First, identify what was denied
An insurer’s letter may dispute the entire accident, a body part, a period of missed work, or a particular treatment. These are different situations. Before deciding how to respond, gather the complete notice and any Board decisions already issued. A phone conversation does not replace reviewing the document.
Organize the facts before debating conclusions
Prepare a timeline showing the accident date, the task you were performing, whom you notified, and when you obtained medical care. Keep messages, photographs, reports, and witness names. If a document contains an error, identify it precisely and preserve the original. Do not reconstruct facts you cannot remember.
The Board’s role
The Board can resolve disputes about whether an injury is work-related, the degree of disability, and benefits. Some issues are addressed without a hearing; others require one. The appropriate route depends on the dispute and the procedural posture.
Prepare for your consultation
Bring the denial, case number, hearing notices, available medical reports, and payment records. Write down what needs immediate attention. If documents are missing, identify who holds them. The Mendez Firm can review your circumstances and explain next steps; there is no single response that fits every denial.
Official source: NYS Workers’ Compensation Board · Issue Resolution
General New York information, not advice about your individual facts. Deadlines and options depend on the case. Do not wait until treatment ends to ask about important dates.
Workers’ compensation