Upon request from your medical provider's billing office, you are entitled to receive an itemized medical bill which includes billing codes. Although any available documents are helpful to us, VPR can learn the most from these itemized bills. If you have the time, we encourage you to request an itemized bill from your provider and share those with us as well.
We do need to gather identifying information in order to verify the authenticity of our data. The following information is required and will be kept confidential:
- FIRST NAME
- LAST NAME -
ADDRESS - EMAIL ADDRESS - PHONE NUMBER
We will not share any identifying information with the public without first contacting you and receiving your explicit verbal and written permission to do so. We will destroy both physical and electronic records within 24 months of receiving them.
If you prefer, you can send a copy of your bill, along with a printed and signed copy of this completed form, in the mail. Please do not send records without a signed copy of this form. Records will not be returned, so do not send originals you wish to keep.
Vermont Public Radio Attn: Investigations365 Troy AvenueColchester, VT 05446
Questions? Send us an email: firstname.lastname@example.org