N.H. Admin. Code § Jus 604.07

Current through Register No. 50, December 12, 2024
Section Jus 604.07 - Verification of Hospital Expenses Form

If a claimant seeks compensation for hospital expenses, the victim or victim's parent or guardian shall complete and submit a HIPAA- compliant hospital and/or medical release. Upon receipt of the HIPAA- compliant release form the unit shall request that each provider complete and submit a "Verification of Hospital Expenses Form," as revised 8/23/2019, and provide an itemized statement and medical records to injuries directly resulting from the crime.

N.H. Admin. Code § Jus 604.07

#4864, eff 7-13-90; amd by #5430, eff 7-1-92; ss by #7117, eff 10-8-99, EXPIRED: 10-8-07

New. #9553, eff 9-25-09

Renumbered by 604.08 Volume XL Number 2, Filed January 9, 2020, Proposed by #12938, Effective 12/9/2019, Expires 12/9/2029.