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ICA Posts New Form for Notice of Claim Status

Friday, July 25, 2025 | 0

The Industrial Commission of Arizona announced that carriers, third-party administrators and self-insured employers have 90 days to transition to using a new claim status notice form. The ICA said the "Notice of Claim Status — Form 104" must be completed for all status changes, including compensability decisions, notices of first payment, changes in work status, claim closures, petitions to reopen and corrections to prior notices. Payers can integrate the updated form into their claims systems, but the ICA noticed that it must authorize the final version. The ICA also said i...

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