Question
Can Prudential discontinue benefits because my doctor hasn’t responded fast enough?
Can Prudential discontinue benefits for not receiving information from the treating physician in a timely manner? I’ve been receiving LTD for 4 years from Prudential. They review my claim 1-2 times per year. I always send all requested information immediately, and I haven’t really had a problem with them. I received a call from the claim manager last week informing me that, unbeknownst to me, they have been trying to get transcribed progress reports from my doctor for the past two months. I asked her to please copy me on any correspondence because my doc’s front office is very small and they get backed up with these types of requests. She then told me the doc has 5 days to get the info to them or they will deny my claim. They have the records, they just can’t read his handwriting. Can they discontinue benefits because my doctor hasn’t responded fast enough? And if so, how do I proceed?
Answer
RA Mom, Unfortunately, Prudential could deny the claim for lack of medical information to support ongoing disability. I would recommend you contact your doctor’s office to follow up with them about sending it, or in the alternative, secure a copy of the records yourself and forward them to Prudential.
