DI / DE 4367

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EDD Employment Development Department State of California Logo

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Disability Insurance (DI) Phone Numbers:
English:
1-800-480-3287
Spanish:
1-866-658-8846
TTY (Non-Voice):
1-800-563-2441
Website:
edd.ca.gov/disability
Mail Date:
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Claim ID:
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Notice of Benefit Suspension

Medical Provider Verification Required

We are currently reviewing your Disability Insurance (DI) claim for medical provider verification. Disability claims are not completed until all requirements are satisfied, including establishing medical eligibility through a physician/practitioner certificate signed by a duly licensed provider.1

This impacts your disability claim:

  • If you have not yet received any disability benefit payments on this claim, we can’t begin making payments until your medical provider is verified.
  • If you have been receiving disability benefits, we have temporarily suspended your benefits until your medical provider is verified.

By law, your claim may be suspended for up to 90 days as we verify your medical provider. If verification is not received from your medical provider, your disability claim will be disqualified. If this occurs, you will receive a Notice of Determination you can appeal. Otherwise, benefits will be paid upon successful verification.

What do I have to do?

We will contact your medical provider with instructions on how to complete the verification process.

You may contact your provider and alert them of communications from us regarding your disability claim.

What if I didn't file this disability claim?

If you received this notice but did not file a claim, you may report benefits fraud at ‎edd.ca.gov/about_edd/fraud You can also call the EDD Fraud Hotline at ‎‎ 1-800-229-6297.

Employment Development Department (EDD)
State of California
 
1Applicable laws referenced in this notice include: Unemployment Insurance (UI) Code sections 2627 and 2708, and California Code of Regulations (CCR), Title 22, sections 2706-1, 2706-3, and 2708(d)-1(a) through 2708(d)-1(c)

DE 4367 (12-21) (INTRANET)