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Finally, the letter offers the option of completing an attachment telling us you have no more information.

If that is the case, complete the form and return it immediately.

While the application you fill out does offer the opportunity to sign a release and we will request the records for you, we cannot compel providers to send us records nor can we pay for them.

Dealing with large organizations can be frustrating.

Some things that appear clear and certain to you may not be to others.

If you don’t and you have no more information, we will wait for 30 days before proceeding for no good reason. It will have attached to it the text of the actual rating decision explaining why we decided what we did.

Even if, during the course of working the claim you do get additional information you can always submit it when you get it. If you think our decision didn’t consider something, didn’t cover a topic, or is wrong, call your representative right away.

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