007-1 Wyo. Code R. §§ 1-3 - Initial Reporting Requirement

(a) Prompt reporting is essential to determine whether medical expenses are reasonable and are a direct consequence of state active duty.

(b) The occurrence of any medical condition giving rise to a claim under W.S. 19-9-403(a) shall be reported within the time period below in writing to the Wyoming Military Department Human Resources Office, on a reporting form approved by that office, and contain all information required by the form. The officer or enlisted man (also collectively referred to as "member") shall file a completed reporting form before the completion of the period of state active duty giving rise to the claim or within forty-eight (48) hours after the time that a reasonable person would have recognized that he or she had suffered a medical condition potentially covered under W.S 19-9-403(a), whichever time period is shorter. Failure to comply with this requirement shall constitute a basis for denying the claim.

(c) At a minimum, the reporting form approved by the Military Department Human Resources Office shall include the following, with all information certified to be true by the member:

(i) Name, unit, home address, and dates of state active duty;

(ii) A complete and detailed description of the alleged medical condition and any factors believed to have caused the condition;

(iii) Any health care providers seen by the member for the condition;

(iv) Any witnesses that may have knowledge related to the medical condition;

(v) Any previous treatment by the member for the same or similar condition in the past;

(vi) A release and authorization allowing the Wyoming Military Department Human Resources Office to obtain treatment or medical reports related to the member;

(vii) A list and description of any health insurance coverage that the member may have; and

(viii) Such other information as the Wyoming Military Department Human Resources Office may require to assist it in determining the claim.

Notes

007-1 Wyo. Code R. §§ 1-3

Amended, Eff. 3/21/2018.