Report A Claim

The AmeriTrust Service Center can handle your workers’ compensation claims!

AmeriTrust handles workers’ compensations claims for its self-insured clients and policyholders of its affiliated insurance companies. We strive to provide our clients with the best possible claims service. To do so, it is important for AmeriTrust to be notified of a claim as soon as possible. The earlier we learn of the claim, the better we can assist the injured employee in receiving proper and timely medical attention. Early reporting will assist us in getting accurate and timely benefits paid.

REPORT YOUR CLAIM ONLINE:

CLICK HERE to fill out your First Report of Injury Form Online

  • It’s fast, easy and convenient and allows for 24/7 claims reporting.
  • Receive a confirmation number after submission.

REPORT BY PHONE:  (800) 825-9489

  • Please have your policy number and name of insured/policyholder as named on the policy.
  • Please have the following claimant information:
    1. Full name, age, date of birth, social security number
    2. Date/hours of employment and wages
    3. Date, time and location of injury
    4. Home address and phone number

REPORT BY E-MAIL:  [email protected]

REPORT BY FAX:  (855) 603-8409

Email or fax your completed State Workers’ Compensation First Report of Injury form.

 

Once a claim is reported...

  • We will contact the insured employer within the next two business days to begin evaluating the injured employee’s needs.
  • If you need assistance with a claim sooner, you may contact the AmeriTrust Service Center at (800) 825-9489, which will directly connect you with the adjuster assigned to handle your claim.

Provider Facts:

  • AmeriTrust has partnered with several Preferred Provider Organizations (PPO) across the county. Where appropriate and allowed by state law, an injured employee should be sent to one of the approved network providers.
  • AmeriTrust has over 30,000 Occupational Medical and Urgent Care facilities in its PPO networks. These facilities can generally provide more effective, timely and appropriate care for non-emergency injuries.
  • AmeriTrust’s PPO networks also offer any specialty care needed for providing an injured employee with the necessary follow-up care.
  • Our adjusters will work with you in selecting  appropriate  medical providers.

Claim Correspondence:

  • You can submit correspondence or documents on an existing claim by any of the options below:
    1. EMAIL: [email protected]
    2. FAX:  (855) 603-8409
    3. MAIL:  AmeriTrust Service Center
      PO Box 219559
      Kansas City, MO 64121-9559

Find a Provider:

Approved Provider Search
( Except California )

Downloads:

MPN Employer Administration Guide

Medical E-Bill Solutions

Meadowbrook partners with WorkCompEDI to accept electronic billing for Workers’ Compensation Medical bills. Providers may contact WorkCompEDI to establish an electronic billing partnership. Meadowbrook’s electronic billing payer ID is WR778.

www.workcompedi.com
Phone: (888) 201-5886
[email protected]

California MPN Information:

MeadowCare Provider Search
( California MPN Information )

Downloads:

California WC Reporting and Notification Requirements

( California MPN Information )

Many MPN forms, notices and materials are available for download. If you are in the need of any notifications regarding the medical provider network that is required to be given to an employee you may email the MPN contact.

Meadowbrook, Inc. MPN
MPN Contact
JoAnn Lamoya
Phone: (800) 825-9489 Ext.3131
Fax: (855) 603-8187
[email protected]
MMA Contact
Ray Pilapel
Phone: (800) 825-9489 Ext.3137
Fax: (855) 603-8409
[email protected]
Toll Free: (800) 825-9489
Fax: (855) 603-8407
[email protected]

Customer Service Contact:

AmeriTrust Service Center

P.O. Box 219559
Kansas City, MO 64121-9559
[email protected]
Toll Free: (800) 825-9489

Find a Provider:

Approved Provider Search
( Except California )

Medical E-Bill Solutions

California MPN Information:

Meadowbrook, Inc. MPN Search
( CA MPN )

Downloads:

California WC Reporting and Notification Requirements

( California MPN Information )

Many MPN forms, notices and materials are available for download. If you are in the need of any notifications regarding the medical provider network that is required to be given to an employee you may email the MPN contact.

Meadowbrook, Inc. MPN
MPN Contact
JoAnn Lamoya
Phone: (800) 825-9489 Ext.3131
Fax: (855) 603-8187
[email protected]
MMA Contact
Ray Pilapel
Phone: (800) 825-9489 Ext.3137
Fax: (855) 603-8409
[email protected]
Toll Free: (800) 825-9489
Fax: (855) 603-8407
[email protected]

Customer Service Contact:

AmeriTrust Service Center
PO Box 219559
Kansas City, MO 64121-9559
Toll Free: (800) 825-9489
Fax: (855) 603-8409
[email protected]