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Q&A to Resolve Disputed Physician Issues


Can I still submit a claim if the medical reports are from a disputed physician:

  • Yes, you may submit the claim and request the claim to be placed on deferral; or
  • You may choose to have the claim reviewed with the disputed physician and await the review decisions.
    • In both cases, a medical report from a physician who is not disputed will need to be provided before the claim can be approved.

Can I wait to submit a claim pending a new medical report by an acceptable physician?

 

  • The facility encourages you to submit your claim using one of the options stated in the previous question. Please be mindful of the Statutes of Limitations as referenced in the Trust Distribution Procedures in section 5.1(a)(2).  

Policy on Doctors and Screening Companies