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Medical Records

Medical records are not typically required as a part of a claim submission. However, we
reserve the right to request this information as it is often invaluable in providing key
information such as: diagnosis, accident details and the full nature of the treatment received by the claimant.

SLG will typically ask the TPA to request medical records (including hospital admission and discharge summaries) in the following situations:

1. Claims that may involve potentially pre-existing conditions.
    

2. Claims involving any accidents. This will help clarify if:

   1. Alcohol and/or illegal drugs were involved

   2. A crime or felony was committed

   3. A third party was at fault (possible subrogation)
       

3. Claims involving alcohol treatment. This will help clarify if treatment was also for drug abuse.
    

4. Claims involving mental and nervous conditions. This will help clarify if the treatment was also rendered for alcohol and/or drug abuse in addition to a mental and nervous condition such as depression. Also, it will help determine if there was a suicide attempt.
    

5. Claims involving experimental or investigational treatment.