Alameda Health System
Welcome to the Alameda Health System Claims Information Page!

Report a Claim

Phone: 800-715-4766(Preferred Method)
Fax: 925-521-8543
Mail: P.O. Box 696, Concord, CA 94522

Workers’ Compensation Forms

Workers’ Compensation Claim Form (DWC 1) & Notice of Potential Eligibility »
Employer’s Report of Occupational Injury or Illness (Form 5020) »
Notice to Employees (DWC 7) – MUST BE POSTED »
Time of Hire Pamphlet(English) »
Time of Hire Pamphlet(Spanish) »
Athens Claim Supply Request »

Athens California MPN – Physician Lookup

Phone: 877-854-3353

MPN Forms
Athens MPN Employee Written Notification – MUST BE POSTED »
Athens MPN Implementation Notice »
Athens MPN Acknowledgement Form »

Contact Us

PO Box 696
Concord, CA 94522

Claims Team

Liza Navat: JGPP, Fairmont, Ambulatory Care

Lisa Pardi: Highland