If there is inconsistency or conflict within information gathered during development
conflict, attempt to resolve the inconsistency or conflict. For example, if an individual
states that he or she is following the prescribed treatment but his or her medical
source(s) contradicts the individual’s statements, attempt to resolve the discrepancy.
We may also rely on expert medical judgment. If appropriate, evaluate the claim using
the procedures for fraud or similar fault.
IMPORTANT: Do not purchase a consultative examination to obtain a prognosis or to resolve a
conflict about whether good cause exists.