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Learn more about how we’re creating a brighter future for healthcare

Phone

Health Plan Subrogation
(901) 380-4949

Complex Claims (Provider Subrogation)
(888) 263-5180

Fax

Health Plan Subrogation
(901) 380-0692

Complex Claims (Provider Subrogation)
(800) 825-1906

Office Locations

Memphis (Headquarters)
6075 Poplar Ave., Suite 800
Memphis, TN 38119

St. Louis
12443 Olive Blvd., Floor 2
Creve Coeur, MO 63141

Mailing Address

P.O. Box 172207
Memphis, TN 38187-2207

Hours

Monday-Friday
8 a.m. – 5 p.m. CT

I want to…(Required)

If you are an attorney’s office representing the injured party, please send your request on your firm’s letterhead, or provide a signed, HIPAA-compliant medical release signed by your client. If available, please also provide a copy of the injured party’s health insurance card. Email to [email protected] or via fax to (901) 380-0692.

Name(Required)

First name

Last(Required)

Last name

Injured Party’s Information(Required)

First name

Last(Required)

Last name

Date of birth(Required)

Date of birth

Title(Required)

Organization(Required)

Media organization(Required)

Phone(Required)

Date of initial accident or injury(Required)

Injured party's health plan(Required)

Example – Cigna, Aetna, etc.

Injured party’s health insurance ID number

Company funding the health insurance TPA

Nature or description of accident

Types of injuries sustained

Case contact information(Required)

Company

Claim number(Required)

Claim number

Case manager or attorney(Required)

Case manager or attorney

Phone(Required)

Phone

Email(Required)

Fax(Required)

Fax

Email(Required)

Enter Email Confirm Email

For potential follow up, please provide your email(Required)

Enter Email Confirm Email

Comments

If you have a question about an existing case, please contact your case representative directly. Please note, Intellivo cannot reprocess or approve healthcare claims for the TPA.

Comments(Required)

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