Broadspire Workers Compensation Phone Number

How To Report A Work-Related Injury - MedChi Insurance Agency ...
Workers’ Compensation Call-In Script The following script contains the comprehensive list of questions that you will be asked when calling in a claim Alt Phone: Fax Number: Email Address: Contact Person’s Title: When To ... View Doc

OKLAHOMA WORKERS' COMPENSATION COURT Date: 03/04/2013 Rpt ID ...
Attn: suzanne richardson c/o broadspire po box 152180 attn: tina litwiller irving, tx 75015- 2200 nw 50 st ste 200e oklahoma city, ok 73112- date: 03/04/2013 oklahoma workers' compensation court rpt id: carlst time: 08:50 carrier listing page: 25 ... Retrieve Content

LIST OF APPROVED UTILIZATION REVIEW AGENTS
Phone Number: (781) 396-3519 Ext: 2356 . Toll Free Number: (877) 467-6001 . BROADSPIRE SERVICES, INC. Approved Site: Sunrise, FL 33323 . MA Contact: Nancy Murphy, RN . Phone Number WORKERS’ COMPENSATION SECTION . Approved Site: Boston, MA 02108 . ... Read Content

CLIENT COMPANY AUTHORIZATION - Home - Employers Resource
Company Phone Number This form authorizes the health care provider treating me to give Employers Resource Management, or their representatives, all referred to the Workers’ Compensation Department at (208) 426-8006 or (800) 775-2404. ... Access Content

NOTICE OF INDEPENDENT REVIEW DETERMINATION
Phone: 512-402-1400 FAX: 512-402-1012 NOTICE OF INDEPENDENT REVIEW DETERMINATION TWCC Case Number: MDR Tracking Number: M2-05-1118-01 Name of Patient: Name Texas Workers Compensation Commission RE: CLINICAL HISTORY ... Return Doc

IHCFA.com Master Payor List - Generated On 12/8/2011 4:00:08 ...
BROAD026 New York Workers' Compensation Broadspire 100 Passaic Avenue Suite 140 Fairfield, NJ 07004 BROAD002 New York Workers' Compensation Broadspire P.O. Box 5000 Smithtown, NY 11787 BROAD001 New York Workers' Compensation. iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM ... Return Doc

03/28/2013 MS. LISA A. MOORE 01 236 Manager ACCELERATED ...
Phone: (714) 647-1120 ext 102 fax: (714) 647-1124 broadspire services, inc. broadspire services, inc. broadspire services, inc. workers' compensation administrators, llc york insurance services group, inc.-california 30242 esperanza ... Document Viewer

Insurer Designee List - Maryland Workers' Compensation Commission
Broadspire Services 12150 E, Monument Dr, Fairfax, VA 22033 Edwin.Bond@choosebroadspire.com ASSOCIATED INDEMNITY CORP. Workers' Compensation Claim Mgr Vanliner Insurance Company One Premier Drive St. Louis, MO 63026 skip.reams@vanliner.com ... Retrieve Here

Georgia State Board Of Workers' Compensation Insurer And ...
Advantage workers compensation insurance company ut 84157 claims@advantagewc.com gallagher bassett services inc 36-3365500 100 crescent centre phone: louisville ky 40222 broadspire services 36-3917295 1001 summit boulevard atlanta@choosebroadspire.com ... Retrieve Document

2008 Worker's Comp Industrial Insurance Carriers
BROADSPIRE by Employer's Name for Southern California) P.O. Box 24016 Fresno, CA 93779 BUCKEYE CLAIMS ADMINISTRATORS, INC. Risk Management Workers' Compensation Modesto, CA 95353 201 S. Anaheim Blvd., Suite 1002 Main: (209) 577-5411 ... Access This Document

3/31/2008 INSURER REPORT - Atlanta Workers Compensation Law ...
13176 advantage workers compensation insurance co po box 571918 salt lake city ut 84157-1918 888 595 8750 gallagher bassett services 100 crescent centre parkway suite 600 tucker ga 30084 800 354 6494 broadspire services 655 engineering drive suite 200 norcross ga 30092 800 450 0692 ... Retrieve Doc

Medical Provider Networks Approved By DWC (Sorted By Name Of ...
1564 99 Cent Only Stores Broadspire Signature MPN Self-Insured Employer 8 /24/09 4000 Union Pacific Ave Advantage Workers Compensation Insurance Company Medical Provider Network Insurer 9 /13/07 P.O. Box 571918 Salt Lake City UT 84157 ... Retrieve Content

Www.cedarhill.com
RESIDENCE PHONE: NUMBER OF DEPENDENTS: SUPERVISOR NAME: TITLE: FAX NUMBER: E-MAIL ADDRESS: SIC CODE: CONTACT PHONE: HIRE COUNTRY: HIRE STATE: NO BROADSPIRE WORKERS' COMPENSATION REPORTING FORM FOR CEDAR HILL E-Mail: Fill out the claims form and send it to nol@choosebroadspire.com or ... Get Document

01/11/2013 1ST AUTO & CASUALTY INSURANCE CO C/O: 1ST AUTO ...
C/o: advantage workers compensation ins po box 571918 salt lake city, ut 84157 - 1918 tel: : (801) 288-8750 fax: (801) 288-8561 c/o: kemper services - broadspire 1900 e golf rd ste 800 schaumburg, il 60173 - 5033 tel: : - fax: (262) 794-4190. 01/11/2013 american motorists ... Retrieve Doc

ONE CALL MEDICAL INFORMAL/VOLUNTARY NETWORK TEXAS PAYER LIST ...
NAME ADDRESS & PHONE NUMBER AAA Box (713) 691-1119 2530 Fairway Park Drive Broadspire (281) 405-6129 19111 Dallas Parkway Dallas, TX 75287 Workers’ Compensation Fund (210) 362-2573 PO Box 12489 San Antonio, TX 78244 ... Fetch Full Source

OKLAHOMA WORKERS' COMPENSATION COURT Date: 03/04/2013 Rpt ID ...
C/o broadspire services inc c/o cannon cochran management services inc attn: lynn peoples attn: kristi weaver aic wcls 1 cityplace ste 500 2 e main st towne centre bldg ste 208 date: 03/04/2013 oklahoma workers' compensation court rpt id: carlst ... Retrieve Content

Sponsor Commitment Form - 60 Summits - Home
Phone Number: Email: Address: Line 1: Line delivered by disability benefits and workers’ compensation systems. Broadspire/a Crawford Company nmurphy@us.crawco.com Karen Olson, MD Medical Director Summit Consulting, Inc. ... View Doc

INSURANCE CARRIER/SELF -INSURER LIST OF DESIGNATED CONTACTS
Address, e-mail address, and fax number of the contact person shall be submitted to the division. NAME: MARILYN BRANDS, VP OF WORKERS' COMPENSATION CLAIMS ADDRESS: 100 MARINE PARKWAY, REDWOOD CITY, CA 94605 . TEL #: 650-508-5403 . FAX #: 309-690-3920 . E-MAIL: mbrands@argogroupus.com . ... Get Document

EMPLOYER’S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE
THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE ALABAMA WORKERS' COMPENSATION LAW 06/01/2006 WCC Form 2 Rev. 6/2006 OSHA Log Case Number EMPLOYER 4. Employer Phone 40. Gender 41. Date of Birth 42.Nbr of Dependents 43. Marital ... Return Doc