How do I submit an adverse claim determination for review under the voluntary review procedure?

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How do I submit an adverse claim determination for review under the voluntary review procedure?

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If you wish to pursue a voluntary review, you may write to the National Benefit Center (please refer to the contact list for the appropriate address). Your correspondence should include the initial Explanation of Benefits (EOB), the carriers responses to your appeal, the basis for requesting a determination and any pertinent documentation.

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