Deficiency - 138 - Medical Report is from an Unacceptable facility
Explanation: Medical Report is from an Unacceptable facility
Instructions: The physical examination report provided with the claim was performed at an unacceptable facility. Currently reports from these facilities are not acceptable. Please submit a report from an acceptable facility or physician with an acceptable diagnosis. Please refer to the Trust's website for more information.
Detail Text: The physical examination report submitted with the claim was performed by an unacceptable facility. Currently, physical exams from these facilities are not acceptable. Please submit a physical exam that diagnoses the alleged injury from an acceptable facility . The complete report must be dated, signed by a qualified physician, and the diagnosis must be based upon a physical examination, or if you can demonstrate by physician affidavit that the unacceptable facility did not participate in the physical exam the Trust will re-review the claim. Without additional information, this claim will not be capable of further review.
