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Reporting a Workers'
Compensation Claim
 
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CLAIM REPORTING PROCEDURES

Report all injuries BY PHONE immediately to:

Management 2000
Diane Cipriani or Human Resources
(317) 549-2000 or (800) 554-5945

The Management 2000 representative will obtain all necessary information required to arrange and contact the medical facility with the name of the patient who is coming in for treatment, arrange for a drug and alcohol screening* and provide the necessary billing information.

In a life threatening circumstance seek medical attention immediately.  Notify Management 2000 as soon as possible after you have the care of the injured employee arranged.

The Employee Statement, Supervisor Report of Accident Investigation and Witness to Injury Statement must be completed the day of injury and faxed to:

Management 2000
Diane Cipriani
Fax: (317) 543-2020 or (800) 337-1807

Management 2000 will complete and submit the First Report of Injury Form.  All paperwork must be fully completed.  Inaccurate or missing information can hinder the prompt assignment and handling of the claim. 

*Management 2000 policy requires mandatory drug screening on every employee who is treated for a work related injuries.  Employee must present Picture ID at time of treatment.  If for any reason a Drug Screening was not done at the time of treatment, the employee will be required to return to a Medical Facility and submit to a drug screening.