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 firstname.lastname@example.org or via fax to (602) 996-9045.
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 email@example.com or via fax to (602) 996-9045.
Providers should fax all workers' compensation medical bills to
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