N.H. Code Admin. R. Jus 604.07
If a claimant seeks compensation for hospital expenses, the victim or victim’s parent or guardian shall complete and submit a HIPAA- compliant hospital and/or medical release. Upon receipt of the HIPAA- compliant release form the unit shall request that each provider complete and submit a “Verification of Hospital Expenses Form,” as revised 8/23/2019, and provide an itemized statement and medical records to injuries directly resulting from the crime.
Source. #4864, eff 7-13-90; amd by #5430, eff 7-1-92; ss by #7117, eff 10-8-99, EXPIRED: 10-8-07 New. #9553, eff 9-25-09, EXPIRED: 9-25-17 New. #12938, eff 12-9-19 (formerly Jus 604.08)