Attorney Settlement Form

The following settlement information is required to consider your reduction request. Failure to provide this information may cause a delay in our response to your reduction request or result in a denial. Aspirion retains the right to revoke any reduction offers or agreements if the information provided in this reduction request is inaccurate, including, but not limited to the details about any potential UM/UIM coverage available.

Please contact us at 866.621.3601 for assistance.

This form is for you if:

  • You are you an attorney looking for an adjustment to a patient’s medical bill.

For assistance, please call us at 866.621.3601.