Once you have been notified of deficiencies issued for claims in Reviewed Deficient status, you may attempt to resolve them in any of the following ways:
  1. amending the information provided on the claim form
  2. uploading additional supporting documentation
  3. providing a written response
  4. a combination of 1-3.
The primary course for resolving deficiencies is through the Deficiency Response feature. To open this feature, select the appropriate option from the Claims Actions dropdown in the header of the deficient claim:




Please note:

Editing information provided on the claim form without submitting a deficiency response will not prompt a re-review of the claim.

Re-submission of documents that have already been provided will not prompt re-review of the claim. These documents will automatically be marked as duplicates and will not receive further review. If previously submitted documents require further review, please request this by submitting a written response through the Deficiency Response Feature.

Please see the attached document for detailed instructions for how to submit a Deficiency Response.