When the insurer requests ongoing updates from the primary care provider, who is typically responsible for covering the costs associated with the completion of forms? The medical office typically charges a set fee for the different types of forms required for completion. Even in instances when updates are required, there is often a cost (though I am not sure if these updates come in a form of a letter or some more comprehensive form). Either way, there is often a cost. Would the insurer be responsible for covering any of these costs since the request is coming from them directly? Does it vary from policy to policy?