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Reporting Insurance/Payer Issues

CSRO assists state societies and rheumatologists with payer relations issues impacting patients and physician offices. The form below allows you to request assistance from CSRO on such an issue. Providing the information required by the form helps streamline CSRO's response and take action more rapidly.

Note: Before uploading a document of any kind, please ensure all individual health and contact information has been redacted.

If you have questions about this form, please email us.

Fields with an asterisk (*) are required.


If different from above:



  

Note: Before uploading a document of any kind, please ensure all individual health and contact information has been redacted.







After submitting this form, a copy will be emailed to the address provided above.




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