handshakePersonal Injury Protection

In order for your automobile insurance company to pay medical benefits from your Personal Injury Protection or PIP policy, you need to fill out the PIP Application. You should have received an application from your insurance company in the mail.

If you have been notified by our office your automobile insurance company still needs you to complete the PIP application and you do not have one, you need to contact your insurance company directly.

There is no generic PIP application that will work for all insurance companies. Below are links to PIP applications for those specific insurance companies. You will need to print out the application and mail it to the appropriate insurance company in order to become eligible for the PIP policy to pay your medical bills.

Prudential Financial (PDF)

Premier Insurance Company of Massachusetts (PDF)


Talk to us!

If you would like additional information about our services and experience, please contact Joseph Talty at (978) 454-8892 X203, or e-mail joetalty@hcpbilling.com. We look forward to hearing from you.