Refer Or Request A New Case

Refer a new case or
request a new case to be opened

A request to open a new case must include the following information:

  • A copy of the insurance card
  • Injured party’s full name and date of birth
  • Injured party’s SSN and/or health insurance ID#
  • Name of the health plan subscriber (if different from injured party)
  • Date of accident
  • Description of how the injury occurred (motor vehicle accident, slip and fall, etc.)
  • Types of injuries sustained
  • Company or employer funding the health plan
  • Attorney letter of representation

To refer a new case to Intellivo or to request a new case be opened:

Please email intake@intellivo.com