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. 

Click Here to Order Services Online

Click Here to Download the Patient Lien Form

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
Key Health Medical Solutions, Inc. - 30699 Russell Ranch Road, Suite 175 - Westlake Village, CA 91362 USA.
Telephone 877.633.5436 - Fax 877.539.5436
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