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​​​​​​​​​​​​​​​​​Our claim philosophy is simple - we're ​​here to make your life easy.  If you have a claim please report it according to the instructions below:


Please submit via email to or via fax to (602) 996-9045.

Workers' Compensation: 

Triage Now is AMRPP's Workers' Compensation vendor and will submit all the new claim documentation to AMRRP on the Member's behalf. This is a free service to AMRRP Members. For Members that are not currently signed up for Triage Now, CLICK HERE​​ and get started! Otherwise, submit the 101 form,  Supervisor's Report of Injury, and any supporting documentation via email to ​​ or via fax to (602) 996-9045.​

Providers should fax all workers' compensation medical bills to

(602) 996-9045.


Workers Compensation Continuance Template

Member Contact Update

Member Claim Handling Form

Employer's Report of Injury (101)​ 

Healthesystems "First Fill" 

Supervisor's Report of Industrial Injury

Property Damage/Loss Report

Liability Incident Report

Auto Damage Report

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