Review Med - Medical Cost Containment for Workers' Comp Claims

Need more information? Fill out the form below and we’ll be happy to reply, or send your question to review1@review-med.com.

If you have any questions regarding changes in your state law please contact us at 1.800.201.1021 to speak with our compliance officer.

Headquarters

Review Med L.P.
7557 Rambler Road Suite 800
Dallas TX 75231
Phone: (214) 696-3855
(800) 201-1021
Fax: (214) 368-4177

Company
Address
Phone
Fax
e-mail
Referred By
Name
Title

Verify Diagnosis, diagnostic performed supported by objective documentation
Treatment related to accident
Casual Relationship
Treatment reasonable and necessary
Prognosis/Proposed treatment plan
Need for Surgery/second opinion
Impairment Rating
MMI
Appropriate time off work/return to work date
Other

Peer Review
Film Re-Read (MRI, X-ray, Etc.)
Impairment Rating Review
Rapid Review (20pgs or Less)
Post Accident Drug Screen Review
Liability IME Liability Summary Bill Audit
Review Additional Records
Life Care Plan
Peer Review With Form 32
RME with Form 22
RME After Designated Doctor Appt.
Case Management
Other
RUSH

Due By:

Name
Address
City
State
Zip Code
Phone
Social Security #
Date of Birth
Claim #
Date of Injury
Previous RME Dr. / Treating Physician / Physician Requested
Name / Specialty
Phone

Name
Address
City
State
Zip Code
Phone
Attorney Information
Attorney
Phone
Fax

Phone:
(214) 696-3855
(800) 201-1021