Work Comp

We accept all DME's admitted and denied cases.

Please attach Utilization Review (UR) authorization along with prescription when sending over a patient.
NECESSARY FORMS:

• Prescription
• Patient Demographic
• Medical Necessity (2 pages)
• Initial Report
• RFA
• PR2
• 4600 Letter Prepared by Attorney

We accept all prescription medications on admitted and denied cases.

Please attach Utilization Review (UR) authorization along with prescription when sending over a patient.
NECESSARY FORMS:

• Prescription
• Patient Demographic
• Initial Report
• RFA
• PR2
• 4600 Letter Prepared by Attorney