Insurance Services
 Investigations
 Fraud Consulting
 Surveillance
 Data Investigations
 Request Hospital/Pharmacy Report
 Assignment Request Form

Join the ISCS mailing list
Email:

Send This Page To a Friend  

Requestor's Information

Name:
Company:
Street Address:
City, State, Zip:
Telephone:
Fax:
Email Address:
Send Report Via:
Logo
 

Claimant's Information

Claim Number:
Name:
Date of Birth:
SSN:
Street Address:
City, State, Zip:
Search Areas:
DOL:
Injury:
Obtain History: From:
   To:  
 
Please Check Appropriate Search Request
 
Hospital Search
Pharmacy Search
Mail Order Pharmacy Search
Acupuncture Search
Health Clinics / Doctor Search
Imaging Search (X-ray/MRI/Cat Scan) Search
Orthopedic Search
Neurology Search
Cardiology Search
Podiatry Search
Chiropractor Search
Optometry/Ophthalmology Search
Ear, Nose & Throat Search
Package Search
Authorization to extend search beyond 15
    (Add. charge to hospital, pharmacy, chiropractor, doctor, etc.)

Internet Search
Criminal Search