Employment Law Questions? Ask an Employment Lawyer.
Write the claim manager and correct the error. Get everything you dispute into the record so they will hopefully follw up on it an you preserve your right to appeal that issue.
Do not rely on phone calls - you need to have it in their records via some paperwork in case you have to appeal. It doesn't matter that you know about it..you are the protected source under Hipaa.
Pointing out inconsistency between your doctor and theirs is important. You may want to get medical source opinions from one or more of your treating doctors. Not showing the evaluating doctor the complete file is a common tactic, you should mention this.
You can request their credentials (i.e. curriculum vitae). They dont have to make a new document for you, but whatever they have on file they must give you. They don't have to make a document detailing their knowledge of your condition - no.
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