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( 310 ) 870–9733
  • About Us
    • About eData
    • Our Team
  • Services
    • AMA Impairment Ratings
    • Data Entry
    • Decision Support Tool Management
    • Deposition Summaries
    • Insurance and Claims Support
    • Medical and Legal Transcription
    • Medical Histories
    • Medical Records Analysis
    • Medical Record Summaries and Reviews
    • Medical Report Editing
    • Revenue Cycle Management
    • Surveillance (Sub Rosa) Film Summaries
    • Utilization Review
    • Virtual Medical Office Assistants
    • Virtual Medical Scribes
    • Other Services
  • Industries
    • Health Care Providers
    • Legal Professionals
    • Insurance Carriers
  • Resources
    • News
    • Videos & Multimedia
    • Sample Resources
    • Testimonials
  • Contact Us

eData Sample Resources

Helping Healthcare and Legal For Over 15 Years

Resources for Download

Please feel free to download our sample resource templates.

eData Services  provides many services to alleviate your healthcare or legal practice admin tasks.

When eData Services takes care of your documentation, you’ll discover a new level of organization and efficiency. Explore our most popular template samples by service below:

AMA Impairment Rating Analysis

P&S with Impairment Rating

CA Permanent Disability Rating

Deposition Summary

Medical History
(performed at Doctor's Office prior to Exam)

Medical History
(performed days prior to the appointment)

Medical Record Review
(Narrative Format)

Medical Record Review
(Table Format)

Medical Record Review
Summaries Linked to the Original Records

Records and Bills Review

Response to UR Denials

DFR Form 5021 with RFA
California Work Comp

PR2 Form with RFA
California Work Comp

PR2 Narrative with RFA
California Work Comp

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Get In Touch

eData Services US, LLC

9777 Wilshire Blvd, 4th Floor
Beverly Hills, CA 90210

Phone: +1 ( 310 ) 870 - 9733
Toll free: +1 ( 866 ) 879 - 6306
Fax: +1 ( 310 ) 279 - 1006

eData Services Philippines, Inc.

11th Floor, Ten West Campus
20 Le Grand Avenue, McKinley West
Fort Bonifacio, Taguig City

Phone: +63 (2) 8884 - 1567
or: +63 (2) 8884 - 1568
Fax: +63 (2) 8844 - 9755

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