Providio MediSolutions provides a broad spectrum of Medicare Secondary Payer Act (MSPA) compliance solutions for law firms, defendant insurers, third party administrators, self-insureds and, of course, Medicare beneficiaries themselves. We are uniquely positioned to provide value to clients by offering a variety of tools to help navigate the uncertain waters of MSPA compliance.
Referrals, Useful Forms, and Secure File Upload Tools
Make A Referral
If you are ready to make a Lien Resolution referral or a Medicare Set-Aside referral, there are several ways to get started. If you have any questions, please feel free to call us at (877) 253-3120, write to us at referrals@providiomsa.com, or click the links below to make an online referral. Once you fill out the online intake referral form, be sure to download and sign the other relevant releases listed for liens and/or MSAs in the box to the right called "Forms & Releases."
Forms & Releases
This section contains releases/forms we need from you to deliver the lien negotiation and/or Medicare set-aside services (including the referral intake forms if you prefer to download them rather than complete them online). Please download and complete the appropriate forms for your case. When you are ready to submit these forms back to Providio, you can use our secure upload tool to the right. If you prefer to fax the forms, please fax lien-related forms to Providio Lien Counsel at (215) 784-1772, and fax Medicare set-aside related forms to Providio MSA Referrals at (866) 862-3628.
Secure File Upload
If you would like to securely upload files to Providio, please click here. Providio employs 128bit encryption for all file transfers.
Click this link to enter our secure file transfer facility.