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Understanding Claim Deficiencies

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Status - Review Deficient - The claim has been reviewed for the alleged injury(s) and is missing information necessary to comple

Explanation: Please provide the information required to cure the review deficiency(s) on the claim.

Instructions: A claim is Review Deficient when it is missing information that is required to confirm it either medically or for exposure based on the alleged injury(s). This may include information such as an unacceptable diagnosis on a submitted physical exam or no occupation listed on the exposure page of the claim form. To view the specific Review Deficiency code, simply login to Trust Online. Enter the desired claim number on the Claims page in the Claim # filter box. Click on the name in the Summary list, which will take you to the Claim Summary page for the chosen claim. From this screen you can view the specific Review Deficient code.

Detail Text: A claim is Review Deficient when it is missing information that is required to confirm it either medically or for exposure based on the alleged injury(s). This may include information such as an unacceptable diagnosis on a submitted physical exam or no occupation listed on the exposure page of the claim form. To view the specific Review Deficiency code, simply login to Trust Online. Enter the desired claim number on the Claims page in the Claim # filter box. Click on the name in the Summary list, which will take you to the Claim Summary page for the chosen claim. From this screen you can view the specific Review Deficient code.

Option: BOTH

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