Gary Zuch, left, Medical Cost Reimbursement Program senior claims paralegal team leader, and Patricia Ramirez, MCRP paralegal specialist, discuss medical reimbursement cases in their office at Langley Air Force Base, Va., July 24, 2013. The MCRP team is responsible for managing all cases that occur in Virginia, West Virginia, North Carolina, South Carolina and Tennessee. (U.S. Air Force photo by Airman Areca T. Wilson/Released)