The claim cannot be processed until the Administrative Hold is removed by the Trust. You may contact the Trust for more information about why your claim was placed on Administrative Hold.
Most common explanation include the following: the physician failed to specify the distribution of his/her findings or the findings on the most recently dated chest x-ray are unilateral.
No, you do not need to resubmit the claim form. Rather, please send only the additional information/documentation and include the injured party’s name and last four digits of their Social Security number.
After the Trust receives your response, it is processed in a First In First Out (FIFO) order, similar to when your claim was first received. Your response is then reviewed in the order it was received. The Trust is unable to say how long it will take to re-review a claim once...