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www.integratedinjuryspecialists.com Open in urlscan Pro
62.106.91.24  Public Scan

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Submitted URL: http://integratedinjuryspecialists.com/provider-services
Effective URL: https://www.integratedinjuryspecialists.com/provider-services/
Submission: On October 28 via api from US — Scanned from US

Form analysis 2 forms found in the DOM

POST /provider-services/#wpcf7-f670-p557-o1

<form action="/provider-services/#wpcf7-f670-p557-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="670">
    <input type="hidden" name="_wpcf7_version" value="5.9.8">
    <input type="hidden" name="_wpcf7_locale" value="en_US">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f670-p557-o1">
    <input type="hidden" name="_wpcf7_container_post" value="557">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7_recaptcha_response"
      value="03AFcWeA6JhSTMzBsEW0iZoN-irnp_OYXDtCyBc_u_FdC6oINfp3tXJPYw37mOJ7BZ5KAPr_1jCGulcfRDdxbI3lxmiFWIaf8UFRO_7CTb-1UraYTIXh2V8mtJ_i3DKf_eqNCYmvtiYX7KyyntiNcTV8vyjLcGxdu4i-d6h6MqPWlPL9gZjV3DgGnDJBOg9ekLE9Z8cHZUvFm2dQmDCGsNK_pTC6yA8UDn49fpwvx4bYKJMW0GIDUP7DqUckWhRiNQf2ZDpSihZPcmwTUdT8os7E5isZdx8A4QsdsCGPf8Fj1B6dLjKsja_9EpKxnIZX39ba1Os3iTNK55GFsUC44sVsyX-V64Rs4YP4q-YqRfLwGFJbW33tTTNj5FloUGx5TsUQHyEYbdC_ihwpjLdP_hUOYGs07zxzrrefyTKssqWfCqEUgzhxg3s9kZ4gzyRY6s5MI-_4BXTnpH7kQuFpvAT3wxcbB5PwrdIZLGCiQ-2Zc73V8pdxp8DpMCOmwiNBhASghvKm2Mec5J3IwaFKDmD0BrbQuPI2Ocxw_Z_fIj8YKbFdJVWjm6CFkT_mxB59faUWoEHefkr_T6GPUCwGjCLEmGnOCRYCb1EZ4z7WgvnsU8QOxMZC75JLPHdGajWP2a7cnVnCZiqZWsTv-Lx4x0pHm9MJlPhz4Q4a6rVY0nk8qk3mh514uQm4Txw4QjkFsKen5pRSwCrJUWCV8SjUG7vTN6jg1MWs5cGdd1Yx1Bdi0tfZNKuzAOTnnrdTqZYselRw8wD1ZkOPvo3EcXyxfYWbGAafXjX90FlDou-bK5h54PhORyMx9iC1ByfguD9BeePavpx2ocrH6yUPCh-kcUNQoFOK8OA9P2-Ec-pO5Ln6Y8LRDUWlrJJvM">
  </div>
  <section id="cnt_frm">
    <h2>Request Medical Records </h2>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="pname"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Patient Name" value=""
            type="text" name="pname"></span>
      </p>
    </div>
    <div class="row1">
      <p><label>Date of Birth</label><br>
        <span class="wpcf7-form-control-wrap" data-name="date-391"><input class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" aria-required="true" aria-invalid="false" placeholder="Date of Birth" value=""
            type="date" name="date-391"></span>
      </p>
    </div>
    <div class="row1">
      <p><label>Date of Services</label><br>
        <span class="wpcf7-form-control-wrap" data-name="date-392"><input class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" aria-required="true" aria-invalid="false" placeholder="Date of Services" value=""
            type="date" name="date-392"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="email-id"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" aria-required="true" aria-invalid="false"
            placeholder="Email ID" value="" type="email" name="email-id"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="phone"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Phone Number" value=""
            type="text" name="phone"></span>
      </p>
    </div>
    <div class="row1">
      <p><input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Submit"><span class="wpcf7-spinner"></span>
      </p>
    </div>
    <div class="clear">
    </div>
  </section>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

POST /provider-services/#wpcf7-f675-p557-o2

<form action="/provider-services/#wpcf7-f675-p557-o2" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="675">
    <input type="hidden" name="_wpcf7_version" value="5.9.8">
    <input type="hidden" name="_wpcf7_locale" value="en_US">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f675-p557-o2">
    <input type="hidden" name="_wpcf7_container_post" value="557">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7_recaptcha_response"
      value="03AFcWeA6JhSTMzBsEW0iZoN-irnp_OYXDtCyBc_u_FdC6oINfp3tXJPYw37mOJ7BZ5KAPr_1jCGulcfRDdxbI3lxmiFWIaf8UFRO_7CTb-1UraYTIXh2V8mtJ_i3DKf_eqNCYmvtiYX7KyyntiNcTV8vyjLcGxdu4i-d6h6MqPWlPL9gZjV3DgGnDJBOg9ekLE9Z8cHZUvFm2dQmDCGsNK_pTC6yA8UDn49fpwvx4bYKJMW0GIDUP7DqUckWhRiNQf2ZDpSihZPcmwTUdT8os7E5isZdx8A4QsdsCGPf8Fj1B6dLjKsja_9EpKxnIZX39ba1Os3iTNK55GFsUC44sVsyX-V64Rs4YP4q-YqRfLwGFJbW33tTTNj5FloUGx5TsUQHyEYbdC_ihwpjLdP_hUOYGs07zxzrrefyTKssqWfCqEUgzhxg3s9kZ4gzyRY6s5MI-_4BXTnpH7kQuFpvAT3wxcbB5PwrdIZLGCiQ-2Zc73V8pdxp8DpMCOmwiNBhASghvKm2Mec5J3IwaFKDmD0BrbQuPI2Ocxw_Z_fIj8YKbFdJVWjm6CFkT_mxB59faUWoEHefkr_T6GPUCwGjCLEmGnOCRYCb1EZ4z7WgvnsU8QOxMZC75JLPHdGajWP2a7cnVnCZiqZWsTv-Lx4x0pHm9MJlPhz4Q4a6rVY0nk8qk3mh514uQm4Txw4QjkFsKen5pRSwCrJUWCV8SjUG7vTN6jg1MWs5cGdd1Yx1Bdi0tfZNKuzAOTnnrdTqZYselRw8wD1ZkOPvo3EcXyxfYWbGAafXjX90FlDou-bK5h54PhORyMx9iC1ByfguD9BeePavpx2ocrH6yUPCh-kcUNQoFOK8OA9P2-Ec-pO5Ln6Y8LRDUWlrJJvM">
  </div>
  <section id="cnt_frm">
    <h2>Initiate Lien Settlement Negotiations </h2>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="pname"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Patient Name" value=""
            type="text" name="pname"></span>
      </p>
    </div>
    <div class="row1">
      <p><label>Date of Birth</label><br>
        <span class="wpcf7-form-control-wrap" data-name="date-391"><input class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" aria-required="true" aria-invalid="false" placeholder="Date of Birth" value=""
            type="date" name="date-391"></span>
      </p>
    </div>
    <div class="row1">
      <p><label>Date of Loss</label><br>
        <span class="wpcf7-form-control-wrap" data-name="date-392"><input class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" aria-required="true" aria-invalid="false" placeholder="Date of Loss" value=""
            type="date" name="date-392"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="medical-bills-amount"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Total Medical Bills Incurred" value="" type="text" name="medical-bills-amount"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="settlement-offer-amount"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Settlement Offer by Insurance Company" value="" type="text" name="settlement-offer-amount"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="email-id"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" aria-required="true" aria-invalid="false"
            placeholder="Email ID" value="" type="email" name="email-id"></span>
      </p>
    </div>
    <div class="row1">
      <p><span class="wpcf7-form-control-wrap" data-name="phone"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Phone Number" value=""
            type="text" name="phone"></span>
      </p>
    </div>
    <div class="row1">
      <p><input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Submit"><span class="wpcf7-spinner"></span>
      </p>
    </div>
    <div class="clear">
    </div>
  </section>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

Text Content

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(657) 888-2683

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 * Attorney Services
 * Healthcare Providers
 * Provider Services
 * Patient Services
 * Patient Education
 * Contact Us


PROVIDER SERVICES

Home > Provider Services


IIS PROVIDES MEDICAL ADMINISTRATIVE SUPPORT TO HEALTH CARE PROVIDERS.




SERVICES WE OFFER INCLUDE:

 * Medical Billing
 * Collection
 * Lien Negotiations
 * Transcription


 * Medical Assistant Personnel
 * Medical Case Management
 * Appointment Scheduling
 * Care Coordination




REQUEST MEDICAL RECORDS



Date of Birth


Date of Services












INITIATE LIEN SETTLEMENT NEGOTIATIONS



Date of Birth


Date of Loss














REQUEST A CONSULTATION


CONTACT

(657) 888-2683

1122 E. Lincoln Ave # B100
Orange, CA 92865

reception@integratedinjuryspecialists.com

(657) 888-2683

888-676-1285

© 2024 Integrated Injury Specialists. All Rights Reserved.
 * Attorney Services
 * Healthcare Providers
 * Provider Services
 * Patient Services
 * Patient Education
 * Contact Us

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