Medical Bill Review
Use our easy look-up tool to find the status of a medical bill – get date of receipt, paid amounts, or request an EOB.
CHECK BILL STATUS
Electronic Billing
Vendor: Jopari, Payer Number: J1526
Billing FAX
Fax 602-996-9045
Billing Address
Arizona Municipal Risk Retention Pool
PO Box 59143
Minneapolis, MN 55459-0143
Medical Bill Review Requirements
- Bill/Health Insurance Claim Form 1500
- Medical Notes
Note: Per ARS 23-1062.01: Injured workers may not be billed for workers’ compensation treatment on accepted claims, and medical reports are required to be included with the billing for each date of service.
Reconsideration Requirements:
- Reason for Reconsideration Request
- Explanation of Provider Payment
- Bill/Health Insurance Claim Form 1500
- Medical Notes
For any other questions, please contact our Claims Team
