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Pennsylvania Hospital (billing vehicle accident victims)
Please complete this claim form to request a free case evaluation from a lawyer listed on BigClassAction.com.
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Defendant:
(who caused the harm?)
Pennsylvania Hospital (billing vehicle accident victims)
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Describe your complaint:
(briefly describe the damages you have suffered)
Did you suffer injuries as a result of an automobile accident?
Yes
No
Did you receive treatment at an acute care facility in Pennsylvania for injuries resulting from the accident?
Yes
No
Did you pay a bill from the facility for the balance it claimed was owed after it received payment from your insurance company?
Yes
No
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Last name:
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