Nationwide managed care since 1994 800.442.2230

Submit Referral

Our team of experts are ready to accept your referral!

Referral Submission Guide

To officially submit a referral, download the CMS referral form. After submitting the request below, securely upload the completed form, First Report of Injury, medical records, and any other supporting information.

CMS Referral Form

Word Document | 149 KB
Download Referral Form Securely Upload Documents

Referral Department Contacts

Referrals: Referrals@CaseMgtSol.com
Corporate Phone: 800.442.2230 | 770.840.1164
Business Hours: Monday-Friday: 7am – 7pm EST
24 Hour & After Hours Available

Referral Request Details

Type of Referral Requested *

Case Management

Medicare Compliance

Additional Services

Other