Referral Form

Chubb Referral Portal


New Case Resource Guide & Referral In-Take


Your primary points of contact for on-boarding support:


Matt Cirincione, Sales Support Specialist
Phone: 877.725.2467 x7012
Email: mcirincione@medivest.com

Instructions for mailing MSA initial seed and annuity payment checks:

Make checks payable to Medivest Benefit Advisors, Inc. FBO (applicant name).


Send regular and overnight mail to:
Medivest
4250 Alafaya Trail
Suite 212-322
Oviedo, FL 32765


Reference Materials

Medivest Resource Guide (click to download). Contains the following :

1) LMSA Timeline

2) New Case Resource Guide

3) Lien Resolution Flowchart

4) LMSA Flowchart

5) Professional Administration Flowchart

6) Who is Medivest Flyer

7) Professional Administration Flyer (Spanish)

8) New Member Flyer (Spanish)


Reference Videos


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For the latest news, updates, and commentary on Medicare Secondary Payer, workers' compensation, and liability issues visit the Medivest Blog. Read up on these current topics being discussed:

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