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.
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