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Attorney Settlement Request Form
The following settlement information is required to consider your client’s reduction request.
Settlement Offer Information
Enter Patient’s Information, Fee Amounts, and Medical Bills
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.
Failure to provide this information may cause a delay in our reduction request response or result in a denial.
