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We ask that you be prompt in supplying the requested information. Failure to provide all the information within a year will result in an automatic disapproval.
Sincerely,
Chief, Medical Administration Service
Legislation requires that we notify you if your claim cannot be processed if entitlement to the services rendered has not been established. Without the information requested above, we cannot consider your request
for payment as a proper invoice.
If you wish us to process this claim, please resubmit the entire claim with the items listed to the above address. We will notify you of our decision.
The U.S. Department of Veterans Affairs assumes no financial responsibility for any costs incurred in obtaining the above information.
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