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Understanding Claim Deficiencies and Responding to Letters

Letters are generated when a claim is missing required information. This page will allow you to search for:

Letter Text	Letter Explanation
Letter Instructions	Letter Examples

To Search, simply follow the instructions below:

Code	Type	Option	Text
000	Deficiency	BOTH	Failure To Choose Claim Process
001	Deficiency	BOTH	Death Certificate not Provided
002	Deficiency	BOTH	Certificate of Official Capacity
003	Deficiency	BOTH	Injured Party's Social Security Number not Provided
004	Deficiency	BOTH	Injured Party's Date of Birth not Provided
005	Deficiency	BOTH	Original Lawsuit State not Provided
006	Deficiency	BOTH	Original Lawsuit Date not Provided
007	Deficiency	BOTH	Date of Alleged Diagnosis and/or Alleged Injury not Provided
008	Deficiency	BOTH	Signature of Claimant and/or Personal Representative not Provided
009	Deficiency	BOTH	First and Last Dates of Exposure Not Provided
010	Deficiency	BOTH	Industry and Occupation not Provided
011	Deficiency	BOTH	Personal Representative's Name, SSN and/or Relationship not Provided
013	Deficiency	BOTH	Death Certificate is Inconsistent with Claim Form
014	Deficiency		Attachments not Provided
015	Deficiency		No Date of Death Provided
016	Deficiency	BOTH	Death Certificate for Wrong Party
017	Deficiency	BOTH	Death Certificate is Incomplete
018	Deficiency	BOTH	Alleged Injury is not Recognized by the Trust
019	Deficiency	BOTH	Litigation Page Failure to Elect Jurisdiction
023	Deficiency		Failure to Choose Description for Significant Occupational Exposure (Disease levels III, IV, V & VII
103	Deficiency	BOTH	No Causation or Causation From an Unacceptable Physician
104	Deficiency	BOTH	Latency Period does not Qualify
105	Deficiency	BOTH	No Proof of Alleged Asbestos-Related Injury.
110	Deficiency	BOTH	PFT Report not Provided
112	Deficiency	BOTH	Supporting Medical Report
113	Deficiency	BOTH	PFT Disputes or Conflicts with Earlier Report
114	Deficiency	BOTH	Most Recent PFT Scores do not Qualify
115	Deficiency	BOTH	Failure to Update the Description for Significant Occupational Exposure (Disease levels III, IV, V &
116	Deficiency	BOTH	PFT is from an Unacceptable Facility
117	Deficiency	BOTH	PFT does not meet ATS Standards
118	Deficiency	BOTH	Full PFT Report is Required
119	Deficiency	BOTH	Medical Report Language is Unacceptable
120	Deficiency	BOTH	Medical Report not by a Qualified Physician
121	Deficiency	BOTH	Chest x-ray Report does not Identify the Physician
128	Deficiency	BOTH	No Medical Documents Provided
129	Deficiency	BOTH	Medical Report does not Qualify as a Physical Exam
130	Deficiency	BOTH	Medical Report not Provided
131	Deficiency	BOTH	Medical Report Unacceptable Diagnosis
132	Deficiency	BOTH	Medical Report Disputes and/or Conflicts with Earlier Reports
133	Deficiency	BOTH	Medical Report for Wrong Party
134	Deficiency	BOTH	Medical Report is Incomplete
135	Deficiency	BOTH	Pathologist not Board-Certified
136	Deficiency	BOTH	Medical Report is Unacceptable, Final Request
137	Deficiency	BOTH	Medical Report is from an Unacceptable Physician
138	Deficiency	BOTH	Medical Report is from an Unacceptable facility
139	Deficiency	BOTH	Chest X-ray was not read by a Qualified Physician
140	Deficiency	BOTH	Chest X-ray Report Not Provided
141	Deficiency	BOTH	Chest X-Ray Report Unacceptable Diagnosis
142	Deficiency	BOTH	Chest X-Ray Report Disputes or Conflicts with Earlier Reports
143	Deficiency	BOTH	Chest X-Ray Report is for the Wrong Party
144	Deficiency	BOTH	Chest X-Ray Report is Incomplete
145	Deficiency	BOTH	Chest X-Ray Report Findings are not Bilateral
146	Deficiency	BOTH	Chest X-Ray Report is Unacceptable, Final Request
147	Deficiency	BOTH	Chest X-Ray Report is from an Unacceptable Physician
148	Deficiency	BOTH	Chest X-Ray Report is from an Unacceptable Facility
149	Deficiency	BOTH	ILO Reading does not Qualify
150	Deficiency	BOTH	Pathology Report not Provided
151	Deficiency	BOTH	Pathology Report for Wrong Injury
152	Deficiency	BOTH	Pathology Report is not for a Primary Site
153	Deficiency	BOTH	Pathology Report is Incomplete
154	Deficiency	BOTH	Pathology Report has an Unacceptable Diagnosis
155	Deficiency	BOTH	Causation statement is not based on a Physical Exam
156	Deficiency	BOTH	Failure to Choose Description for Significant Occupational Exposure (Disease levels III, IV, V & VII
160	Deficiency		PFT for Wrong Party
161	Deficiency		PFT is Incomplete
162	Deficiency		Underlying Link to Asbestos Disease is not Provided
163	Deficiency		Pathology Report for Wrong Party
167	Deficiency	ER	Secondary Exposure/Foreign Claim Process
168	Deficiency	IR	Smoking History does not Match Medicals
169	Deficiency	BOTH	Check Box for Previously Submitted Physical Examinations
170	Deficiency	BOTH	Chest X-ray Diagnosis Unacceptable for Asbestosis
171	Deficiency	BOTH	The Physical Exam Diagnosis Disputes Chest X-Ray Findings
172	Deficiency	BOTH	For Deceased Claimants/Chest X-Ray was not Read by a Qualified Physician
173	Deficiency	BOTH	Causation Statement Provided
174	Deficiency	BOTH	Causation Statement is Incomplete
175	Deficiency	BOTH	Causation Statement is From an Unacceptable Physician
201	Deficiency	BOTH	Exposure Information does not Match Claim Form
202	Deficiency	BOTH	Name of Ship/Plant/Site not Provided.
203	Deficiency	BOTH	Industry not Provided
204	Deficiency	BOTH	Company Exposure Insufficient
209	Deficiency	BOTH	Need Information for Occupationally Exposed Person
212	Deficiency	BOTH	Description for Significant Occupational Exposure does not meet Criteria (Disease levels III,IV, V &
213	Deficiency	BOTH	Failure to Provide Description of Cumulative Exposure
218	Deficiency	BOTH	Exposure to Occupationally Exposed Person is Inadequate
222	Deficiency	BOTH	Occupation of Injured Party not Provided
224	Deficiency	BOTH	Exposure Dates not Provided
225	Deficiency	BOTH	Separate the Years of Exposure at Each Site
227	Deficiency	BOTH	Verified Company Exposure
228	Deficiency	BOTH	Significant or Cumulative Occupational Exposure is Insufficient
229	Deficiency	BOTH	Exposure is all Post 1982
230	Deficiency	BOTH	Pre-1983 Exposure is Insufficient
231	Deficiency	BOTH	Pre-1983 Significant Occupational Exposure is Insufficient
232	Deficiency	BOTH	Exposure Dates Outside Recognized Range
233	Deficiency	IR	Occupationally Exposed Person's Name and/or Social Security Number
250	Deficiency	BOTH	No Verified Company Exposure Provided
251	Deficiency	BOTH	Verified Company Exposure is Insufficient
270	Deficiency	BOTH	Maritime No Vessel Service History Provided
271	Deficiency	BOTH	Maritime Exposure Insufficient
273	Deficiency		Intermittent or On and Off Exposure
284	Deficiency	BOTH	Proof of Company Exposure for Claimant/Affidavit from a Family Member is Insufficient
285	Deficiency	BOTH	The Site(s) of Exposure Listed on Claim Form/Does not Match the Approved Company Site
289	Deficiency	BOTH	Affidavit not Notarized or Does not Otherwise Meet the State Requirements
C-501	Deficiency	BOTH	Possible Secondary Exposure Claim
C-502	Deficiency	BOTH	Possible Foreign Claim
C-504	Deficiency	BOTH	No Celotex Review of Claim
C-510	Deficiency	BOTH	B&W Exposure
C-511	Deficiency	BOTH	SOE Exposure
C-512	Deficiency	BOTH	Cumulative Exposure
C-520	Deficiency	BOTH	Diagnosis Language
C-530	Deficiency	BOTH	Medical Report and/or Pathology Report/None
Intake Deficient	Status	BOTH	The claim is missing basic information that is required prior to being sent for review.
Offer Issued	Status	BOTH	A settlement offer has been issued.
Paid	Status	BOTH	The claim settlement check is issued.
R01	Deficiency	BOTH	Certificate of Official Capacity
R02	Deficiency	BOTH	Personal Representative's Name Not Provided
R03	Deficiency	BOTH	New Personal Representative Information Needed
R04	Deficiency	BOTH	No Witness Signatures
R05	Deficiency	BOTH	No Death Certificate
R06	Deficiency	BOTH	No Notary Stamp/Embossed
R07	Deficiency	BOTH	Incomplete Release Received
R10	Deficiency	BOTH	Trial Date Passed
R11	Deficiency	BOTH	No Power of Attorney
R14	Deficiency	BOTH	Incorrect Release Uploaded
Ready to Re-Review	Status	BOTH	The claim is awaiting medical and exposure re-review of the alleged injury(s).
Ready to Review	Status	BOTH	The claim is awaiting medical and exposure review of the alleged injury(s).
Release Received	Status	BOTH	The release was returned and received by the Trust.
Review	Status	BOTH	The claim is in the review process.
Review Deficient	Status	BOTH	The claim has been reviewed for the alleged injury(s) and is missing information necessary to comple
Withdrawn	Status	BOTH	The claim is withdrawn.