Refer A Medicare Set-Aside | MSA Referral Forms

Natalie Clark
3414 Peachtree Road, NE
Suite 990
Atlanta, GA 30326
Office: 404-926-4160 x215
Fax: 404-926-4161
Email: Natalie Clark
View Natalie’s Bio

Please select one of our referral form options below.

After selecting a form, provide the requested information so that a team member may reach out to you regarding your inquiry and advise as to the information needed to assist you.

We look forward to assisting you in meeting your Medicare compliance objectives.

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Workers’ Compensation Claims
(including all Longshore & Harbor Workers’ Compensation Act Claims)
Workers’ Comp Form

Liability Medicare Claims
(including all Jones Act Matters)
Liability Form

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