Medical Bill Review Submission

Billing FAX

Fax 602-996-9045  

Billing Address

Arizona Municipal Risk Retention Pool
14902 N 73rd Street
Scottsdale, AZ 85260

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