Refer a case

Submit a referral

Field, telephonic, catastrophic, and vocational case management. If the claim also needs therapy, diagnostics, equipment, or transportation, PriMed Solutions can take that from the same referral.

Case details

Referral form

Required fields are marked with an asterisk. Attach PDFs, images, Word documents, Excel spreadsheets, or a ZIP of those files up to 15 MB total. ZIP files cannot be password protected.

Referral source

First name

Last name

Claim details

Case management type

Claim number

State of jurisdiction

Claimant first name

Claimant last name

Employer

Adjuster

Adjuster email

Treating location

Instructions for case manager

Can PriMed Solutions Services be used for this referral

Did you know our sister company offers a suite of ancillary services? If medically necessary, or needed for patient care, can PriMed Solutions services be used to streamline care coordination for this referral? If so, we’ll manage the internal referral for you — connect for service authorization if/when it’s requested.

AttachmentsPDF, image, Word, Excel, or ZIP — up to 15.0 MB total.

0.0 KB of 15.0 MB

What happens next

01

Submit a referral

Send a case through our secure form or direct intake line — field, telephonic, or catastrophic.
02

Assignment in hours, not days

We acknowledge your referral right away and match an experienced case manager to the file — aligned to injury severity and jurisdiction.
03

Oversight-backed case management

Every update is authored by your case manager and routed through Administrative Oversight before it reaches your team.

What to have ready

These details let us match a case manager without a callback.

Case management type Field, telephonic, vocational, catastrophic, or a task assignment.
Claim number and jurisdiction So the file lands in the right state program.
Claimant and employer Who the case is for.
Adjuster name and email Where updates should go.
Treating location Where care is happening now.
First-call notes Anything the case manager should know before they reach out.

Case management type is required. Include the rest when you have it.

Prefer to talk it through? Call 888-370-0883 or email intake.

Services around the claim

PriMed Solutions is our sister company for the work that sits next to case management. Say yes on the form and we open that referral for you, including authorization when it is requested.

PT Physical therapy matched to the injury and the recovery plan.
Diagnostic Diagnostic services arranged through the partner network.
DME Durable medical equipment coordinated for the claim.
T&T Translation and transportation, so language and travel do not stall care.

How the two companies work together

General questions without PHI belong on the contact page.

Submit a referral

Referral intake options