DOCUMENTS NEEDED TO FILE A CLAIM
In order to successfully collect a claim in the arbitration forum, our office requires the following documents:
a)COVER SHEET INDICATING THE DATES OF SERVICE IN DISPUTE AND BALANCE IN DISPUTE;
b) ASSIGNMENT;
c) ALL NF-3 ‘S AND/OR BILLS IN DISPUTE
d) MEDICAL REPORTS
e) DENIAL INDICATING THE REASON FOR DENIAL.


Our office electronically files all claims to the American Arbitration Association and is in the process of filing all papers electronically with the responsible insurance carriers. This allows for quicker processing and response from both the American Arbitration Association and the responsible insurance carriers

--->Click here for a pdf version of the Cover sheet<---

OR

--->Click here for a MS Word version of the Cover sheet<---