Submit a Case

Which are you?

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

MRI, CT or X-Ray Images (digital format) and Radiology Reports
Claim Background Form (click to download)
How To Order

Request a secured ShareFile upload link to provide your materials

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

MRI, CT or X-Ray Images (digital format) and Radiology Reports
Short summary of case
How to Order

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 248.671.3878 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 248.671.3878 or download the How to Order document.