Refer Liens

Liens Forza is Authorized to Resolve

Required Documents (Please upload each item)

Most Current Case Summary or Plan of Action
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Maximum upload size: 2.1MB
Medical Payment History
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Maximum upload size: 2.1MB
Current Lien or Demands for each noted above
Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
EOBs for each noted above
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Maximum upload size: 2.1MB
C&R or STIP
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Maximum upload size: 2.1MB
AME/IME/QME/Final PTP Report (Used to settle the case)
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Maximum upload size: 2.1MB
Other Pertinent Documents/Information
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Maximum upload size: 2.1MB