Run a MasterTrace™

DISCOVER UNKNOWN MEDICAL TREATMENT HISTORY & VERIFY LEGITIMATE CLAIMS SOONER WITH INTERTEL's CUSTOMIZED MASTERTRACE™ SOLUTION

Should you require special handling or need services that might not be listed on this form, please contact our office at (800) 791‑7776.


Complete Canvass Profiles




Canvass Selection
*12 for $185      *18 for $245      *24 for $300

Specialty Canvass Selection

Canvass Assignment Summary

Request Records

Records Retrieval powered by Ontellus, the nation’s largest records retrieval partner, providing best-in-class technology with unparalleled data security for insurance and claims litigation.

Request any type of records, including but not limited to: Medical & Billing Records, Employment Records, Pharmacy Records, Phone Records, Workers’ Compensation Records, etc.

Social Media Canvass

INTERTEL’s industry-leading Social Canvass is a comprehensive tool used to identify and secure a person's public social media profile.

Requestor Information

First Name:   Last Name:  
Company:   Title:
Address:   City:  
State:   Zip:  
Work Phone:  
Fax: 		Email:   Name of Insured Company/Party:   Type Of Coverage: Loss Date:  
Claim Number:   Your File Number:
Due Date:

Subject Information

Subject First Name:   Subject Last Name:  
Subject Alias:
Subject SSN: Subject DOB:  
Subject Address:   Subject City:  
Subject State:   Subject Zip:  
 

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If you prefer to fax documentation, please send to: (314) 845-9190.

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