Flagship Services Group, Inc. providing expertise with Medicare Set Asides, Section 111 and Conditional Payments

Click Here to Upload Files for Existing Referrals
Please select the appropriate Referral Form:
Submit a Conditional Payment referral when:
  • Claimant is a Medicare beneficiary.
    • If you don’t know, let Flagship determine that for you.
  • The Claim involves a personal injury.
    • Settlement negotiations on a Workers’ Compensation or Liability claim involving a bodily injury have commenced or will likely commence within 6 months.
  • Money has or will change hands.
To send a referral to us, please click on the Conditional Payment Referral button below and complete the on-line form. 

Submit a Medicare Set Aside referral when:
  • Claimant is a Medicare beneficiary.
    • If you don’t know, let Flagship determine that for you.
  • There is a reasonable expectation the claimant will become a Medicare beneficiary within 30 months.
  • The settlement will limit or terminate on-going responsibility for medical care in the future.

To send a referral, please click on the Medicare Set-Aside Referral button below and complete the on-line form.

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