Submit a Referral

Download a request form to submit with your referral.

Medical Equation™ offers a convenient and simple upload portal that allows:

  • Uploaded requests directly to Medical Equation™
  • Retrieval of completed reports
  • Retrieval of medical records uploaded with original

If you have a Medical Equation™ login, sign-in to the portal here and upload your request. Or submit a request using the file uploader below.

Utilization review tools for the adjuster including continued education classes, documents for download and past eNewsletters.



Upload files