Workers Compensation Update: Form HP-1 Revised

As part of the Workers' Compensation Board’s effort to improve service and increase efficiency in the unpaid medical bill(s) process, Form HP-1, Health Provider's Request for Decision on Unpaid Medical Bills(s), has been revised. Form HP-1 now directs that the form is sent to the following addresses as appropriate.

When requesting an Administrative Award, Form HP-1 should be sent to the Board’s Centralized Mailing Address:
New York State Workers' Compensation Board
PO Box 5205
Binghamton, NY 13902-5205
When requesting Arbitration, Form HP-1 and a check for the processing fee should be sent to:
New York State Workers' Compensation Board
Medical Director's Office/Finance
328 State Street
Schenectady, NY 12305
The revised Form HP-1 with the new addresses may be obtained at the Board's website here or by following the link "Forms" at the top of the home page.

Please contact the Board at 1-800-781-2362 with any questions regarding Form HP-1. Thank you for your cooperation.

Robert E. Beloten, Chair

 

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