- Click on "Find Medical Care" and then the link "Find nearby medical care."
- Do a radius search, and under the Provider Types, select ‘‘First Treatment Providers.’’
- To narrow your search, choose "Occupational/Industrial Medicine." Your supervisor or human resources personnel will give you an myMatrixx Pharmacy First Fill document if you are given a prescription for your work-related injury.
For Employers
- Report the injury immediately to AIG by closing the “Steps for Reporting an Injury” information and using the “First Notice of Loss” instructions for the type of claim you need to report (Workers’ Compensation, USL&H, or Defense Based Act).
- Direct employee to the nearest occupational clinic and provide them with an myMatrixx Pharmacy First Fill document. For a list of providers, visit https://www.aig.com/intellirisk. Refer to the search instructions under the Injured Employee section.
First Notice of Loss Workers' Compensation Reporting
Productivity Edge
If you are enrolled in Productivity Edge (PDF) please report your claim through the Nurse Triage phone number.
Report a Claim
Available 24/7 every day of the year, this online system simplifies First Notice of Loss reporting and expedites claims communications by allowing you to submit your forms and manage your claim whenever and wherever it’s most convenient.
Reporting by Phone
AIG also accepts First Notice of Loss reporting by phone:
| Telephonic (WC Only) | (855)902-5730 |
| Telephonic (Cat Nurse) | (888)605-8228 |
| Fax | (833)460-2359 |
Reporting by Email
Reporting by GBGo
First Notice of Loss USL&H Reporting
Report a Claim by LS-202
Effective December 1, 2010, USL&H claims can no longer be reported by phone or online and must be reported using form LS-202 (Employers First Report of Injury). The completed form should be sent to the Department of Labor at the following address:
Office of Workers’ Compensation Programs
Division of Longshore and Harbor Workers’ Compensation
201 Varick Street, Room 740
P.O. Box 249
New York, NY 10014-0249
A copy of the completed form should also be sent to Gallagher Bassett by email or fax.
Fax (New Loss): (833)460-2359
Fax (Correspondence): (533)592-9035
First Notice of Loss WorldSource Reporting
Report a Claim by LS-202
Use our online form to report a WorldSource Workers’ Compensation claim. You can also visit the Department of Labor website for more information and answers to frequently asked questions.
Medical Tools
Find a Provider or Pharmacy
Search for and obtain listings of providers, facilities, or pharmacies that are members of networks that apply to claims administered by AIG Claims, Inc.
Medical Card
Create a Medical Card that an injured worker can take to their provider for information on how to access AIG medical approval, schedule services, or submit medical bills.
Injured Workers or Providers – please click here and select “Medical Card” in the upper right area of the screen. Enter the benefit state (all other info is optional) and click “Create Medical Card.”
State Specific Resources
Workers’ Compensation Claims Guide by State
Get state forms, medical network information, cost containment programs, pharmacy network information, and additional state source information.
For state required Notices, visit the Workers’ Compensation Posting Notice website.
Contact Us
The AIG – Gallagher Bassett partnership has several options for contacting us, depending on your specific needs.
For general claim needs – contact Gallagher Bassett Services, Inc. Offices.
| GB Core Branches | States Served |
| AIG East (GB Branch 267) 6712 Brooklawn Parkway, Suite 100 Syracuse, NY 13211-2167 |
AIG Central (GB Branch 268)
300 St. Peters Centre Boulevard, Suite 200
St. Peters, MO 63376-1694
Toll Free: (833) 465-2499
Local: (315) 234-2600
Fax: (315) 234-2604
Email: GB-AIG_Central_WC-Mail@gbtpa.com
For high severity Workers’ Compensation claims, or US Longshore & Harbor claims, contact AIG Claims Offices
AIG MCU (GB Branch 272)
6712 Brooklawn Parkway, Suite 100
Syracuse, NY 13211-2167
Toll Free: (833) 465-2501
Local: (315) 234-2601
Fax: (315) 234-2606
Email: GB-AIG_MCU-Mail@gbtpa.com
AIG Federal (GB Branch 273)
6712 Brooklawn Parkway, Suite 100
Syracuse, NY 13211-2167
Toll Free: (833) 465-2500
Local: (315) 234-2602
Fax: (315) 234-2607
Email: GB-AIG_Federal-Mail@gbtpa.com
For Claims Medical Mailing Addresses
| Benefit State(s) | Mailing Address |
|---|---|
| Medical Bills | |
| All States except California | Gallagher Bassett Services, Inc. P.O. Box 2831 Clinton, IA 52733-2831 |
| California | Gallagher Bassett Services, Inc. P.O. Box 2840 Clinton, IA 52733-2840 |
| Medical Records and Correspondence (no medical bills) | |
| All States (Core Branches) | Gallagher Bassett Services, Inc. P.O. Box 4210 Clinton, IA 52733-4210 |
| All States (MCU/Federal) | Gallagher Bassett Services, Inc. P.O. Box 4211 Clinton, IA 52733-4211 |
Related Content
- New York: Workers' Compensation Claims Guide
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