Summary
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After the claim is filed, you will receive an acknowledgment of receipt. It is advisable to:
- Introduce yourself to the claims representative and ask if any additional information is needed.
- Keep following up.
- During the decision process:
- You may be asked to take a physical exam (known as a "Consultative Examination"), you can request that your own doctor do the exam.
- Answer any supplemental questionnaires in the manner most likely to get approval of your claim.
- The insurance company may send an investigator. If so, deal with investigators on your own terms.
If your claim is denied, appeal. If it is approved, know your responsibilities and the company's rights while you receive benefits.
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