This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HP-1?
A: Form HP-1 is a Request for Decision on Unpaid Medical Bill(s) in New York.
Q: What is the purpose of Form HP-1?
A: The purpose of Form HP-1 is to request a decision on unpaid medical bill(s) in New York.
Q: Who can use Form HP-1?
A: Any individual who has unpaid medical bill(s) in New York can use Form HP-1.
Q: How do I submit Form HP-1?
A: Form HP-1 can be submitted by mail or in person to the appropriate New York state agency.
Q: What information is required on Form HP-1?
A: Form HP-1 requires information about the unpaid medical bill(s), including the amount owed and supporting documentation.
Q: What happens after I submit Form HP-1?
A: After submitting Form HP-1, the appropriate New York state agency will review the request and make a decision on the unpaid medical bill(s).
Q: Is there a deadline for submitting Form HP-1?
A: Yes, there is a deadline for submitting Form HP-1. The deadline is typically stated on the unpaid medical bill(s) or specified by the New York state agency.
Q: Can I appeal the decision made on my unpaid medical bill(s)?
A: Yes, if you disagree with the decision made on your unpaid medical bill(s), you can appeal the decision by following the instructions provided by the New York state agency.
Form Details:
Download a fillable version of Form HP-1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.