o o .. on N . . 00 00 .... t O..CD .. o N o ..0 000 ... o ... o ~~ o o .... !'!. f '" i I ... o ",0 "'0 .... o o .... .... 00.... o ~ ... o ...... 00 ~o~ o o ;; o o .... '" o 00 01... 0 o ~ ~ ~~ ~~o..,ol~~ ..oo~ ~ c; C;~ ~c;c; ~ .., ... II .c g. o :z: on .. 00 ",0 .. . I . . . I I'1OO\GOO lI'IOOII'IOIl\ .... .. . . ... 0 "' .. . o o .. on .. o o .. . o o .. N ~N ~..~ONO NONe 0 ,., ,.,0 ~oo ~ Pi ... f"'fN \D ON Nq~\DO~N MOY"lY"l N M ~~ ~~~ ~ ........ M ........-q ClI ~ .... III :a Q U 'tl III .u C QJ ~ '.... tn U U ~ . Q,I 0 ~ 0 0 .~ ~ >0 C c~~....~U .a.J..-4 U > ,..0 Hlg.... ~U.&.JtatO en ~'tJ OJ?:OJUJ tU...-( ....u> lo.1.,t:cu ~ CU~-~ ~ QJ tn SU U ~ ~ 'tJ WO.a.JU ClI X"'.. ClI .... P '... C to> I'~ '.. ... .. .., ClI ... p........ : CU~"""" :a........~~I~'tl CIll,CCCXCU.....> ~ 10..... > en ~ ta QJ OJ.... ~ ta C CU en ~ w cu cu ~ QJ'~ 0 CU w ~UJC~~Q,lQJU > ~U ~taX'''''CCU~E ~a~u~Q,I > 12 cu - ! IX U..... > '0 ) QJ Ql ~ UJ C QJ "-' 0'" U1 U C U} ... ClI 'tl :>... ,~ '0 ;:ClI 0 ClI"" C ClI ., c: ~.... ;: C ,;.., 'tl C' 0 ... III ~...... III .a.J.a.JCUJ ....>QJQJ ~~OlU.....ta .u~~E~~ ~~ ~. ..!('ClIC,.....:r:>,,'" \1U>.,., C"U"UCC.c1ll ~ClI~ >~~o~u~ -~ 0 .~~~~no~.~xcmo~~ooc~ o (f) QJ CJ ..~ U) . 0 to a: H . w cr:. I iT IV'.-4 .Ie .... tLl ." :E '0"1 .lJ II( ........ ..... :E c ~ <~ ~~-<C~~ '0"1~~.lJ QJ > ~~ ,~~~ 55 ,:1$ 1..;~,s;If;;I~":~ t"I~~ I!;! 1:;1 ~'a: tj~.il 206 .. .. .. . .. :: ~ ...... ...... I~~ II ... 0 00 00 II II " ... II ~ II 0 010 II ... 0 00 00 II 0 :z: II II I II '" II II ~ ~ I~ I.. i~ ..I.. II.. II 0 00 U . II -a 'U '" II · . '" II'... " II .... ~ II .1'4 I>> . II '" > . ~~:~ 0 00 O~ 00 II !! I II II ~ ~ I~ I.. II II '" 0 0 00 " " '0 " 41 n UI " ~ " " > ' 0 00 00 00 " <ll 0 " p;:Z: " I! I " ... ... II '" 0 00 0'" 00 II " '0 I::' " <ll n .... " .. '... '0' 0 00 ol~ 00 ~.~ or ~ ~ i~ I" I.. .. 0 ;;. 00 . . 0 0 ... '" 0 0 ... " ~ .. .. " CI II ~. " . 01" n .. 0 00 " 0 " :z: " I " .... n . ,,0'0 " ,; \I ... VI " .8 " r< ~ 0 0 ,.,0 0 " 0 B tJ i~ " Vl CUI U ~ I ~ C :0 Q ,~ ~ Q '" I,... ~ " > .. > I~ :l '-l :0 l~ '" E Ul <ll III 0 I:l C ~ '.. C>U I~a I :J ,? '" Ul > '''''Ig Ul <ll' c" "! ~ .c .. '..... .S ,~ c: ~ '" I.. I'~ > ~ ~ N ";l~l~ ' .c VI > ~:J; Ul c: ,~ lJ1~IO+J ... 0 'C Ullll ... ~ Q.I ~ U Q.I ~ gl~1 ~ .~ ~ .... Vl.~:;:. ~ ~ o 'C .c+JlC:a . ~ ~ 1 ... <ll O-~O " "'0 '" X "-I~ u:::: "'''' ... o '" .. ID ... . . '" '" o o . .. ... o . '" .. o . . ... . .. .. '" ... '" ... ... .. ... .. .. III . .. ... 207 ~ PAGE 1 citation ---A.2d---- (CITE AS: 1994 WL 406793 Rank(R) R 2 OF 8 (PA. )) Database PA-CS-ALL Mode Page NOTICE: THIS OPINION HAS NOT BEEN RELEASED FOR PUBLICA'rION IN THE PERMANENT LAW REPORTS. UNTIL RELEASED, IT IS SUBJECT TO REVISION OR WITHDRAWAL. patricia TERMINATO, Appellant, v. PENNSYLVANIA NATIONAL INSURANCE COMPANY, Appellee. No. 47 W.D.1993. supreme Court of Pennsylvania. Al\g. 4, 1994. OPINION ZAPPALA. *1 This appeal presents a question of first impression under the Motor Vehicle Financial Responsibility Law ("MVFRL"), 75 Pa.C.S.A. s 1701 et seq. The MVFRL was amended by the Act of February 7, 1990, P.L. 11 (Act 6). The amendment established a PEER REVIEW plan for evaluating treatment, health care services, products or accommodations provided to a person injured in an automobile accident. The issue is whether an insured must seek reconsideration of an adverse PEER REVIEW decision before initiating an action in cornmon pleas court to recover medical benefits under an automobile insurance policy. We hold that an insured is not required to request reconsideration of a PEER REVIEW decision before proceeding to court. The 1990 amendment to the MVFRL requires automobile insurers to contract jointly or separately with a PEER REVIEW organization or "PRO". "PEER REVIEW organization" or "PRO" is defined as "Any PEER REVIEW Organization with which the Federal Health Care Financing Administration or the commonwealth contracts for medical review of Medicare or medical assistance services, or any health care review company, approved by the commissioner, that engages in PEER REVIEW for the purpose of determining that medical and rehabilitation services' are medically necessary and economically provided." 75 Pa.C.S.A. s 1702. The PRO evaluates the medical treatment or services provided to an individual injured in an automobile accident when the insurer challenges the reasonableness and necessity of the treatment or service. The PEER REVIEW process for a challenge by the insurer is set forth in 75 Pa.C.S.A. s 1797(b), which provides: (b) PEER REVIEW plan for challenges to reasonableness and necessity of treatment-- (1) PEER REVIEW plan.--Insurers shall contract jointly or separately with any PEER REVIEW organization established for the purpose of evaluating treatment, health care services, products or accommodations provided to any injured person. Such evaluation shall be for the purpose af confirming that such treatment, products, services or accommodations conform to the professional standards of performance and are medically necessary. An insurer's challenge must be made to a PRO within 90 days of the insurer's receipt of the provider's bill for treatment or services or may be made at any time for continuing treatment or services. (2) PRO reconsideration--An insurer, provider reconsideration by the PRO of the PRO'S initial copr. (C) West 1994 No or insured may determination. claim to orig. request a such a request U. s. govt. works --A.2d---- PAGE 2 CITE AS: 19'H lolL 4067')], *1 (PA,)) for reconsideration must be made within ]0 days of the PRO's initial determination. If reconsideration is requested for the services of a physician or other licensed health care professional, then the reviewing individual must be, or the reviewing panel must include, an individual in the same specialty as the individual subject to review. (3) Pending determinations by PRO--If the insurer challenges within 30 days of receipt of a bill for medical treatment or rehabilitative services, the insurer need not pay the provider subject to the challenge until a determination has been made by the PRO. The insured may not be billed for any treatment, accommodations, products or services during the PEER REVIEW process. *2 (4) Appeal to court--A provider of medical treatment or rehabilitative services or merchandise or an insured may challenge before a court an insurer's refusal to pay for past or future medical treatment or rehabilitative services or merchandise, the reasonableness or necessity of which the insurer has not challenged before a PRO. Conduct considered to be wanton shall be subject to a payment of treble damages to the injured party. (5) PRO determination in favor of provider or insured--If a PRO determines that medical treatment or rehabilitative services or merchandise were medically necessary, the insurer must pay to the provider the outstanding amount plus interest at 12% per year on any amount withheld by the insurer pending PRO review. (6) Court determination in favor of provider or insured--If, pursuant to paragraph (4), a court determines that medical treatment or rehabilitative services or merchandise were medically necessary, the insurer must pay to the provider the outstanding amount plus interest at 12%, as well as the costs of the challenge and all attorney fees. (7) Determination in favor of insurer--If it is determined by a PRO or court that a provider has provided unnecessary medical treatment or rehabilitative services or merchandise or that future provision of such treatment, services or merchandise will be unnecessary, or both, the provider may not collect payment for the medically unnecessary treatment, services or merchandise. If the provider has collected such payment, it must return the amount paid plus interest at 12% per year within 30 days. In no case does the faiiure of the provider to return the payment, obligate the insured to assume responsibility for payment for the treatment, services or merchandise. On October 21, 1989, Appellant patricia Terminato was involved in an automobile accident. At the time of the accident, she was insured under a policy issued by the Appellee, Pennsylvania National Insurance Company (Pennsylvania National). She submitted bills for medical treatment provided to her for injuries sustained in the accident to the insurance company. Pursuant to s 1797(b), the insurance company sUbmitted the claim to options, a PEER REVIEW organization. On January 21, 1991, Options sent a letter to the insurance company summarizing the opinion of the PEER REVIEW physician who had reviewed Terminato's claim. The letter indicated that the physician had concluded that the medical treatment "was not directly and unequivocally related to her motor vehicle accident." The letter quoted the physician as stating: It is also my opinion that the work-up she received, that being cervical spine x-rays, C7 of the cervical spine, her chemistry or laboratory studies and the neurological evaluation were not medically necessary nor directly related Copr. (C) West 1994 No claim to orig. U.S. govt. works , . . 11 'I I, ,I f --A.2<;1--^- (CITE AS: 1994 I-IL 40679], *2 (P,'\.)) to her auto accident. At the time oE the evaluation in October, really had only subjective complaints oE some tenderness. There positive objective Eindings including no neurological findings. there was nothing to indicate that any specific treatment or any diagnostic evaluation was indicated. *J R. 1J. By letter dated February 4, 1991, the insurance company advised Terminato's attorney that it would not be responsible for payment of the medical bills because "they [were) not related to the automobile accident on 10-21-89. II R. 15. On April 10, 1991, Terminato filed a complaint in the Washington County Court of Common Pleas alleging that the insurance company was responsible for payment of the medical bills arising out of the motor vehicle accident. The insurance company filed an answer denying responsibility for payment of the bills because the medical services provided to Terminato were unnecessary. The insurance company subsequently filed a motion to dismiss the complaint, asserting that Terminato had no standing to file suit in common pleas court because she had not requested reconsideration of the initial PEER REVIEW determination. The trial court granted the motion and dismissed the complaint on July 2J, 1991. The trial court concluded that under s 1797(b) (2), a request for reconsideration of an initial PEER REVIEW decision must be made and disposed of before the common pleas court may exercise jurisdiction to review the matter. The trial court construed reconsideration of an adverse PEER REVIEW decision as a mandatory administrative remedy that must be exhausted prior to obtaining judicial review. Because Terminato did not seek reconsideration of Options' determination, the court found that there had not been a final decision by the PEER REVIEW organization that would enable it to exercise jurisdiction to review the initial decision. The Superior Court affirmed, holding that once the PEER REVIEW process is invoked, the parties must exhaust their statutory remedies and seek reconsideration before an action may be brought in common pleas cour.t. The doctrine of exhaustion of administrative remedies the PEER REVIEW procedure. A PEER REVIEW organization agency, a court of record, or a tribunal authorized to out of an automobile insurance policy. A PRO is similar to an arbitration panel in that it is neither a court of record nor an administrative agency. However, a PRO is significantly dissimilar from an arbitration panel in that the latter is selected by both arties at the time the dispute arises and the former is a body established by state or local professional society and selected solely by the insurer before he dispute arises. Pennsylvania Chiropractic Federation v. Foster, 1J6 Pa.Cmwlth. 465, 478, 83 A.2d 844, 850 (1990). Pennsylvania National asserts that the PRO process should be afforded a tatutory construction consistent with the doctrine of exhaustion of remedies. onceding that a PRO is not an administrative agency, Pennsylvania National rgues that it performs a fact-finding function akin to the type of duties ormally allotted to administrative agencies by the General Assembly. erminato argues that the lower courts erred because reconsideration under s 797(b) (2) is not a statutorily defined remedy that must be exhausted before ursuing relief in a court of law. She contends that the PEER REVIEW procedure Copr. (C) West 1994 No claim to orig. U.S. govt. works PAGE 3 the patient were no Certainly other has no application to is not an administrative resolve disputes arising I Ii I , ---A.2d---- PAGE 4 (CITE AS: 1994 i'lL 40679J, *J (PA.)) was not designed as a mandatory and exclusive method to resolve a disputed claim of insurance coverage and, therefore, cannot be a statutory remedy that requires exhaustion. Terminato emphasizes the language of s 1797(b)(2) that "an insurer, provider or insured may request a reconsideration by the PRO of the PRO's decision" to demonstrate that the reconsideration procedure is permitted, rather than required. *4 A PRO is authorized to determine whether the medical treatment provided to an insured was reasonable and necessary. [FN1] The PEER REVIEW process is designed to assist the insurer in determining whether to deny the claim of an insured based upon an assessment of a medical professional. The PRO does not accept and review conflicting medical evidence proffered by an insured or provider as part of the process. Unlike an administrative agency, a PRO simply lends its expertise to an insurer and has no statutory authority to resolve disputes. only the insurer participates in the PEER REVIEW process. This fact alone rebuts Pennsylvania National's contention that a PRO should be entitled to the judicial deference afforded to administrative agencies. The detachment and neutrality required of a fact-finder is conspicuously absent in the contractual relationShip between a PRO and an insurer. A PRO is not a neutral body. While a PRO cannot be owned by or be otherwise affiliated with the insurance company (31 Pa.Code s 68.3(d)), the law provides for the insurance company to select the PRO that will review the claim. The insurance company initially pays the PRO for its services. The insured plays no role in the selection process. Obviously, PROs have a strong finar.cial incentive to appear fair in the eyes of the insurance company. Otherwise, the insurance company will take its business elsewhere. On the other hand, the PRO is not concerned with how the insured views the PRO because this will not affect its future business. Consequently, the PRO does not have the characteristics of an independent body for which the Legislature would 5eek jUdicial deference. Harcourt v. General Accident Insurance Company, 419 Pa.Super. 155, 168, 615 A.2d 71, 78 (1992), citing Lehman v. state Farm Insurance companies, 140 P.L.J. 78, 82 (1992), allocatur denied --- Pa. ----, 627 A.2d 179 (1993). Where the Legislature provides a statutory remedy that is mandatory and exclusive, the general rule is that a court is without power to act. No jurisdictional issue is presented, however, where a statutory remedy is permissive or alternative. Lilian v. Commonwealth of Pennsylvania, 467 Pa. 14, 354 A.2d 250 (1976); DeLuca v. Buckeye Coal Company, 463 Pa. 513, 345 A.2d 637 (1975). We explained the rationale behind the general rule in Feingold v. Bell of Pennsylvania, 477 Pa. 1, 5, 383 A.2d 791, 793 (1977) in which we stated, "When the Legislature has seen fit to enact a pervasive regulatory scheme and to establish a governmental agency possessing expertise and broad regulatory and remedial powers to administer that statutory scheme, a court should be reluctant to interfere in those matters and disputes which were intended by the i Legislature to be considered, at least initially, by the administrative agency." The exhaustion of administrative remedies rule is not absolute because the court may exercise jurisdiction even where an administrative remedy exists when the remedy is inadequate or incomplete. "The mere existence of a remedy does not dispose of the question of its adequacy." Id., 477 Pa. at copr. (C) West 1994 No claim to orig. U.S. govt. works , . . . . . . . . " . ---A.2d---- PAGE 5 (CITE AS: 199.1 \'1L 4067')), .,\ (PA,)) 7, )8J A.2d at 794. *5 In Feingold, an equity action was brought in common pleas court seeking injunctive relief and monetary damages against Bell Telephone Company arising from its failure to provide an operable telephonic recording service. The issue was whether the appellant should have first exhausted his administrative remedies under the Public Utility Law, 66 P.S. s 1101 et seq., before seeking a judiclal remedy. We held that the statutory authority granted to the public Utility commission (PUC) did not include the power to award damages to a private litigant for breach of contract by a public utility. We concluded that the Legislature did not intend for the PUC to have such a power, stating: It is clear that the remedial and enforcement powers vested in the PUC by the Public Utility Law were designed to allow the PUC to enforce its orders and regulations but not to empower the PUC to award damages or to litigate a private action for damages on behalf of a complainant. The rule requiring exhaustion of administrative remedies is not intended to set up a procedural obstacle to recovery; the rule should be applied only where the available administrative remedies are adequate with respect to the alleged injury sustained and the relief requested. 477 Pa. at 9-10, J8J A.2d at 795-96 (footnotes and citation deleted) (emphasis added). Because the PUC lacked the power to resolve the breach of contract claim of the appellant, the doctrine of exhaustion of administrative remedies did not foreclose the equity action from proceeding in common ~leas court. section 1797(b) (2) of the MVFRL provides that "An insurer, provider or insured may request a reconsideration by the PRO of the PRO's initial determination." We must determine whether this provision is a mandatory and exclusive statutory remedy that must be pursued before an insured may bring a civil action against an insurer for nonpayment of medical benefits. We are guided by the principles articulated in Feingold, which are also compelling in the context of a statutory remedy. Section 1797(b) does not empower a PRO to serve as a forum to resolve disputes between an insured and insurer. The Legislature did not vest authority in a PRO to entertain litigation arising out of the nonpayment of medical benefits. Nor does the statutory provision provide a remedy for the nonpayment of medical benef its. It is only where the Legislature provides "a specific, exclusive, constitutionally adequate method for the disposition of a particular kind of dispute" that the statutory remedy must be exhausted before the courts may adjudicate the dispute. West Homestead Borough school District v. Allegheny County Board of School Directors, 440 Pa. 11J, 118, 269 A.2d 904, 907 (1970). "A statutory remedy cannot be extended to cover matters not within its scope." Lashe v. Northern York County School District, 52 Pa.Cmwlth. 541, 548, 417 A.2d 260, 264 (1980). "If the statute does not apply to a controversy, it obviOUSly is not intended to be any remedy, much less an exclusive remedy." Id. *6 The PEER REVIEW process is a mechanism through which an insurer may seek a professional assessment of the reasonableness and necessity of medical treatment in order to independently determine whether a claim should be paid or denied. It assists insurers in making an informed decision regarding a medical copr. (C) West 1994 No claim to orig. U.s. govt. works , ---A.2d-,--,- PAGE 6 (CITE AS: 1994 WL 406793, *6 (PA.)) claim by mandating review by a medical professional when the claim is challenged by the insurer, Section 1797(b) is a cost containment provision, f not an alternative dispute resolution procedure. This accounts for the lack 0\ involvement of the insured or provider in the process. The Legislature did noe intend to impose reconsideration of the PRO determination as a precondition to the judicial resolution of a private contractual dispute. In the instant case, the superior Court relied in part upon a regulation promulgated by the Insurance Commissioner which interpreted section 1797(b) to allow for judicial review only after a reconsideration by a PRO has been made. The regulation, formerly codified at 31 Pa.Code 68.2(c), provided that "(t]he Insurance Department interprets Act 6 to permit upon final determination by the PRO, an insurer, provider or insured may appeal the decision in, court." I (FN2] Although an interpretation of a statute by an administrative agency is I entitled to great weight, the interpretation may be disregarded if the 'i interpretation is clearly erroneous or inconsistent with the statute under which the regulation is promulgated. Wiley House v. Scanlon, 502 Pa. 228, 465 A.2d 995 (1983). To the extent that the regulation forecloses a party from pursuing an action in court without having sought reconsideration of the PRO's initial determination, the regulation is erroneous and may be disregarded. (FN3] The order of the Superior Court is reversed and the matter is remanded to the common pleas court for further proceedings consistent with this opinion. NIX, Chief Justice, files a Dissenting Opinion in which MONTEMURO, (FN*] Senior Justice joins. NIX, c.J., dissenting. I dissent and would affirm on the basis of the well-reasoned opinion of the Superior Court. senior Justice Montemuro joins in this dissenting opinion. MONTEMURO, senior Justice, joins in this dissenting opinion. fN1. Terminato has also challenged whether a PRO is authorized to review treatment for its causal connection to an automobile accident. We need not address the issue at this time, however, because our resolution of the issue of exhaustion of statutory remedies necessitates a remand to the common pleas court. FN2. The regulation was subsequently revised, but was substantively unchanged. The pertinent regulation now in effect provides, "Upon determination of a reconsideration by a PRO, an insurer, provider or insured may appeal the determination to the courts." 31 Fa.Code s 69.52(m). FN3. It is unclear from a reading of the regulation itself whether the Insurance commissioner specifically intended to construe Section 1797(b) as precluding judicial review unless reconsideration was sought. It is possible that the regulation was promulgated in response to earlier . challenges to Section 1797(b) brought before the Commonwealth Court in raising the issue of whether the statute entirely prohibited the challenge Copr. (C) West 1994 No claim to orig. u.s. govt. works , ~, ---A.2d"--- PAGE 7 (CITE AS: 1994 \'IL 406793, *6 (P!\,)) of a PRO's findings in court when the reasonableness or necessity of the medical services has been challenged before a PRO. In Pennsylvania Chiropractic Federation v. Foster, 136 Pa.Cmwlth. 465, 583 A.2d 844 (1990), the PEER REVIEW process was challenged on the basis that the statute violated the constitutional right to due process because the PRO's decisions were not subject to review. The Insurance commissioner asserted in argument on preliminary objections that the PRO decision was not entitled to review because it is an "arbitration-like" proceeding. In the alternative, the Insurance commissioner contended that the Commonwealth Court could construe the statute as allowing judicial review by applying the principle of construction that statutes are to be construed so as to avoid unconstitutional results. The commonwealth Court overruled the Insurance Commissioner's demurrer to the due process challenge. The Court determined that it would be premature at that stage of the litigation to impose any constitutionally based construction on the statute because it had not been established with a sufficient degree of certainty what the due process rights of the pennsylvania chiropractic Federation would require in that context. The commonwealth Court addressed the same constitutional challenge in its subsequent decision in Pennsylvania Medical Providers Association, 149 Pa.Cmwlth. 203, 613 A.2d 51 (1992). The medical association had filed a petition for review alleging that section 1797(b) of the MVFRL was unconstitutional because it allowed a private, non-governmental PRO with financial interests aligned with the insurer to control the amount paid to a provider without providing for any judicial review if the charges are denied. The commonwealth Court dismissed the petition for review, concluding that the Insurance commissioner's regulation providing for an appeal of a PRO's final determination to the courts, 31 Pa.Code s 69.52(m), addressed the due process concern. The ruling regarding whether the regulations are themselves vague or inconsistent with the MVFRL. 149 Pa.Cmwlth. at 207, 613 A.2d at 53, fn. 5. FN* Mr. Justice Montemuro is sitting by designation as Senior Justice pursuant to Judicial Assignment Docket No. 94 R1801, due to the unavailability of Mr. Justice Larsen, see No. 127 Judicial Administration Docket No.1, filed October 28, 1993. END OF DOCUMENT copr. (C) West 1994 No claim to orig. U.S. govt. works . , '~ UHAB MEDICINE ASSOCIA1'Q TRIlftlLB REHAB KIlDIC:nrz 5124 2. '1'1UNDLI!l ROAO NECHANICSBORG, PI.. 17055 ._~.. AMOUN'l' 011' PAGES: , . /s Ire..- ~ x2.tA-- c.~__-!~~ / #' , 'l'O1 FROM: ~ ./ ./?trJn-,/ ANY QUESTIONS PLEASB CALL 717-795-7935 < " . AU\JUst 12, 1994 , ... Anqino , Rovner 4503 N'. Pronto S1:reet. Harrisburq, Pa. 17110 Attn: Joe Doria R! I Richard HcCUrdy Dear Sirsl Per your reqQest, we are taxinq copiee ot all out.stan~inq bills and a patient ledger tor Doot.or charqes and Therapy. The cost 1s $10.00 to tax and $ .50 a page. Fee $10.00 2.50 5.00 5 Pages CORP 10 Pages RMA TOTAL ~(/ , ~ I ~'llf( Thank you. " '. , " 1l\0..,')J'J.> .. ,~ . RICHARD W. MCCURDY Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW vs. NO. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant JURY TRIAL DEMANDED DIRECTIONS FOR SHERIFF please serve by deputized s3rvice Defendant STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, at its place of business at 115 Limekiln Road, New Cumberland, York County, Pennsylvania, by leaving a copy of the enclosed Complaint with an adult in charge at that time. Respectfully submitted, ANGUlO P.C. v d L. Lutz, Esqu re I.D. No. 35956 4503 North Front Street Harrisburg, Pennsylvania 17110 (717) 238-6791 Counsel for Plaintiff 0... \ "It "v \ C\~ Dated: ::;) ''J -:--.. \ - I '-.) ''I ~ -.:J\ v:I. , v-, ~ r\ 2 \x::,....... - ~ - ..,.,.. en . ., ,'1 -t~ "N - a ........... ~ .') "() \'<} 6~6; '- "') ;. .J '.' e,., ~ . "\. . .. ROLF E, KROll, ESQUIRE Po, Supr_ Court 1.0. No. 4nU REYNOLDS & HAVAS A Pro't..lonal Corpor.clon 101 Pine Streit POlt O'fic. lox 932 H.rrl.burg, 'tnnaylvlnt. 11101'0932 T.l_phon'l Fu.: l71n 236,3200 l71n 236.6863 Attorney for Dtfendant: STATE FARM INSURAHCE RICHARD W. MCCURDY, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 94-5457 : STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, : CIVIL ACTION - LAW Defen1ant : JURY TRIAL DEMANDED PRAECIPE TO ENTER APPEARANCE TO TilE PROTHONOTARY OF CUMBERLAND COUNTY: Kindly enter my appearance as counsel for Defendant, State Farm Mutual Automobile Insurance Company. REYNOLDS & HAVAS A Professional Corporation DATE: /U/6/1(( ?J~t//~/ ROLF E. <<ROLL By: Attorneys for Defendant, STATE FARM INSURANCE CERTIFICATE OF SERVICE I HEREBY CERTIFY that I have served a true and correct copy of the foregoing document cpon all counsel and parties of record this !~ ~ day of f.::...(' ~\ uG.-L\ 1994, by placing the same in the United states First Class Mail, postage prepaid, at Harrisburg, Pennsylvania, addressed as follows: David L. Lutz, Esquire 4503 North Front street Harrisburg, Pennsylvania 17110 ,,~ ,,~-, , ' I \ "._ ' \--./ - 2 - SHERIFF'S RETURN COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND In the Court of Common Pleas of Cumberland County, Pennsylvnaia No. 94-5457 Civil Term Complaint in Civil Action Law and Notice Richard W. McCurdy VS State Farm Mutual Automobile Insurance Company R. THOMAS KLINE, Sheriff, who being duly sworn according to law, says. tha t he made diligent search and inquiry for the within named State Farm Mutual Automobile Insurance Company defendant, to wit. but was unable to locate them in his bailiwick. He therefore deputized the sheriff York of Complaint County. Pennsylvania. in Civil Action Law and Notice to serve the within On October 3, 1994 , this office was in receipt of the attached return from York County, Pennsylvania. Sheriff's Costs. Docke t ing Out of County Surcharge York County So answers. Sworn and 14.00 5.00 2.00 29.44 $ 50.44 pd. by subscribed to before me atty 10-3-94 'f . . ~. k "' R. THOMAS KLINE. Sheriff this r>- 13- day of (J!<lrt:.-..- 19 -l'f ,A.D. ',~"" . - l;' hI, ~'t,-, I..C/J(.f' I I . I Prothonotary .i:1 Tne Court CT C:;mm~:-i ."-i I'le:::::s . ::r .... It. \..:J:'. . r." ~::.: =:1 == \,...:; W';;.,':', :l-"'r:<'y I'/~-l'''' ~ =.'.oJ _A' """" Richard W. McCurdy 'is, State Farm Mutual AutOloohile Insurance Company ~o. ~,1.:2.457.,S;ivil.Illiq1 :?--- :-iow, Septembe r 26, 1994 :9_ !, s:~~~ O? C~[3:=::'!'.A...'fD CO~~:-? ?~ :0 :==:,y d-;:uc ~ .., .- . :n=-..::t ot 'fork Cwu.::r,t ::Jr :.-::-:.::.: =.is .,V:::, :.::.:.s ~u=:....--u :..:..,':7' -"'..:. 1t ~ ......~ ::d ~ "i ,-.. ' ?!3.b:.~. -::r CT> - ~,' ",:' - ,?"""'(.;'/ '/, " - ~,.. .... _ _ J' I' _~.~ // -~,;.;.~....~. ~ ..-"'~~ A ~1____~ .sD.e..~ :It c~J..:LCd CJW1rr. :1. CJ' ..' :> ~'.. c.,)'.. <oJ.. "" ,. .. c = '""" '" ~ , .... (l.,~ ... Affida.vit Or - . :::e:"71~ 1- '" .... '-' V'> September 28 o":!cc ,A 10:40 ',c. :9 94 -. 1=-,-::0:1 :-1ow, ~~ wi-":" Complaint & Notice State Farm Autorrobile Insurance Company ',:pcn ., 115 Limekiln Rd. , New Cumberland, 'fork County, PA :;y =.:u:~ :.0 John A. Wilkowski, Claim Supervisor, . true and attested ~ C':pr ct =~ 0::;'-,1 Complaint & Notice ,- mo -::I";" Cowtl:O him == .::::t::::S ~~::=t. So :L:.>W=' " ""~"...~~,,- '"-';;' oi York Kenneth L. Markel "-.' . '-.c......___,~-~~ ~ - -. C"W1tT. ?'1. 5~== .J.!1C r~;"<t.-};e:i =-=c:-: CCSTI S?3,VIC Sl4.00 13.44 2.00 =j 10;:6:t;;,?'./~mhn) :9::FI~8E~:: "':y~. / 1/;'1',/(; ) . . 1-,11 __ WA:*:lISW.AJ.frNf,'~otdryPlJblie t tJtar y Ccunly. Pon:"llY""Jn:a f U) COlMis!Jc.n E.xpt(~ "'arch 25 '11,' j --~---_. S 29.44 :- '---l ROL' I, KROLL, ISQUIRI Po. lupr... r.our' 1.0. NO. 47243 REYNOLDI I "AVAI A Profe'llonel Corporlrlon 101 PI". St..o' POI' Dfflco lox 932 "orrllbur;. Ponnlylvonl. 17108.0932 ToI.pIl0n0: ,...: (717) 236.3200 171 n 236' 6&63 Auor..., for O.flndon" STAll 'ARN INSURANCI RICHARD W. MCCURDY, Plaintift IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 94-5457 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, CIVIL ACTION - LAW Defendant I JURY TRIAL DEMANDED ORDER AND NOW, this day of , 1994, upon consideration of the Preliminary Objections ot State Farm Mutual Automobile Insurance Company, to Plaintitf's Complaint, IT IS NOW AND HEREBY ORDERED that Plaintiff's claim for attorn~ys fees be stricken for failure to state a claim upon which relief can he granted. J. ROL' E. KROLL, ESQUIRE P., Supromo Court 1.0. No. 47243 REYNOLDS & HAVAS A Prof...lonal Corpor.tlon 101 Pin. StrOlt Po.t OfficI ao. 932 Hlrrt.burg. Penn.ylvlnll 17108,0932 To I ephona, Fax I I71n 236,3200 1717] 236,6863 AllorlllY for Dlfendant, STATE 'ARM INSURANCE RICHARD W. MCCURDY, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 94-5457 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PRELIMINARY OBJECTIONS OF DEFENDANT, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY TO PLAINTIFF'S COMPLAINT AND NOW, comes Defendant, State Farm Mutual Automobile Insurance Company ("Defendant"), by and through its counsel Reynolds & Havas, a professional corporation, to preliminary object to the Complaint of Plaintiff, Richard W. McCurdy ("Plaintiff"), as follows: 1. Plaintiff commenced this breach of contract action against State Farm for the non-payment of certain medical benefits that Plaintiff, a State Farm insured, contends are due and owing under the terms of his policy with State Farm. 2. In Plaintiff's Complaint, Plaintiff alleges that in addition to the payment of medical expenses, he is also entitled to ans award of attorney fees pursuant to 61716 and 61798 of the Pennsylvania Motor Vehicle Responsibility Law ("PMVFRL"), 75 Pa. Cons. stat. 11701 ~ ~. 3. Recently, the superior Court of Pennsylvania has expressly stated that if an insurer uses the Peer Review Process, its potential liability is limited to the amount of the claim plus interest. See Barnum v. State Farm, 430 Pa. Super. 488, 635 A.2d 155 (1993) 4. Plaintiff admits in his complaint that State Farm utilized a Peer Review. Copies of the initial Peer Review and the Reconsideration Report are attached hereto as Exhibits "A" and "B" respectively. Accordingly, Plaintiff's claim must be limited to the amount of the medical bills plus interest. WHEREFORE, Defendant, state Farm Mutual Automobile Insurance Company requests the this Honorable Court strike Plaintiff's claims for attorneys fees for failure to state a claim upon which relief can be granted. Respectfully submitted, REYNOLDS & HAVAS A Professional corporation I () ./ / / / /" By: ." />J,. " l-<fl-{ ROLF E. KROLL I Dated: / r!) / ::2 / c; c/ . ' Attorneys for Defendant, STATE FARM INSURANCE - 2 - RICHARD W. MCCURDY Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - I~W vs. NO. 94-5457 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant JURY TRIAL DEMANDED , ,I " 'I I ;1 , 1 I :1 :1 :i I :1 :i !: PLAINTIFF'S RESPONSE TO DEFENDANT STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY'S PRELIMINARY OBJECTIONS TO THE PLAINTIFF'S COMPLAINT AND NOW, comes the Plaintiff, Richard McCurdy, by and through counsel, Angino & Rovner, and responds to Defendant State Farm Mutual Automobile Insurance Company (hereinafter referred to as "State Farm") Preliminary objections to plaintiff's complaint: 1. Admitted. 2. Admitted. 3. Denied. In Barnum v. State Farm, 430 Pa. super. II " :1 Ii " ii 'I !; 'I :1 i! 488, 635 A.2d 155 the superior Court in an opinion filed December 16, 1993 held that an insured could not file an action in Court until reconsideration of an unreasonable peer review evaluation had been sought and held that the bad faith statute, 42 Pa.C.S.A. S8371 applies to claims brought under the pennsylvania Motor Vehicle Financial Responsibility Law, as long as such claims do not involve first party benefits. However, the Pennsylvania supreme Court in an opinion authored by Justice Zappala, decided August 4, 1994 in Terminato v. pennsvlvania National Insurance Comoanv, No. 47 W.O. Appeal Docket 1993 (August 4, 1994) held that an insured need not seek reconsideration of an adverse peer review decision before initiating an action in the Court of Common Pleas to recover 55060/HLS i 1 medical benefits under an automobi~e insurance policy. Moreover, it is specifically denied that state Farm's potential liability is limited to the amount of the claim plus interest. 4. It is admitted that state Farm utilized the peer review process but it is specifically denied that Plaintiff's claim be limited to the amount of medical bills plus interest. d I ;1 '! :1 dismiss the Defendant's Preliminary objections and order that the Ii II " ! WHEREFORE, Plaintiff requests this Honorable Court to Defendant file an Answer. Respectfully submitted, ANGINO & ROVNER, P.C. v d L. Lu z, Esquire I.D. No. 35956 4503 North Front street Harrisburg, Pennsylvania 17110 (717) 238-6791 Counsel for Plaintiff Dated: loll~ 1C1~ RICHARD W. MCCURDY Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW vs. NO. 94-5457 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant JURY TRIAL DEMANDED CERTIFICATE OF SERVICE I, MELINDA L. SPICHER, an employee of the law firm of Angino & Rovner, P.C., do hereby certify that I am this day serving a true and correct copy of PLAINTIFF'S RESPONSE TO DEFENDANT STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY'S PRELIMINARY OBJECTIONS TO THE ,i PLAINTIFF'S COMPLAINT upon all counsel of record via postage II 'I il !I il 'I fi " 'I if 'I II ,I ii 'I I, prepaid first class United States mail addressed as follows: Foulkrod, Reynolds & Havas Rolf E. Kroll, Esquire PO Box 932, 101 pine Street Harrisburg, PA 17108-0932 Dated: 10 [ I z [qf ~V( ~[Le-) MELINDA . SPICHER , I' 'I i 546B5/MLS ! , " l'I{AEClPE FOR LISTING C.\SE Fun ,\IH";U\llNT I\lust be t)'pewritten and submitted in duplicate) TO THE PROTHONOTARY/OF CU\lBERLAND COUNTY: Pluse Ii,llhe within mailer fur Ihe next: o I're.Trlal ArgulIlent CJurt ~ Argument Courl ---------------------------------------------------------------------- CAPTION OF CASE (enUre caption must be I13led in full) Richard W. McCurdy (l'lainIiIT) VS. State Farm Mutual Automobile Insurance Canpany (Defendant) VS. ~o.94-5457 Civil 19_ 1. Slale mailer to be argued (i. e.. plainliffs illation for new trial. defendanl"s demurrer to complaint. ete,): Preliminary Objections of Defendant, State Farm Mutual Automobile Insurance Company to Plaintiff's Complaint 2. Identify counsel who will argue case: (a) for piainliff: David Lutz, Esquire (b) for ~efendant: Rolf Kroll, Esquire 3. I will notify 311 parries in wriling within IWo days Ihat this case has been lisled for argumenl._ C~j fiT, I AthJI ney lor Plaintiff Dated: 2-24-95 cc Rolf Kroll, Esquire """ ...... ,. .. < ~ = ;.t .:~ - -, .... -:.,) "" , ::r '", , N .' ", -' ,- '" .., .... ..... . . ROLF B. KROLL, aSQUIRK .a. supra.e Court I.D. No. 47~43 RKYlIOLDS , HAVAS 101 Pioe Street Poat Office 80. 93~ Barriaburg, .eooayl.aoia 11108-093~ I Telepbooe, ,... [717 ) ~36-3~OO [717 ) ~36-6863 AttorDe, for Defeadaot, STAH FIUlIC INSUllAIICa RICHARD W. MCCURDY, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 94-5457 v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAI!lCIPI!I Kindly withdraw state Farm's Preliminary Objections in the above-captioned matter. REYNOLDS & HAVAS A P~of~ssional Corporation DATEr:Al I - /, I' i f' / (ROLF E. KROLL Attorney J.D. 1(/-1/' / '//, / ~ BYI #47243 Attorneys for Defendant, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 101 Pine Street Post Office Box 932 Harrisburg, PA 17108-0932 (717) 236-3200 2912/MISC20 II ROL' B. KROLL, BSQUIRB Pa. Supreme Court 1.0. No. 4724~ RBYNOLDS , HAVAS 101 Plne street Poat Offlce Box 932 Harrlaburg, penneylvanla 1710B-0932 Telephonel 'axl [711] 236-3200 [711] 236-6B63 Attorney for Defendant. STATB 'ARM INSURANCB COHPANY v. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA NO. 94-5457 RICHARD W. MCCURDY, Plaintiff STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED ANSWER WITH NEW MATTER O~ DE~ENDANT STATB ~ARM MUTUAL AUTOMOBILB INSURANCB COMPANY TO PLAINTIFF'S COMPLAINT AND NOW, comes Defendant, State Farm Mutual Automobile Insurance company ("state Farm"), by and through its counsel Reynolds & Havas, a professional corporation to answer the complaint of Plaintiff, Richard W. McCurdy ("Plaintiff") as follows: 1. Admitted. 2. Admitted. 3. Admitted in part and denied in part. It is admitted that on May 29, 1993 an accident occurred. It is further admitted that Mr. McCurdy sought and received treatment for various injuries sustained in the aforementioned motor vehicle accident. It is specifically denied that any of the care and treatment at issue is reasonable and necessary and any statement or implication to that effect contained in this paragraph of Plaintiff's Complaint is specifically denied. 4. Admitted. 5. Admitted. 6. Denied. This allegation of Plaintiff's Complaint refers to a writing which speaks for itself and is the best evidence of all it contains and accordingly, no responsive pleading to this paragraph of Plaintiff's complaint is required and it is therefore denied. 7. Denied. It is specifically denied that any of the care and treatment at issue is reasonable or necessary as defined by Act 6 and any statement of implication to the contrary contained in this paragraph of Plaintiff's Complaint is specifically denied. 8. Denied. It is specifically denied that any of the care and treatment at issue is reasonable or necessary as defined by Act 6 and any statement of implication to the contrary contained in this paragraph of Plaintiff's complaint is specifically denied. 9. Denied. It is specifically denied that any of the care and treatment at issue is reasonable or necessary as defined by Act 6 and any statement of implication to the contrary contained 2 in this paragraph of Plaintiff'. Complaint is specifically denied. 10. Denied. It is specifically denied that any of the care and treatment at issue is reasonable or necessary as defined by Act 6 and any statement of implication to the contrary contained in this paragraph of Plaintiff's Complaint is specifically denied. 11. Denied. The allegations of this paragraph of Plaintiff's Complaint refer to writings which speak for themselves and are the best evidence of all they contain. By way of further answer, paragraphs 7 through 10 hereof are incorporated herein by reference as if set forth in full. 12. Denied. state Farm has paid all reasonable and necessary medical expenses in accordance with the terms and conditions of Pennsylvania Law and the terms of state Farm's policy. COUNT I RICHARD .. MCCURDY. Plaintiff YL STATE FARM MUTUAL AUTOMOBILB INSURANCB COMPANY. Defendant 13. Paragraphs 1 through 12 hereof are incorporated herein by reference as if set forth in full. 14. Admitted. 3 15. Denied. The allegations of these paragraphs of Plaintiff's Complaint refer to a writing which speaks for itself and is the best evidence of all it contains. 16. Denied. The allegations of these paragraphs of Pl~intiff's Complaint refer to a writing which speaks for itself and is the best evidence of all it contains. 17. Denied. The allegations of these paragraphs of plaintiff's Complaint refer to a writing which speaks for itself and is the best evidence of all it contains. 18. Denied. It is specifically denied that state Farm had an express or implied plan to intentionally cut-off benefits for reasonable and necessary medical expenses and strict proof to the contrary is demanded at trial. 19. 20. Denied. The allegations contained in this paragraph of Plaintiff's Complaint constitute conclusions of law to which no further pleading is required and they are therefore, denied. 21. Denied. The allegations contained in this paragraph of Plaintiff's Complaint constitute conclusions of law to which no further pleading is required and they are therefore, denied. 22. Denied. It is specifically denied that the reconsideration report was performed by a "an agent of state Farm." Moreover, it is specifically denied that the 4 reconsideration reviewer is selected by state Farm. To the contrary, in accordance with the terms and conditions of Pennsylvania Law, the reconsideration reviewer is selected by the Commonwealth approved Peer Review Organization. 23. Denied. It is specifically denied that state Farm in any way violated the terms and conditions of the Peer Review statutes and the regulations. Moreover, it is specifically denied that state Farm's lawful utilization of the statutorily authorized Peer Review procese demonstrates any evidence of "willful or wanton" conduct. To the contrary, state Farm reasonably relied upon the reports from Commonwealth approved Peer Review Organizations. Accordingly, Plaintiff's claims for wanton and willful conduct are meritless and are incorrect as a matter of fact and a matter of law. 24. Denied. It is specifically denied that state Farm's lawful use of the Peer Review process constitutes any form of "abuse". Moreover, State Farm's denial was reasonable under the circumstances, Plaintiff was not forced to incur the services of counsel but rather freely chose to do so in an effort to take issue with state Farm's reasonable and lawful challenge to the reasonableness and necessity of the care and treatment at issue. 25. Denied. Paragraph 24 hereof is incorporated herein by reference as if set forth in full. 5 26. Denied. The allegations contained in this paragraph ot plaintiff's Complaint constitute conclusions of law to which no further pleading is required and they are therefore, denied as being legally and factual incorrect. 27. Denied. This allegation is incorrect as a matter of fact and a matter of law as Plaintiff cannot be personally reasonable for the care and treatment at issue pursuant to 75 Pa. Cons. stat. S1797(a). WHEREFORB, Defendant, state Farm Mutual Automobile Insurance company demands judgment in its favor and against Plaintiff, Richard W. Mccurdy with costs of suit assessed to Plaintiff. NEW MATTER 1. The claims of Plaintiff are limited by the terms of the Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa. C.S.A. section 1701 et sea. as amended by Act 6, April 15, 1990 ("Act 6"). 2. The bills in dispute were incurred after the effective date of Act 6. 3. State Farm has paid $3,696.27 to various health care providers on behalf of Richard w. McCurdy. 4. Thereafter, based upon the totality of the 6 circumstances including a lack of objective evidence of injury, state Farm sought professional assistance in assessing the reasonableness, necessity and relatedness of said injuries. 5. state Farm submitted plaintiff's bills to a Commonwealth approved peer review organization established for the purpose of evaluating treatment and health care services provided to an injured person. state Farm is required by the terms of the pennsylvania Motor Vehicle Financial Responsibility Law to contract with such Commonwealth approved peer review organizations for the purpose of assessing the reasonableness, necessity and relatedness of treatment. 6. A Commonwealth approved peer review organization has opined that the medical expenses at issue were neither reasonable or necessary under the terms of the policy under Pennsylvania law. On the basis of the peer reviews, state Farm has denied treatment. A copy of the peer review is attached hereto as Exhibit "A". 7. A Commonwealth approved peer review organization performed reconsiderations of the findings rendered in the initial peer reviews. 8. The report& of the reconsideration provided that none of the care at issue was reasonable or necessary as it relates to the motor vehicle accident in question. 7 9. A copy of the report of reconsideration is attached hereto and made a part hereof as Exhibit "B". 10. On the basis of the reconsideration, state Farm affirmed its denial of payment for the services rendered because the benefits at issue were not recoverable under the terms of state Farm's policy and the Motor Vehicle Financial Responsibility Law as amended. 11. Plaintiff has not and cannot sustain damages as a result of diminished payment or nonpayment of automobile accident related bills. See, 75 Pa. Cons. Stat. section 1797(a). 12. Since Plaintiff, Richard W. McCurdy cannot sustain such damages, he lacks standing to sue State Farm. 13. This Honorable Court lacks jurisdiction to entertain this matter as State Farm performed a peer review and a subsequent reconsideration of same in accordance with the terms of the Pennsylvania Motor Vehicle Financial Responsibility Law. Accordingly, Plaintiff's claims are barred by the terms of section 1797(b)(4). 14. The amounts in dispute in this case represent charges for excessive treatment which was neither reasonable nor necessary within the meaning of the insurance policy in question and/or the Motor Vehicle Financial Responsibility Law. 15. The charges at issue in this case and for which 8 insurance coverage is claimed trom answering Defendant are unreasonable and unnecessary and/or are tor injuries and/or conditions unr$lated to the accident in question. 16. The nature and extent ot injuries, d~mages and other losses alleged by Plaintiff are denied. 17. Plaintiff's claim for insurance benefits is barred by lack of consideration. 18. Any application of a legal rule so as to broaden Defendant's liability under the insurance policy in question is barred as a matter of equity. 19. Plaintiff is not entitled to recover attorney's fees incurred in obtaining any insurance benefits which may ultimately be paid by Defendant, since Defendant's withholding or of said benefits was made in good faith and for reasonable cause. 20. Plaintiff has not pled any claims in respect to Plaintiff, Richard W. McCurdy. Therefore, Plaintiff, Richard W. McCurdy, has failed to state a claim for which relief can be granted. 21. Plaintiff has failed to state a claim in whole or in part upon which relief can be granted. 22. Plaintiff's claims are barred by the applicable statute of Limitations. WHBREPORE, D~fendant, state Farm Mutual Automobile Insurance 9 VDII'ICATIOM I, DAVE COOK, hereby acknowledge that I am the Claims Representative of STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, the Defendant in this action; that I have read tho foregoing pleading; and that the facts stated therein are true and correct to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY By: y;:j",i' (I.~l"~ DAVE COOK CLAIMS REPRESENTATIVE Date: 51;1 \K Exhibit A 1';') ! i II ~ . ----~ - ," , Associated Physiatrisls of Southern New Jersey HMfRI r-, -J .)/ IJFJ (, , , ,''"/,4,,, _ ... ,< ," Fie -',- CEIl/co.,,': : ..:~::, :.<....".'-~r.c:;. ',1 :: May 9, 1994 Perspective Consulting, Inc. Attn: Cheryl Cressman 672C Main st. Harleysv~lle, Pa. 19438 Re: Claimant: Richar4 HCCUr4y Insured: same Claim I: 38-6540-958 D/I: 5/29/93 File I: 2681 ~=':M'J= .~ .. :IOC. :: : .r:I..',;; '.CL":'.'J. =.:: Dear Ms. Cressman: I received your request to perform a comprehensive peer review as to the reasonableness and necessity of treatment rendered by Rehab Medicine Associates for office visits and physical therapy for the dates of 8/24/93 through 3/27/94. I reviewed the following records: a report of the accident; a letter from Dr. Litton dated 6/10/93; a typed evaluation note and progress notes dated 8/24/93 through 3/8/94 and initialed JJC; a report of an electroneuromyograph dated 3/8/94 by Dr. Cho; physical therapy and medication prescriptions written by Dr. Cho; health insurance claim forms from Rehab Medicine Associates; a report of an upper extremity arterial study and upper limb art~rial imaging with spectrum analysis dated 8/27/93; a report of an MRI of the cervical spine dated 10/6/93; an initial evaluation _ physical therapy by Terri Everhard, LPT dated 8/30/93; physical therapy progress notes; a discharge summary - physical therapy by Terri Everhard, LPT dated 11/2/93; an initial evaluation _ physical therapy by Rick Baer, LPT dated 12/7/93; physical therapy progress notes dated 12/17/93 and 12/23/93; and health insurance claim forms from Trindle Rehab Medicine. In his letter dated 6/10/93, Dr. Litton stated that he saw the patient in his office on 6/10/93 and that he had some neck pain and tingling and a numb feeling on the left side of his neck ~adiating toward his left shoulder. Dr. Litton stated that he felt that the patient strained his neck and that this strain, from the automobile accident, was superimposed on degenerative changes causing some nerve irritation. He stated that he did Lourdes Regional Rehabilitation Ceoler Elmer Community Hospital Underwood Memorral Hospllal MemOrial Hospital of Burllnglon County >'1' ..' HARRISBUIW t-IAI ::.' i~,-. Page 2 He: Richard Mccurdy 5/9/94 RECEIVED not feel that any treatment was needed at that time and felt that the prognosis was good. He stated that he planned to see Mr. McCurdy in 1 month. In a progress dated 7/12/93, Dr. Litton stated that the patient's' same symptoms were present and they were bothering him. He stated that they are a nuisance and are not really painful. He stated that he placed the patient on Relafen 1 gram per day with food. In his letter dated 8/13/93, Dr. Litton stated that oral anti-inflammatory medication, Relafen, did not help the patient after taking it for 3 ~..eek. He stated that he asked Mr. McCurdy to stop taking the medication and told him that he felt that no other treatment would really be beneficial. He stated that he expected that with passage of time his symptoms would subside. In a note dated 8/24/93, there was a statement that the patient suffered a cervical strain as a result of an automobile accident on 5/31/93. However, due to this muscle ligament strain with associated muscle spasms, the patient was sUffering from TOS on the left. He recommended daily PT for 10 treatments, Relafen and a doppler study at Dr. Travisano's office. The note was initialed JJC which I assume stands for Dr. Jay J. Cho. I reviewed a report of an electroneuromyograph dated 3/B/94 which revealed acute radiculopathy in left C6 and hyperirritability evidence in left C7 root. The report of the MRI of the cervical spine dated 10/6/93 revealed degenerative spondylosis with stenosis most marked at C5-6 but also involving levels C4-5 and C6-7. There were minimal disc degenerative changes at C3-C4. No disc herniations were noted. The progress note dated 10/19/93 indicated that the patient was doing generally better and that Zoloft or Flexoril were not recommended at that time. In the note dated 11/23/93 the patient was reported to not be progressively recovering from the cervical radiculopathy. It was recommended that the patient take Medrol tabs for a 30 day program and hold the Relafen. The 12/23/93 note indicated that the patient was doing a lot better since he had been taking the Medrol. HARRI~BI1Rr. I"IAY 2 '.' ,:;;~ Page J Re: Richar4 Kccur4y 5/9/94 RECEIVED In the 2/1/94 progress note the patient was noted to have a flare-up of left C6-7 radiculitis and increased muscle spasms. In the 3/8/94 progress note it was reported that the patient had an epidural steroid injection in the neck 1 week ago but unfortun~tely was not any better. He was still taking Relafen and Flexoril. There was a report that an EMG test was done on that date which still showed acute radiculopathy at the C6 nerve root and hyperirritability evidence at C7. In the discharge summary - physical therapy dated 11/2/93, Ms. Evernard indicated tnat the patiel.t had a Loadu.::tlo;'l 1:: m'Jscle spasm but still had palpable upper trap spasm present at the last treatment. There was a report that initially there was decreased cervical range of motion but that at the time of discharge cervical range of motion was within functional limits except for lateral flexion to the left. In my opinion, within a reasonable degree of medical certainty, the initial physician evaluations and physical therapy treatments appear to have been reasonable and necessary for accident related symptomatology. However, it appears that the patient received an extended course of physical therapy for what appears to have been chiefly soft tissue injuries. In fact, Dr. Litton did not feel that physical therapy treatments were indicated in 6/93 or 8/93. The patient may have required the initial evaluation and follow-up treatments by Dr. Cho from 8/24/93 through 12/23/93. He may have required physical therapy treatments through 12/23/93. By this point in time, the patient was already approximately 7 months post accident. Treatments past 12/23/93 do not appear to have been reasonable or necessary for accident related symptomatology based on the records reviewed. Please note that my opinions in this r.eport are based solely on the records that I ha.."e reviewed. I did net have th~ opportunity to examine the patient. Sincerely, Ortw'ea~~0 Ja~ P. DiMarco, M.D.} /cd Exhibit B ,~\ "., ..,. vtJ ~. UNIVERSITY OF PENNS YLV AN IA MEDICAL CENTER ('urli, W. Silliman. \1.1l. ()Irl:t.:lor. Pl'nn Spinc Center ('hil'f. Clini..:al ~lu"t.:uJU'ikclclal Program ..\,'.Iolant Pnlfcssur of Rchabllilulion Depanmem III' Rehabililuliun Medicine University of Pennsylvania School of Medicine Hospilalof the UmvcrsllY of Pennsylvania July 25,1994 Cheryl Cressman Perspective Consulting,lnc. 672 C Main Street Harleysville, PA 19438 HARHISE?UPG RE: Claimant: Insured: Claim #: D/I: File #: Richard McCurdy Same 38~413-958 3/29/93 2681 AUG 1 5 1994 RE"":i:'IVED Dear Ms. Cressman: Per your request I am completing a reconsideration of a comprehensive peer review as provided under ACT 6 of the Motor Vehicle Responsibility law as to the reasonableness and necessity of treatment rendered by Rehab Medicine Associates for office visits of 8/24/93 through 3/27/94. The records submitted include a claimed insurance form received on 6/313/93; medical reports from Pennsylvania Orthopedics dated 6/10/93 and 8/13/93; records of Jay J. Cho, MD of 8/24/93 through 4/13/94; nerve conduction study and EMG of 3/8/94 compleled by Dr. Olo; prescriptions from Rehabilitation Medical Associales for physical therapy to be provided daily for two weeks dated ~124/93, Relafen 750 mg bid on 8124/93; Doppler study 10 work up thoracic ouUet syndrome dated ~/24/93; a refill of a Relaten prescription; an MRI requesl of the cervical spine dated 9/313/93; another physical therapy prescription of 9/30/93; Flexeril of 9/313/93; repeat electrodiagnostic study of 9/30/93; Medrol schedule of a 30 day duration beginning on 11/23/93; repeat physical therapy prescription and reordering of medications; a request for .ln0ther EMG on 2/28/94; a request for an epidural injection on 212~/94; Soma daled 4/13/94; Darvocet dated 4113/93; Prozac dated 3/31/94; Daypro dated 3/31/94; corroborative bill sheets; records provided by the law offices of Angino and Romer; a discharge summary of 4/ 1/94 from Dr. Cho was provided; an MFJ report of 10/6/93; physical therapy notes from 8/30/93 throuHh 4/26/94; records from Seidle Memorial Hospi~11 of 3/17/94 through 4/1/94; and a letter d.lted 7/5/94 frum Dr. Choto David lutz, Esquire. According to the records submitted Mr. RichMd McCurdy was 51 years old when he presenled 10 Jason Lillon. 1'.10 with a chief complaint of "tingling and a numb feeling" in the left cervical region with r.ldiation tu the shoulder". These symptoms began after.1 motor vehicle accident which transpired on 5/29/93. The patient denied any symptomatology below his shoulder. It was Dr. Litton's Impression this patient sustained a "strain", He felt there were underlying degenerative changes and possibly nerve irritation. He felt the patient was best served with a one month follow up as he expected these symplorns to spontaneo\lsly resolve. Dr. Litton's nole of 7/12/93 indicales the patient has "his same symploms" and "they are a nuisance". However, these symptoms are "not really painful". Dr. Litton recommended the patient utilize Relafen and return in one month. The patient ulilized this medication for three weeks and said il did nol provide him symplom reduction. As of 8/19/93 it was Dr. Lillon's firm impression this p.llient's symplorThltology would resolve without specific Intervention, Oy August 1993 the p,lIient came under the care of j.,y J. Cho, MO of Rehabilitation \ledicine Associales. Dr, Cho inlll..llv considered this p.llient 10 e'perience symptom.llolob'Y of Ground Flour White Buddlnll . \400 Sprul.:C StI~(1 . PhlIJJclphlJ. (1\ 11)ll)4..a::~J . !15._UI).~lklH' FAX; ! 15..1..lIJ.tmfl! I \/l. '!i'-n) ;j P- ',','lll \ 1,\11 Iii \; Il/)'\,:'I/ f.' l(aI1'u,1 Md,:ufllv r,l~" : lhorJcic oullet syndrome, Acwrdin~ to Dr. Cho's noles this p.llient descnbl'll nl'Ck p.lin ..Ion~ with numbness which r.ldiJtl'lllnlo the left h.lnd. He does not describe which portion of the Idt hand this numbness is perceived. A diagnosis of thoracic outlet syndrome apparently was predic.lted upon a positive Ads<m's maneunr, nl!gative examination for cervical radiculitis, and positive Doppler studies. Consequently an exhaustive physical therapy regime concentrating on passive modalities, anti-inflammatory agents including Relafen and Medrol, muscle relaxants including Soma and Flexeril, and narcotics including Darvocet was prescribed. The patient demonstrated no significant improvement. By 9/30/93 Dr. 010 decided to pursue electrodlagnostic testing to rule out any nerve entrapment such as "carpaltl!nnel syndrome". He also recommended MRlto "rule out stenosis". It was at that time Zoloft was started. The MRl demonstrated a cervical spondylosis extending from C4 to C7. On 10/18/93 Dr. Cho states this patient has continued decrement of sensation at the left C6 distribution however this Is in connict of the Initial evaluation in which "pin prick exam in the upper extremity Is intact". Further, the exam of 9/30/93 st.ltes "neurology exams are Intact". There were no sensory deficits identified on 9/30/93. In Ie res tingly enough, after the patient underwent an MRl which demonstrated underlying degenerative changes in the cervical spine and had a reportedly positive EMG, the exam suddenly demonstrates sensory deficits. The first mention of a sensory deficit in the C6 distribution was on 10/18/93, a full five months after the motor vehicle accident. On 11/23/93 Dr. Cho uncovers weakness of the "left shoulder girdle". It was in October and November of 1993 that Dr. Cho was treallng this patient for a cervical radiculitis. A 30 day dose of Medrol was provided along with a therapeutic exercise regime. By his return visit of 12123/93 the patient had demonstrated improvement. Due 10 the patient's continued symptomatology it was deemed by Dr. 010 he required an inpatient admission to Seidle Memorial Hospital. While an inpatient an evaluation by an orthopedic surgeon was ""lde. He suggested a discectomy and fusion. Another EMG was completed. It was also noted the patient now had a depressed left triceps reflex but his shoulder slrength was intact. It should be noled an EMG was completed on 3/8/94 and this demons trolled "acute radiculopathy in the left C6 and hyper irritability in left (7". An MRI of 10/6/93 demonstrated degenerative spondylosis extending from C4 through C7. During most of the time this patient was treated by Dr. 010 physical therapy was provided. There was concentration on passive modalities although some exercises were prescribed. HARRlS8UR The following determination is based upon a reasonable degree of medical certainty, is constructed from the reports provided, and meets the standard of practice in this community. AUG 1 5 199 RECEiVE: Mr. McCurdy was involved In a molar vehicle accident on 5/29/93. His initial care was rendered by Dr. George Litton on 6/10/93. At that time, approximately 11 days after the event, the patient had no complaints of symptomalology below the shoulder. In fact, Ihe patient had minimal complaints as he stated thl! sensations he was experiencing was "really not painful". His one month follow up, approximately five and a half weeks after the inciting event demonstrated nonnal neuroloboical tesling and there were no compl.linlS of symptoms below the shoulder. Based on this clearly documented medical information it is inconceivable 10 ascribe this patient's left arm symptoms to be a consequence of the molor vehicle accident. The patient's arm complainlS were not articulated until. at the eJrliest, a full six weeks afll!r the inciting event. This patient would have had to complain of left .lrm symptomatology within the first seven to ten days of the inciting event. Let me be more instructive. The patient had a cervical MR1 which demonslrated cervical spondylosis. The combination of a flexion and exlension motion to the cervical spine, underlying tightness of the cervical canal, the knoYon anatomic tethering of the cervical roots, could have led to a traction radiculitits. This is an injury which dot!s occur after motor vehicle accidenlS. However, the symptoms present early on, not six or more weeks after the inciting event. This patient had to have sustained a second injury unrelated to the motor vehicle accident to complain of numbness in the left arm. As Dr. Litton indicated in his inilial report this patient had some neck pain and a sense of numbness .1lld tingling in the left paracervical area. The patient did not require physical therapy nor the r,' i<t1,t'I.wl .'-I,\.II(IIV ;'.1~1" \ exh.lUstivt! (Me rendered by Dr, Cho .IS it rt!I,lIed to the symploms evolving from the motor vehicle accident. In conclusion, the inHial evaluation by Dr. Cho was medically reasonable and medically necessary. However, Dr. Cho should have explaim>d to this patient his current symptomatology was not related to his motor vehicle accident. With regard to the care rendered (or this patient's left arm symptoms it was, (or the most part, medically unnecessary and medically unreasonable. Let me be specific. Dr. Cho recommended this patient undergo an eli!Ctrodiagnostic study to work up carpal tunnel syndrome v. cervical radiculopathy. This would mean the patient had complaints of parasthesia or numbness in the left thumb, index or long fingers. Carpal tunnel syndrome does not provide symptoms in the ring or fifth dib';t. Since Dr. Cho requested the patient have d workup (or carpal tunnel syndrome it is inconceivable he would request a work up for thoracic outlet syndrome since this disorder effects the lower trunk of the brachial plexus giving rise to symptoms in the ring and small finger. Under such a scenario requesting Doppler studies was not medically necessary nor medically appropriate. Furthermore, the extended physical therapy (or thoracic outlet syndrome was not medically necessary nor medically justified. The request for an MRI and EMG, when it was finally made, was medically necessary and medically justified. This patient apparently had symptoms in the left thumb and index finger which had not been resolving. An MRI could demonstrate pathology consistent with the patient's symptoms. Once the diagnosis of a left C6 and possibly C7 radiculiUs is made then the (ollowing care is rendered: The patient is placed in a soft cotlar, participates in aggressive reactivation physical therapy program, has some cervical traction applied, and utilizes anti-inflammatory agents. If there is no improvement over a two to three week interval then oral steroids can be employed. If oral steroids, over a seven to ten day interval. fails to provided symptom reduction then a cervical s..lective nerve root block or cervical epidural can be performed. A sequence of three to four of thc'Se injections can be compleled. If a sleroid effect is achieved and the patient fails to improve than a foraminolomy may be indicaled. It is conceivable a discectomy and fusion would be recommended depending upon the patient's symptoms, examination, and imaging studies. You will note in the aforementioned scenario only one EMG is necessary. More than one EMG is medically unnecessary and medically unjustified. An inpatient admission is medically unnecessary and medically unjustified. The care for cervical radiculitis, and even cervical radiculopathy, requires an outpatient venue, Lei me reiterate, the treatment rendered by Dr. Cho was for a medical disorder which was causally not relaled to the motor vehicle accident of 5/29/93. If you have a y question concerning this reconsideration please contact me at your convenience. HARFl:~8URG CWS/slf AUG 1 5 1994 RECEIVED CERTIFICATE OF SERVICE I HEREBY CERTIFY that I served a true and correct copy of the foregoing ANSWER WITH NEW MATTER OF DEFENDANT, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY TO ~tAINTIFF'S Ol~ u~on counsel of record this -~) day of May, 1995, COMPLAINT, by placing the same in the united states Mail, first-class mail, postage prepaid at Harrisburg, Pennsylvania, addressed as follows: David L. Lutz, Esquire Angino & Rovner, P.C. 4503 North Front Street Harrisburg, Pennsylvania (Attorney for plaintiff) 17110 corporatr "-- / / . ARKANS I, SECRETARY By: / S'rA Y L. RICHARD W. MCCURDY Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW . . VS. : NO. 94-5457 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant JURY TRIAL DEMANDED PLAINTIFF'S REPLY TO DEFENDANT'S NEW MATTER 1. through 22. Denied. Defendant State Farm has failed to set forth any factual allegations that require plaintiff to admit and/or deny said allegations inasmuch as all of the allegations in the Defendant's New Matter are all conclusions of law to which no response is necessary. WHEREFORE, Plaintiff demands that State Farm'S New Matter be dismissed. --- Date: l/ - Lr fl.) ANGINO ~\. P.C. ~L' Lu," I.D. #35956 4503 N. Front Street Harrisburg, PA 17110 (717) 238-6791 Counsel for Plaintiff ,I ;f 6971J/HTG iI I ,. CERTIFICATE OF SERVICE I, Mary T. Geraets, an employee of the law firm of Angino , Rovner, P.C., do hereby certify that I am this day serving a true and correct copy of PLAINTIFF'S REPLY TO DEFENDANT'S NEW MATTER upon all counsel of record via postage prepaid first class United States mail addressed as follows: Rolf E. Kroll, Esquire Reynolds & Havas 101 pine street, P.O. Box 932 Harrisburg, PA 17108-0932 \"'iJ Mary T. Dated: l, -I..' - LJ \ \ 1 \ - ..,.. .... -~ - ... ... . or.:- " " '- '-' -- a ..... ., C""), , ., ,,- "r r- :11.... ;t:" % '- :.-' ::0 .-, '- -.,