Medical Checks

Did you know?

INTERTEL has a specialized Records Retrieval Department that can assist in obtaining full medical profiles/records! If you have a signed Medical Authorization and are interested in obtaining medical records that pertain to your claim, just check the box below and one of our representatives will contact you.


Social Media Checks

(Online Profile Tracking Investigation)

3-in-1 Claims Intelligence Program


Database Investigations


Client Information

(Fields in red are required.)

Client Name:
Title:
Company
Email
Address
City
State
Zip
 
Phone
Fax:
 
Insured/Client
Claim#
 
Coverage Type:
Other:
Billing P.O.C.:
Billing Phone:
 
Billing E-mail Address:

Claimant Information

(Fields in red are required.)

Claimant First Name
Claimant Last Name
Alias:
 
SSN
D.O.B.
Address
City
State
Zip
 
Phone:
Employer:
Address:
City:
State:
Zip:
 
Phone:
Contact:
Claimant's Position:
D.O.I.
Last Worked:
Nature/Extent of Alleged Injury/Loss
Due Date:
Referral #:
Additional Comments:

File upload: