Billing Records Request

To request a copy of a patient's billing records, please submit the following:

A written request in letter format.
A HIPAA-compliant authorization signed by the patient.

If your company does not have its own HIPAA-compliant authorization form, you may use our authorization form. Print the authorization form, fill it out completely, and have it signed by the patient.

There are two options for submitting billing record requests to our office.

Via ChartSwap.com: If you are not currently a registered user follow the prompts on the site to create an account. The completed HIPAA Authorization form, can be uploaded and attached to your electronic request via ChartSwap. Follow the prompts on the site to upload the HIPAA Authorization form, pay the records copying fee (if applicable), and submit your request.
Via Mail: Mail the completed HIPAA Authorization form along with the record copying fee (if applicable) to the address noted below. Make the check for the copy fee payable to: MedAmerica Billing Services, Inc. (MBSI)

MedAmerica Billing Services, Inc., dba Vituity RCM
PO Box 582663
Modesto, CA 95358
Attn: Release of Information Dept.