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
