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Best Practices in Administering Benefit Claims: Distinguishing an Inquiry from a Claim
Proskauer Link to more items from this source
Nov. 19, 2019

"Careful consideration should be given to whether a participant's (or beneficiary's) communication triggers the plan's claims process. ... [D]oes the plan require claims to be in writing, or are telephonic claims accepted? Has the participant or beneficiary submitted all required documentation with the claim? Should an inquiry, although not technically a claim, be processed through the plan's claims procedures? When is it appropriate to do so?"

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