Qualifying Diagnosis Dates

August 20, 2019

Upholds Special Master decision on claim involving an Alzheimer's Disease diagnosis dated before the date of an MAF examination and finds generally that a date of diagnosis could occur at some point before the date of the examination by the diagnosing physician, based on a diagnosing physician's sound clinical judgment and review of medical records and other information

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AAP/AAPC Consultation by Special Master

April 12, 2019

Order approving and adopting the Special Master's September 28, 2018 decision that AAP and/or AAPC consultation is not required when deciding appeals involving medical questions

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Removal of Stay on Payment for Seven Claims

January 9, 2019

Orders removal of a stay on payment for seven claims affected by appeals based on application of the "generally consistent" standard by Qualified MAF Physicians to Level 1.5 and 2 Neurocognitive Impairment diagnoses and directs those physicians to describe in their reports why, when they deviate from the BAP criteria to make such diagnoses, the evaluation and evidence is “generally consistent”

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Stay on Payment for Two Additional Claims

December 10, 2018

Orders a stay on payment for two additional claims affected by appeals to the Special Master's September 28, 2018 decision on AAP/AAPC consultation

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Stay on Payment for 17 Claims

November 16, 2018

Orders a stay on payment for 17 claims affected by appeals to the Special Master's September 28, 2018 decision on AAP/AAPC consultation

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53-Man Active Roster

February 28, 2018

Upholds Special Master decision that Retired NFL Football Players who were on a Member Club’s Active List (sometimes called the “53-man roster”) on the calendar day of a regular season or postseason game receive credit for that game towards an Eligible Season, even when the Player was placed on the inactive or injured reserve list before the start of the game

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