Frequently Asked Questions
Please enter the information below as it appears on your letter and click
Complete each section of the questionnaire as it applies to your injury/illness.
Web Code from Letter
Please enter the web code as it appears on your letter.
Reference # from Letter
Please enter the reference number as it appears on your letter.
Patient Last Name from Letter
Please enter the patient's last name as it appears in your letter.
If you have trouble logging on please contact us at 800-598-2488.
Indicates a required field.
| © 2021 Equian, LLC.