How To
Document Upload
Please complete the form below. You can drag and drop documents to upload.
Submitter Name
Submitter Email
Submitter TIN
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To add files, either drag and drop them into this box, or click anywhere inside the box to open a file dialog.
Files Queued for Upload
Bill
Visit Notes
Order
Injured Worker Demos
Radiology Report
Initial Evaluation
EMG Report
FCE Report
Impairment Rating
Progress Notes
Medical Notes
Job Description
Discharge Note
Authorization Letter
Denial Letter
Miscellaneous Note
SCA
Contract
Credentialing Application/Documents
W-9
Certificate of Insurance