These sample documents represent generally how an itemized medical bill, a CMS-1450/UB-04, Explanation of Benefits (EOB), and a Medical Bill Forensics LLC audit appear and what they contain; a real forensic audit may encompass alternative information and be more or less extensive in nature. These are examples only and the billing documents below have “built-in” error to demonstrate the scope of a forensic audit.
A sample itemized hospital bill for Myocardial Infarction (heart attack) hospitalization and treatment.
A sample CMS-1450/UB-04 document sent to insurers from providers for payment for the above itemized bill.
A sample EOB document from an insurer.
Sample forensic audit report for the above itemized medical bill only (a self-paying patient).
Sample forensic audit report utilizing the itemized bill above and its associated CMS-1450/UB-04 and EOB (an insured patient).
