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News and Resources

Downloads & Resources

Downloads

  1. Transmittal Form for No-Fault Filings
  2. Checklist of Documents Needed for Arbitration filings
  3. Assignment of Benefits
  4. Notification of Commencement of Medical Treatment (21 day Notice)
  5. Revised Attending Provider Treatment Plan (Effective February 9, 2016, the revised Attending Provider Treatment Plan form shall be used by all Providers to submit Decision Point Review and Pre-certification Requests.Providers should start using the new form immediately. The earlier form will not be accepted by insurers after April 15, 2016).
  6. Blank PIP Application
  7. Blank Affidavit of No Insurance

Internal Appeal Process

Resources