Injury Terms and Such Medicare Let's Get This Claim Settled
100
What is a PCP?
This is a specialist in Family Medicine or Internal Medicine and usually the first person a claimant will call after being injured in an accident.
100
What is Medicare?
This is a Federal Health Insurance Program for people 65 and older, certain younger people with disabilities. It also has the absolute right of recovery, A.K.A. Super lien.
100
What are General Damages?
This is compensation for your pain/discomfort from an accident. A.K.A. "Gray$$."
200
What is Subjective?
What the patient says or what is perceived by the patient only and cannot be seen by the DR.
200
What are Legal Name, DOB, SSN, Gender, Medicare status?
These are the 5 elements required for Medicare reporting.
200
What is a Recorded Release?
This type of release is recorded and can be used in settlements under $1500, but not for Interpreter calls and not for Medicare recipients.
300
What is Self Care?
This type of care is completed by the injured person. It can include taking over the counter medication, hot/cold packs, and rest.
300
What is the SSN?
This is what never gets documented in the notes, only gets documented into the Parties involved screen.
300
What are Special Damages?
These are the out of pockets from medical bills, lost wages or prescriptions from an auto accident, A.K.A. "Specific $$."
400
What is Objective?
This is visible, measurable findings obtained by a medical examination, tests or diagnostic imaging. It could also be a mom taking a child's temperature.
400
What is the BI exposure?
This is where Medicare lives in ClaimCenter.
400
What is a General Release?
This release is sent from Corrgen when all medical bills, liens, wage loss and any other out of pocket expenses are accounted for and best sent via DocuSign. You should also send this even if the claimant refuses the settlement offer.
500
What is Emergency Medical Services?
This refers to the treatment and transport of people in emergency situations. This could include
ambulance or life flight services. If it's life flight, get your sup and up the BI reserves!
500
What is the Safe Harbor letter?
This is what you send to the claimant when they refuse to provide you with their SSN or any of the Big 5 for Medicare.
500
What is a Scheduled Release?
This can be used for treat and release injuries where you do not have all the bill amounts yet, but you know we owe for the bills that have been incurred or in the future.






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