Coverage/Eligibility
Scenarios
Demand & Deficiencies
Timelines and Rules
Forthright
100

In NJ the coverage follows?

The person 

100

A case is $850 with no future treatment — what type of arbitration applies?

What is on-the-papers

100

This document starts a Forthright case?

What is demand for arbitration 

100

This is the number of days to correct a deficient demand?

What is 30 days

100

What is the system we log into for case management?

What is forthright

200

Where do we go to see if someone is eligible for coverage?

What is first party medical tab

200

A case is $850 with no future treatment — what type of arbitration applies?

What is a deficiency

200

Missing required information in a demand creates this issue?

What is a deficiency 

200

This is how long staff counsel has to submit a Statement of Response.

What is 45 days

200

Where do we go if we want to look at the date of service/opposing counsel/provider?

What is case details

300

What gets submitted to determine if coverage is afforded?

What is a CPW

300

A case is $2,000 with no future treatment — what type of arbitration applies?

What is in person hearing  

300

If a deficiency is not corrected, this happens to the case?

What is case dismissed

300

After the case is closed, the DRP has this many days to issue an award?

What is 15 days

300

What is the feature we can use to offer settlements?

What is SIQ

400

What is it called if two policies can pay for medical billing?

What is concurrency

400

You miss a required deadline — what is the likely outcome risk?

What is losing the case or dismissal?

400

This must be included in a demand or the case cannot proceed?

What are required details like claim info, dispute, and supporting documents

400

This is the deadline to file an appeal in Forthright?

What is 35 days

400

This arbitration type is decided only on documents?

What is on-the-papers

500

The policy is active, but the injured party was not listed on the policy at the time of the accident. The provider is still seeking PIP benefits?

What is a coverage issue

500

What is the biggest risk to a strong arbitration defense?

What is weak documentation 

500

Which of the following is NOT required in a valid demand for arbitration?

What is examiner info 

500

We have how many days to set reserves on a file?

What is 7 days

500

This arbitration type is decided only on documents?

What is under 1,000

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