![]() Note: If anyone other than yourself wishes to file a disputed claim on your behalf with OPM, such as medical providers, that representative must include a copy of your specific written consent with the review request. Note: If you want OPM to review more than one claim, you must clearly identify which documents apply to which claim. United States Office of Personnel Management,ฤก900 E Street, NW, Washington, DC 20415-3610. In such cases, the period for making the determination will be delayed from the date the notification is sent until the date on which you respond with the necessary information. If the information we need to make a decision on your claim is not included with your claim, we may request an extension including a request for the specific information. You may immediately appeal to OPM if we fail to respond in any way to your request for reconsideration 30 days after the receipt of a timely-filed request from you. See below for more information on your rights under the disputed claims process. Office of Personnel Management (OPM) of our reconsideration decision for your claim. Section 8 of your Plan brochure explains your rights to ask us to reconsider our claim decision and how to seek review by the U.S. Information on Claims Appeals to the Office of Personnel Management
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