Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Blue Star Claims Management, LLC before sending sensitive documents. FaxFlow is not affiliated with this organization.

Insurancehigh confidence

Blue Star Claims Management, LLC fax number

(480) 579-2476

Occupational Accident Program for Independent Contractors

Used for: Submit new occupational accident claim forms and related documents via fax for processing; for billing, submit invoices/bills also for processing.

Fax destination details

Department
Occupational Accident Program for Independent Contractors
Purpose
Submit new occupational accident claim forms and related documents via fax for processing; for billing, submit invoices/bills also for processing.
Form
HCFA/UB04 (UB-04 CMS-1450) — UB-04 Uniform Bill (CMS-1450)
Address
21001 N. Tatum Blvd., Suite 1630-646, Phoenix, AZ 85050
Voice phone
(480) 579-2501

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Submit HCFA/UB04 with treatment notes; include patient name and/or DOB and claim number to avoid delays. Fax the completed form to 480-579-2476.

Review official form instructions

Sources and verification

FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.

No public source link was saved with this record. Confirm the number directly with the organization before using it.