Register for Online Claim Submission

To register, complete the form below and submit. Once we have your information, we will contact you with further instructions.

Which of the following best describes your role:

Describe your intentions

User Account Details

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  • Select a security question


 


In order to verify your identity, please provide the following information on a claim you have filed with us:






AMM On-Line is an internet website that provides authorized users with access to protected health information. Users are restricted from accessing data that is not appropriate to their practice or specialty.

Misuse of AMM On-line information or services will result in restriction or termination of a users account and usage privileges.

I agree to these terms