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Deficiency - 131 - Medical Report Unacceptable Diagnosis

Explanation: Medical Report Unacceptable Diagnosis

Instructions: The most recent physical examination report, pathology report, or autopsy report does not provide an acceptable diagnosis for the alleged injury. Please provide a medical report that documents the diagnosis of the injury alleged on the Claim Form. The report must be dated, signed by a qualified physician, and must include a diagnosis based on a physical examination. A pathology report (if the Injured Party is deceased) or autopsy report is acceptable if it provides the appropriate diagnosis. Please do not send duplicates of previously submitted reports.

Detail Text: The most recent physical examination or pathology report does not provide an acceptable diagnosis for the alleged injury. Please do not send duplicates of previously submitted reports. Please provide a medical report that documents the diagnosis of the injury alleged on the Claim Form. The report must be dated, signed by a physician and must include a diagnosis based on a physical examination by the physician making the diagnosis. A pathology report from a board-certified pathologist (if the claimant is deceased or for Disease Levels V-VIII) is acceptable if it provides the appropriate diagnosis.

Option: BOTH

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