How will Additional Claim Information be Requested?
The claims analyst sends a letter requesting the necessary information for a specific claim. The letter is usually sent to the employee for a response, although occasionally the doctor or provider will be asked for additional information. Two attempts will be made to obtain the requested information. If a response is not received within a 30-day period, a third and final letter will be sent indicating no further action will be taken until the requested information is received.
Related Questions
- Completion of the PIF: May we add additional information such as program brochures which contain information requested in the PIF?
- I have an accepted Section 5 RECA claim, and an accepted Part B claim for an additional $50,000. Am I eligible under Part E?
- Where do I send the requested information if additional information is needed to complete the processing of my request?