MPN website are not updated frequently and usually out of date with the wrong provider information. Save time and frustration by letting our MPN Specialists do the work for you. We’ll find an IPM Provider in network or apply for out of network auth if the MPN is invalid. This service is of no cost to you, it’s just part of our commitment to providing fast and effective treatment to injured workers.
Fax the required information below to:
You can now submit referrals online and communicate with our intake team on your specific case. Click the link below to get started.
Once you’ve created an account and verified your email address you can view the status of any referral you’ve submitted.