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MEDICAL PROVIDER
Through Key Health, contracted medical providers can
now order services online! Please click below to
access the online Contract Provider
Procedure Request form. Upon completion, this information will
be transmitted instantly to Key Health. This
is the easiest and most efficient way to order
services and receive guaranteed payment for your
personal injury / letter of protection attorney
cases. If you prefer, you may also call
us directly at (877) 633-5436 to provide the necessary
information. We will respond promptly to your request.
Key Health does not direct medical care, nor offer
any determinations for medical necessity. Key Health,
through its primary business, may assist in the
identification of providers who treat patients on
a Lien/Letter of Protection basis.
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Click Here to Order Services Online
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Click Here to Download the Patient Lien Form
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PHYSICIAN
Please click below to download the Lien Solutions Program form. The completed form can be faxed to us at (877) 539-5436. You may also call us directly (877) 633-5436 to provider the necessary information. We will respond promptly to your request. Key Health does not direct medical care, nor offer any determinations for medical necessity. Key Health, through its primary business, may assist in the identification of providers who treat patients on a Lien/Letter of Protection basis.
Click Here to Download the Physician Form |
ATTORNEY
Please click below to download the Lien Solutions Program form. The completed form can be faxed to us at (877) 539-5436. You may also call us directly (877) 633-5436 to provide the necessary information. We will respond promptly to your request. Key Health does not direct medical care, nor offer any determinations for medical necessity. Key Health, through its primary business, may assist in the identification of providers who treat patients on a Lien/Letter of Protection basis.
Click Here to Download the Attorney Form |
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Key Health Medical Solutions, Inc. - 30699 Russell Ranch Road, Suite 175 - Westlake Village, CA 91362 USA. Telephone 877.633.5436 - Fax 877.539.5436 © All Rights Reserved 2007-2010. |
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