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State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review150 Maple wood Avenue Lewis burg, WV 24901 Joe Man chin III Governor Martha Yeager Walker

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What is your hearing request was?

My hearing request was regarding an appeal for a denied claim.

Who is required to file your hearing request was?

The claimant or their authorized representative is required to file the hearing request.

How to fill out your hearing request was?

To fill out the hearing request, the claimant or representative must provide information about the denied claim, reasons for appeal, and any supporting documents.

What is the purpose of your hearing request was?

The purpose of the hearing request is to have a formal review of the denied claim and present additional evidence or arguments to support the appeal.

What information must be reported on your hearing request was?

The hearing request must include the claimant's personal information, claim number, reasons for appeal, and any supporting documentation.

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