Items Sent Checklist

At Pasquale V. Bochiechio, P.C., we specialize in helping medical professionals and individuals throughout New York State recover the healthcare costs they are rightfully owed after an insurance claim has been unjustly denied. To begin the process of challenging a denied no-fault insurance claim, it is essential to gather all relevant documentation. We have made this process simple by providing a comprehensive checklist to ensure we have everything we need to build a strong case on your behalf.

Required Documentation Checklist

Assignment of Benefits: This form authorizes us to act on your behalf and directly collect payments from the insurance company.
All Denied Bills for Treatment: A complete collection of every bill that was submitted to the insurance company and subsequently denied.
All Denials Received: Provide all denial letters or communications from the insurance carrier explaining the reason for non-payment.
All Your Medical Records: A full set of medical records related to the injuries from the motor vehicle accident, including all notes from your treating physicians.
All Related Medical Records from Other Providers: Records from any other healthcare providers you have seen for your injuries.
All IME Reports: Copies of any Independent Medical Examination (IME) reports that the insurance company used to justify the denial of your claim.
All Imaging and Diagnostic Reports: All X-rays, MRIs, CT scans, and other diagnostic reports, along with their corresponding findings.

In addition to the checklist, please complete our Arbitration Intake Form below.

Arbitration Intake Form

Step 1 of 3

This field is for validation purposes and should be left unchanged.
Address(Required)

Get Started Today

Contact Us Click-to-call 1-716-882-2727

Contact Us

×
Scroll to Top