EasyFedWorkComp

Simplifying Federal Workers' Compensation

Claim Denial Analysis Tool

Understand why your claim was denied and learn how to address it

Select Your Denial Reason

Choose the reason that best matches the explanation in your denial letter. If your denial letter cites multiple reasons, you can go through this tool multiple times, once for each reason.

Insufficient Evidence of Causal Relationship Insufficient Factual Evidence Insufficient Evidence of Diagnosis Not in the Performance of Duty Untimely Filing Fact of Injury Not Established Condition Due to Pre-existing or Non-work Factors Insufficient Medical Evidence

General Tips for Overcoming Claim Denials

Read your denial letter carefully to understand exactly why your claim was denied
Focus on providing new and relevant evidence that directly addresses the reason for denial
Have your doctor specifically address the deficiencies noted in the denial letter
Consider getting a second medical opinion from a specialist if needed
Submit all appeal requests within their respective time limits identified

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