Refer a COVID-19 Case

Ready to Refer a Case?

  • MedicusRx accepts Utilization Review (UR), Required Medical Exam (RME), and Peer Review cases.
  •  You may upload your case files to our Online Portal,                    or
  • Fax your case referral to  (281) 407-6309.
  • Call 713-292-5099, x105 for portal access and questions.

COVID-19 Case Referral Forms

RME Referral Form

PEER REVIEW Referral Form

Preauth Request Form