What Records Should You Keep During a New York Workers’ Comp Claim?

A practical, room-by-room guide to the records worth keeping once your New York workers' comp claim is open: medical notes, wage and benefit records, a contact log, expenses, and how to check it all against eCase.

Why your own file matters once the claim is open

Once your claim is filed and moving, a quiet truth sets in: the people deciding your case are working from paper. The carrier acts on the reports it receives, the Workers’ Compensation Board acts on what lands in eCase, and your doctor acts on what is written in the chart. None of those records are kept for your convenience, and none of them are guaranteed to be complete or correct.

Your personal file is the one record you fully control. It is how you catch a missing work-status note before it costs you a week of benefits, how you answer a question months later without guessing, and how you spot a discrepancy while it is still easy to fix. Think of it less as paperwork and more as a running account of your own claim that nobody can edit but you.

You do not need anything elaborate. A labeled folder, a notebook, or a single phone folder of photos will do. What matters is that the records are dated, kept in one place, and added to as things happen rather than reconstructed later.

Medical and work-status records

Your medical record is the spine of the claim, so keep your own copy of it as it grows. After each visit, ask the office for the visit note and especially the work-status note, the page that states whether you are out of work, on restrictions, or cleared. Those notes drive whether your wage benefit continues, so a gap in them tends to show up as a gap in your payments.

Hold on to anything that documents the medical picture: prescriptions, imaging results, referral letters, and any prior-authorization activity. In New York, treatment requests and variances move through the Board’s OnBoard portal under the Medical Treatment Guidelines, so if your provider submits an MG-2 request, keep the confirmation. Later in a claim, if your doctor reports that you have reached maximum medical improvement, that report is filed on the C-4.3 permanent-impairment form; note that the CMS-1500 replaced the older C-4 billing forms in 2022, though the C-4.3 permanent-impairment report is still used, so a copy of it belongs in your file too.

For every appointment, jot the date, the provider, and one line on what changed. A short log like that is often faster to consult than a stack of clinical pages, and it makes patterns, such as a restriction that quietly loosened or tightened, easy to see.

Wage, benefit, and payment records

Keep a simple ledger of the money side of the claim. Each benefit payment deserves a line: the date it arrived, the amount, and the period it was supposed to cover. A running list like this is the fastest way to notice when a check is short or a week is skipped, because the gap is visible at a glance instead of buried in memory.

If you have returned to any work, even a few light-duty hours, record what you earned and when. Keep your pay stubs and a note of the hours and duties. You are not calculating anything here; you are simply making sure the earnings you report and the benefits you receive line up with a record you can point to.

Hang on to award notices, benefit-adjustment letters, and any direct-deposit or check stubs the carrier sends. These are the documents that say, in writing, what you are owed and why.

A contact log for every conversation

Claims are full of phone calls, voicemails, and quick messages, and almost none of them generate a record unless you make one. A contact log fixes that. For each conversation, note the date and time, who you spoke with, the company or office, and a sentence on what was said or promised.

This is the single most useful habit for avoiding the ‘he said, she said’ moments that stall claims. When the carrier’s adjuster says a check is on the way, or a scheduler says your appointment was moved, that note becomes your reference point. Save voicemails when you can, and keep copies of letters and emails in the same place so the whole conversation history lives together.

Out-of-pocket expenses and mileage

Some costs tied to your care may be reimbursable, but only if you can show them. Keep receipts for prescriptions, medical supplies, and any related out-of-pocket charges, and write down mileage for trips to authorized appointments, including the date, destination, and round-trip distance.

A loose envelope or a single photo album on your phone is enough. The point is that when reimbursement comes up, you are reaching for a record rather than trying to remember a drive you took four months ago.

Check your file against eCase

eCase is the Board’s electronic case file, and it shows the documents officially on record in your claim. Comparing your own folder against eCase every so often is how you catch problems early. Is the latest work-status note actually there? Did the report from last month’s visit get filed? Does the address on record still match where you live?

When something is missing or wrong, your dated personal records are what let you fix it quickly and specifically, instead of starting from scratch. A good rhythm is a short monthly review: open eCase, run down your own log, and note any mismatch while it is still fresh.

Kept this way, your file does quiet, steady work in the background. You are not building a case so much as keeping an honest, dated account of your own claim, which is exactly what makes the next appointment, payment, or question easier to handle.

A quick checklist of what to keep

  • Medical & work-status — visit notes, work-status notes, imaging, prescriptions, MG-2 confirmations, the C-4.3 if issued.
  • Wage & benefit — benefit payments (date, amount, period), pay stubs, award and adjustment letters.
  • Contact log — date, who, and what was said for every call, voicemail, and email.
  • Expenses — receipts for prescriptions and supplies, plus mileage to authorized appointments.

This is general educational information about recordkeeping during an open New York workers’ compensation claim, not legal or medical advice. For questions that affect your specific claim, check with the Workers’ Compensation Board or a qualified attorney.