24
JAN
2023

How do I respond to a claim deficiency?

You may send your reply to the Trust’s mailing address.  Please remember to retain a copy of any and all documents you submit to the Trust.
24
JAN
2023

How long does it take to review my response to a deficiency after it is received by the Trust?

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...
24
JAN
2023

When I am supplementing claim information or responding to a deficiency, do I need to resubmit the claim form?

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.
24
JAN
2023

Why is the chest x-ray I previously submitted unacceptable?

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.
24
JAN
2023

What happens to a claim that has an Administrative Hold?

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.