Claim comment key words

If you believe there is additional information that should have been considered in the processing of a claim or predetermination, you may place one of the following “key words” along with the additional information in the comment field of the claim form. These “key words” will stop a claim for review of additional information.

• Accident
• Appeal
• Assessment Code
• Corrected
• Reconsider
• Reevaluate
• Reprocess
• Resubmission
• Review
• Seat