Subtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off List
In this episode of Workers Comp Unwrapped, Max is joined by Ayesha to break down why timely and accurate claim amendments are essential in California workers’ compensation. From new diagnoses and expanded body parts to treatment plan changes, they cover when and how to file amendments to avoid denials, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant with CCR § 9785 and Labor Code § 4061.
🔍 Learn:
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode of Workers Comp Unwrapped, Max and Ayesha dive into the frustrating world of post-acute care claim denials, where even the most necessary treatments can be deemed "not medically necessary." They explore common reasons for denials, including lack of prior authorization, coding errors, and medical necessity disputes. Ayesha shares strategies to prevent denials, offering insights into how to submit better claims and fight back when denials occur. From home health care to skilled nursing and physical therapy, providers must navigate these challenges to ensure timely reimbursements and avoid financial losses. Tune in to learn how to streamline your claims process and improve your success rate with post-acute care billing.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this must-listen episode, Max and Ayesha dive into the critical documents every provider, employer, and insurer must have to stay compliant—and paid—in California’s workers’ comp system. From first reports to lien filings, discover the exact forms, legal requirements, and common documentation pitfalls that can cost thousands in denied claims and penalties.
Whether you're new to workers' comp or overdue for a documentation overhaul, this episode breaks it down with clarity, compliance tips, and real-world examples.
#WorkersComp #CaliforniaCompliance #HealthcareCompliance #WorkersCompensation #MedicalBilling #DWC #OccupationalHealth #ClaimsManagement #WorkersCompAudit #DocumentationMatters #HealthcareProviders #HRCompliance #WorkplaceSafety
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode of Workers Comp Unwrapped, Max and Ayesha break down the most important—and often missed—deadlines in California workers’ comp. From bill submissions to lien filings and UR appeals, every stage of the claims process has a strict timeline. And missing even one can mean losing your right to payment.
Ayesha shares practical tips to avoid common mistakes, track critical dates, and implement systems that prevent revenue loss. Whether you’re billing, appealing, or filing liens, this episode helps you stay compliant—and get paid.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode of Workers Comp Unwrapped, Max and guest expert Ayesha dive into the real impact of Maximum Medical Improvement (MMI) on providers. While MMI signals medical stability for injured workers, it opens a new chapter of billing challenges, lien deadlines, and heightened scrutiny for healthcare providers.
Learn what MMI truly means under California law, how it affects treatment approvals, and why failing to act quickly post-MMI can jeopardize your payments. Ayesha shares actionable insights on lien strategy, UR compliance, and how to avoid the most common mistakes providers make after MMI is declared.
If you're a provider navigating the complexities of workers' comp claims, this episode is your roadmap to staying protected—and paid—after MMI.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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🎙 Workers Comp Unwrapped – Episode 223
Title: Collaborative Strategies Between Adjusters, Attorneys, and Providers
Subtitle: Because "We Didn’t Get Your Email" Isn’t a Strategy
This week, Max sits down with Ayesha to unpack why poor communication keeps claims delayed and payments missing—and what providers can do about it. From broken email chains to lost authorizations, they explore how early, consistent collaboration between adjusters, attorneys, and providers can speed up authorizations, reduce lien disputes, and get bills paid faster.
🔎 Topics covered:
Whether you’re a provider, a billing team, or just tired of “we didn’t get your email,” this episode offers practical steps to take control of your claims.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Workers Comp Unwrapped – Episode 222
Topic: When to Involve Utilization Review in Workers’ Comp Cases
Subtitle: How to Survive UR, Get Approvals, and Actually Get Paid
Host: Max
Guest: Ayesha
Description:
Utilization Review (UR): the gatekeeper of treatment approvals and the bane of every provider's existence. In this episode, Max and guest Ayesha dive deep into the what, when, and how of UR in California workers’ comp cases. From understanding Labor Code § 4610 to decoding why your RFAs keep getting denied, this episode unpacks the rules, timelines, and strategies that separate denied claims from paid ones.
You’ll learn:
Whether you're a physician, biller, or just tired of the phrase “we didn’t get your RFA,” this episode is packed with practical insights and compliance-critical tips.
Key Takeaways:
Bonus: Ayesha answers real UR survival questions from the field, including how MLM ensures your RFAs don’t just get sent—they get approved.
Tune in, take notes, and take control of your UR process.
#WorkersCompUnwrapped #UtilizationReview #WorkersComp #MedicalBilling #RFA #CaliforniaWorkersComp #IMR #ProviderSupport #MLM #ClaimsApproval
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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🎙️ Episode 221 – Understanding Workers’ Comp Subrogation: What Providers Should Know
Guest: Ayesha | Host: Max
Subrogation: that frustrating word insurers love to use when they don’t want to pay your bill. In this episode, Max is joined by returning expert Ayesha to break down what subrogation actually means, how it impacts provider payments, and what you can do to protect your revenue. From legal rights under California Labor Code to common pitfalls and lien strategies, this episode turns a complex legal mess into clear, actionable steps for providers.
✅ Learn what subrogation is (and isn’t)
✅ Know your rights under LC § 4603.2 and § 3856
✅ Avoid payment delays with lien best practices
✅ Hear how MLM gets providers paid—even when subrogation is in play
📌 If subrogation has ever stalled your payments, this is the episode you can’t afford to miss.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Episode 20 – Unpacking the DOGE Controversy While MLM: Expose the Real Risk
In this eye-opening episode, we dive into the growing controversy surrounding Elon Musk’s promotion of DOGE—specifically how his crypto maneuvers are slashing critical maternal health funding, all while publicly advocating for higher birth rates. The contradiction isn’t just ironic—it’s dangerous.
We break down what this funding shift means for maternal care programs, healthcare providers, and workers’ compensation systems already under pressure. You'll learn how these economic decisions ripple into real-life consequences for frontline medical professionals and families alike.
And while all this unfolds, MLM—Multi-Level Marketing—is often overlooked as a protective structure. We unpack why MLM frameworks might offer the financial buffer and structural resilience healthcare workers and entrepreneurs need in uncertain times like these.
If you're a healthcare worker, policymaker, or someone simply trying to make sense of how crypto hype and public health collide—this episode is for you.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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$1M Workers’ Comp Fraud Case: How Being with MLM Could Save You"
In this episode of Workers’ Comp Unwrapped, Max Cooper is joined by compliance expert Ayesha Malik to unpack a high-profile fraud case involving a California plumbing contractor ordered to pay over $1 million in restitution. The discussion dives into what went wrong, how the fraud was detected, and what employers can learn from it.
More importantly, we explore how working with Medical Lien Management (MLM) could have prevented this situation altogether. From payroll discrepancies to audit red flags, MLM’s oversight and compliance support help businesses avoid legal risks, protect revenue, and stay ahead of workers' comp regulations.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Episode 18: Exploring the Role of Blockchain in Workers’ Comp Billing
Blockchain technology is poised to revolutionize workers’ comp billing, making claims more transparent, secure, and efficient. But how does it actually work, and what does it mean for medical providers, insurers, and claims professionals?
In this episode of Workers’ Comp Unwrapped, Max & Ayesha break down:
✅ What blockchain is and how it works (in simple terms!)
✅ How blockchain enhances transparency in claims processing
✅ How it prevents fraudulent billing and duplicate claims
✅ How smart contracts can automate approvals and speed up reimbursements
✅ Real-world examples of blockchain being used in healthcare and insurance
✅ Challenges to adoption and what’s next for the industry
With billions lost to fraud and inefficiencies in workers’ comp billing every year, blockchain has the potential to streamline payments, secure medical records, and improve trust between all parties. Whether you’re a medical provider, billing specialist, or industry professional, this episode will help you understand how blockchain could shape the future of workers’ comp.
🎧 Listen now on Spotify, Apple Podcasts, or your favorite streaming platform!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Book Appointment Now | https://medicallienmgt.com/contact/
After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Episode 17: The Rise of Virtual Hearings in Workers’ Compensation Cases
Virtual hearings are reshaping the workers’ compensation system, making legal proceedings faster, more accessible, and cost-effective. But what does this shift mean for medical providers, attorneys, and injured workers?
In this episode of Workers’ Comp Unwrapped, Max & Ayesha break down:
✅ How virtual hearings are transforming workers’ comp litigation
✅ The pros and cons of remote legal proceedings
✅ Best practices for medical providers testifying in virtual depositions
✅ How to set up a professional virtual environment for expert testimony
✅ Key legal and technical requirements for remote hearings
With states like California, New York, and Texas making virtual hearings the new normal, medical professionals need to be prepared. Whether you’re providing expert testimony or submitting medical reports, this episode will help you navigate remote hearings with confidence.
🎧 Tune in now on Spotify, Apple Podcasts, or your favorite streaming platform!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Book Appointment Now | https://medicallienmgt.com/contact/
After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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How data analytics can help providers identify patterns in denials, underpayments, and treatment trends to optimise revenue?
Episode 16: Leveraging Analytics to Improve Workers’ Comp Billing Outcomes
Workers’ comp billing can be a financial and administrative nightmare—claim denials, underpayments, and slow reimbursements can drain revenue from medical practices. But what if you could predict and prevent these issues before they happen?
In this episode of Workers’ Comp Unwrapped, Max & Ayesha dive into how data analytics can transform your billing process, helping you:
✅ Identify and fix claim denial patterns before submission
✅ Spot hidden underpayments and recover lost revenue
✅ Track insurer payment trends to hold payers accountable
✅ Optimize billing workflows to reduce delays and maximize collections
✅ Implement key performance indicators (KPIs) that drive higher reimbursements
With 30-40% of workers’ comp claims facing delays or denials, staying on top of your data isn’t just important—it’s critical to your bottom line.
📊 Are you using analytics to take control of your billing? If not, this episode is a must-listen!
🎧 Tune in now on Spotify, Apple Podcasts, or your favorite streaming platform!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Workers’ Comp Fraud – What Every Provider Needs to Know
Workers’ compensation fraud is a multi-billion-dollar problem that affects medical providers, employers, and the entire healthcare system. But how do you spot fraud, and more importantly, how do you protect your practice from being caught in the middle?
In this episode of Workers’ Comp Unwrapped, Max and Ayesha break down:
✅ The three major types of workers' comp fraud: employee, employer, and provider fraud
✅ Red flags that signal a fraudulent claim, from exaggerated injuries to falsified documentation
✅ Real-world fraud cases and their legal consequences
✅ How employers manipulate the system to lower premiums and pressure providers
✅ Best practices for medical providers to avoid legal risks and ensure compliance
With billions lost to fraud annually, staying informed is critical. Whether you're a medical provider, billing specialist, or legal expert, this episode gives you the tools to spot fraud before it impacts your practice.
🎧 Listen now on Spotify, Apple Podcasts, or your favorite streaming platform!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Handling complex workers’ comp cases doesn’t have to be overwhelming.
In this episode of Workers Comp Unwrapped, we tackle the challenges and solutions for managing cases involving care from multiple specialists.
Here’s what you’ll learn:
Tune in now to master the art of managing complex workers’ comp cases!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Mental health care is essential in workers’ compensation—but navigating the system isn’t always easy.
In this episode of Workers Comp Unwrapped, we explore the challenges and solutions for mental health providers in workers’ comp cases.
Here’s what we cover:
Whether you’re a psychiatrist, psychologist, or someone supporting mental health services in workers’ comp, this episode equips you with the tools to navigate the system successfully and ensure your patients get the care they need.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Chiropractic care is critical in workers’ comp—but navigating billing and treatment approvals can be a challenge.
In this episode of Workers Comp Unwrapped, we focus on best practices for chiropractors in the workers’ compensation system.
Here’s what you’ll learn:
Tune in now to master chiropractic billing and maximize your impact in workers’ compensation!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Struggling with denied RFAs or delays in treatment approvals? This episode is for you.
In Workers Comp Unwrapped, we tackle the art and science of filing successful Requests for Authorization (RFAs) in the workers’ compensation system.
Here’s what you’ll learn:
Tune in now to master RFAs and take the hassle out of treatment approvals!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Defense attorneys are a vital part of the workers’ compensation system, representing employers and insurers in contested claims. In this episode of Workers Comp Unwrapped, we examine their role in protecting their clients’ interests, from challenging treatment requests to managing claim costs.
Here’s what you’ll learn:
Tune in now to discover how defense attorneys shape claims—and how providers can navigate their involvement effectively!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
When workers’ compensation claims are denied or disputed, applicant attorneys play a critical role in advocating for injured workers and securing their benefits. In this episode of Workers Comp Unwrapped, we take a closer look at how these attorneys support workers and collaborate with providers to navigate contested claims.
Here’s what we cover:
Tune in now to learn how providers and attorneys can work together for better results!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Book Appointment Now | https://medicallienmgt.com/contact/
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
Did you know that injured workers have specific responsibilities in the workers’ compensation process that directly impact their claims? In this episode of Workers Comp Unwrapped, we dive into what is expected of injured workers, how their compliance (or non-compliance) affects claims, and how providers can play a key role in supporting them.
Here’s what we cover:
Tune in now to learn how empowering injured workers can benefit everyone involved!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
For more info
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Book Appointment Now | https://medicallienmgt.com/contact/