Form Submit a Case

Submit a Case

Which are you?

Defense

Plaintiff

Materials Needed For Case Submission:

For Imaging Review (X-Ray, MRI, CT):

Submit DICOM images
Submit corresponding radiology reports

For EMG Review:

Submit a complete EMG including numerical chart data and provider impression

Steps for Submitting a Case:

Download and fill out the Claim Background Form and select imaging and/or EMG review products.
Provide your information below to receive the secure link to upload files.
Await the link and confirmation from our Intake team.

To get started with a review, we will need the following materials:

MRI, CT or X-Ray Images (digital format)
Radiology Reports
Short summary of case focus

Request a secured ShareFile upload link to provide your materials

OR

Mail your CD, Medical Reports and the Claim Background form to:

Authentic4D

Attn: Intake Team

30800 Telegraph Rd., Suite 4775

Bingham Farms, MI 48025

Questions? Please give us a call at 248.469.8811 or download the How to Order document.

OR

Mail your materials to:

Authentic4D

Attn: Intake Team

30800 Telegraph Rd., Suite 4775

Bingham Farms, MI 48025

Questions? Please give us a call at 248.469.8811 or download the How to Order document.

IMEs usually take months to complete and cost thousands of dollars. During this time the claimant continues to receive treatment and costs continue to mount. So in days instead of months and for less than $1000 you have what you need to contest a questionable claim. You also have a compelling and objective video, rather than a medical report that may be viewed as biased.

Authentic4D evaluates a claim with 48 hours by a credible and board certified neuro or musculo-skeletal radiologist licensed in the state the claim is filed in. Both the speed and cost are a fraction of an IME. The 4D video adds a visual layer that removes the possible skepticism the plaintiff’s counsel often has in the piece of paper furnished by an IME. Further, the 4D video is fully admissible and sends a powerful message that you have invested in your case and are prepared to try it if you cannot obtain a fair settlement.