Learn More About Rising

Submit Referral

Thank you for considering RISING for your medical management needs. To request information about any of our services, please fill out the below form and a RISING representative will contact you to discuss your needs further.

Information Request Form

Bolded fields are required information.

First Name
Last Name
Title
Company
Street 1
Street 2
City
State
Zip Code
Phone
Fax
Email
How did you hear about us?
If you selected "Other", please specify:

If you selected one of the "Referral" options, who may we thank for the referral?
Referrer's Name
Referrer's Company
Referrer's E-mail
I am interested in the following service(s):
  • Medical Bill Review
  • Specialty Bill Review
  • Nurse Audit
  • Hospital Audit
  • Out-of-Network Negotiations
  • Provider Payment Services
  • Utilization Review
  • Pre-Certifications
  • Peer Review / Medical Record Review
  • Independent Medical Exams (IMEs)
  • Catastrophic Care Management
  • Medical Case Management
  • PPO Networks
  • Pharmacy
  • Other Specialty Networks
  • MSA Self-Administration Support
  • MSA Account - Professional Administration
  • Medical Account - Professional Administration
  • Self-service, web tools for Payers, Providers & Patients
  • State of Rhode Island Workers Compensation Medical Fee Schedule
  • Fee Schedule Consulting Services
  • Medicare Set Aside Allocations
  • Medical Cost Projections
  • Life Care Planning
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