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Deficiency - 132 - Medical Report Disputes and/or Conflicts with Earlier Reports

Explanation: Medical Report Disputes and/or Conflicts with Earlier Reports

Instructions: The most recent physical examination report, pathology report, or autopsy report provided disputes an earlier report(s) and does not provide an acceptable diagnosis for the alleged injury. Please provide a more recent medical report that documents the diagnosis of the injury alleged on the Claim Form. The report must be dated and signed by a qualified physician, and must include a diagnosis based on a physical examination. A pathology report (if the Injured Party is deceased) or autopsy report is acceptable if it provides the appropriate diagnosis. Please do not send duplicates of previously submitted reports.

Detail Text: The most recent physical examination report provided disputes an earlier report(s) and does not provide an acceptable diagnosis for the alleged injury. Please provide a more recent medical report that documents the diagnosis of the injury alleged on the Claim Form. Please do not send duplicates of previously submitted reports. The report must be dated, signed by a physician and must include a diagnosis based on a physical examination by the physician making the diagnosis. A pathology report from a board-certified pathologist (if the claimant is deceased or for Disease Levels V-VIII) is acceptable if it provides the appropriate diagnosis.

Option: BOTH

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