Specialty Workers' Compensation Solutions

Insurance

Absentia Managed Care Solutions

Submit A Case

  • Submitter Contact Information

  • Injured Worker Employment Information

  • Injured Employer Information

  • Billing Information / Medical Provider Information

    If you check this box, your information from above will pre-populate the following fields below.
  • Accepted file types: pdf, jpg, png, doc, txt.
    Please email or fax Signed Medical Release (within 12 months) to (614) 887-1120 or attach here. Emails can be directed to rtwcasemanagement@rtwi.com.
  • Click here to read the full Terms and Conditions