Make a Referral

To submit a referral(s), please click on the appropriate link below and complete the online referral form. These forms are secure and can be submitted electronically to Rising by clicking on the "Submit" button at the bottom of the form's "Preview Form & Submit" tab.

ONLINE REFERRAL FORMS - submit to Rising electronically

Utilization Review solutions

• Utilization Review
• Pre-Certification

IME & Medical Review solutions

• Independent Medical Examination (IME)
• Peer Review

Medicare Set Aside (MSA) Post-Settlement Administration solutions

• Medicare Set Aside Custodial Account - Professional Administration
• Medical Custodial Account - Professional Administration
• Medicare Set Aside Account - Self-Administration Support

Medicare Set Aside (MSA) Allocation solutions

• Medicare Set Aside Allocation Report & Legal Opinion
• Submission of Settlement & Medicare Set Aside Agreements to CMS
• Conditional Payment Analysis & Lien Negotiation

Medical Cost Projection & Vocational solutions

• Life Care Plan
• Medical Cost Projection Report
• Functional Capacity Evaluation (FCE)
• Job Analysis
• Labor Market Survey
• Transferable Skills Analysis
• Vocational Assessment
• Vocational Rehabilitation

Case Management solutions

• Telephonic Case Management
• Field Case Management

ORDER FORM - Rhode Island Workers' Compensation Medical Fee Schedule

If you are mailing your referral's supporting documentation to Rising, you may download pre-addressed 1" x 2 5/8" mailing labels here.

If you would like to learn more about any of the above services before making a referral, please submit a request for information or email info@risingms.com and we will contact you. Alternatively, please call us at 877.747.4644 with any questions.