GENEX Services: Medical Review

Medical Review

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Specialty Networks & Review Services

Medical Diagnostic Network

To submit a referral for Medical Diagnostic services, you may enter information electronically or fill out and fax the form you wish to submit.

DIAGNOSTIC FAX:

866.426.8825

IME FAX:

866.426.8823

IMPORTANT - Beginning November 1, 2008 the electronic referral forms(E-forms) will no longer be available. All Users will be redirected to GENEX Case Connect.

Diagnostic Referral and Authorization

Submit by

E-form

Submit by

faxable form

Peer Review

Submit by

E-form

Submit by

faxable form

Radiology Review Referral

Submit by

E-form

Submit by

faxable form

IME Referral

Submit by

E-form

Submit by

faxable form

	Interactive File System
	Make A Referral As of November 1, 2008 all users will be redirected to GENEX Case Connect to submit referrals. Click here for assistance.