Workers' Compensation
For injured workers, case managers and adjusters. Start by giving us the treating doctor's information — we send the prescription to the doctor and handle authorization, delivery and setup.
How it works
Send us the doctor's info
Treating doctor's name, practice, phone, email and fax.
We send the prescription
We send the doctor's office our prescription form to complete.
The doctor faxes it back
The office faxes the completed documents (listed below) to 804-767-2150.
We handle the rest
Authorization with the payer, delivery and patient setup — with updates along the way.
What the doctor's office faxes to us
- Completed prescription — the form we send them, signed
- Chart notes from the initial date of injury
- Demographic sheet — patient name, date of birth, address and phone
- Payer information — carrier, claim number, and adjuster or case manager contact
Fax: 804-767-2150. Some adjusters also require a Letter of Medical Necessity — we'll coordinate it with the doctor if needed.
Start a Workers' Comp Order
Send us the treating doctor's information and we'll take it from there.
Send us your treating doctor's name, practice, phone, email and fax:
- Call 804-767-2046, or
- Secure email (Paubox) to admin@bonjourmedical.com
We send the prescription form to your doctor. Your doctor's office faxes it back to 804-767-2150 with chart notes, demographics and payer information.
Veteran? See Veterans (VA). Paying on your own? See self-pay options.
