116 – Unacceptable PTF Screener

137 – Unacceptable Physical Exam Doctor

138 – Medical Reports are from an Unacceptable Screening Facility

147 – Unacceptable X-ray, CAT Scan or B-reader

148 – Unacceptable Screening Company

116 – Unacceptable PFT Screener

The Pulmonary Function Test (PFT) submitted with the claim was performed by an unacceptable screening company. Currently, PFT reports from these screening companies are not acceptable. Please submit a qualifying Pulmonary Function Test (PFT) from an acceptable facility. Without additional information, this claim will not be capable of further review.

137 – Unacceptable Physical Exam Doctor

The physical exam/medical records review submitted with the claim was performed or relies upon a physical exam performed by an unacceptable physician. Currently, reports from these physicians are not acceptable. Please submit a physical exam/medical records review that diagnoses the alleged injury from an acceptable physician. Without additional information, this claim will not be capable of further review.

138 – Medical Reports are from an Unacceptable Screening Facility

The physical examination report, chest x-ray report, or pulmonary function test (PFT) submitted with the claim was/were performed at the request of an unacceptable screening facility. Currently, reports from or at the request of these screening companies are not acceptable. Please submit a report that diagnoses the alleged injury from an acceptable facility/physician. The complete report must be dated, signed by a qualified physician, and the diagnosis must be based on a physical examination, or if you can demonstrate by physician affidavit that the unacceptable screening company did not participate in the physical exam, did not take the chest x-ray, or did not administer the PFT test, we will re-review the claim. Without additional information, this claim will not be capable of further review.

147 – Unacceptable X-ray, CAT Scan or B-reader

The chest x-ray, CT scan, and or B-reader submitted with the claim was evaluated by an unacceptable physician. Currently, reports from these physicians are not acceptable. Please submit a chest x-ray, CT scan or B-Reader, for the alleged injury, from an acceptable physician. The report must provide an acceptable diagnosis for the alleged injury and demonstrate bilateral findings. Without additional information, this claim will not be capable of further review.

148 – Unacceptable Screening Company

The chest x-ray or CT scan submitted with the claim was performed by an unacceptable screening company. Currently, reports from these screening companies are not acceptable. Please submit a report based on a review of a chest x-ray or CT scan that was performed by an acceptable facility. The report must provide a diagnosis for the alleged injury and demonstrate bilateral findings. Without additional information, this claim will not be capable of further review.