TSO Matrix
Your customer has a soft tissue injury with no treatment - what is the high end for your general damages range?
$1,000
Name 3 ways you can attempt initial contact day 1.
Phone (work, cell, home), email, messaging, letter.
At what age is a person typically eligible to receive Medicare benefits?
65
What is our 30-day offer goal?
80%
Monetary value placed on the pain and suffering, loss of enjoyment of life, and disability endured by the injured party.
General Damages (will accepted time and inconvenience)
Your customer has a soft tissue injury and to date has only seen their primary care doctor, with no plans for future treatment - what is the high end of your general damages range?
$2,000
Name 3 claim tools or resources you can use to find contact information.
Prior losses, Agent, family member contact info, ISO, Accurint.
Are lost wages considered general or specials?
Specials
What is our 30-day closure goal?
68%
The quantifiable, out-of-pocket financial losses caused by an accident
Special Damages (medical bills, wages, etc.)
What is the maximum dollar amount you are able to set aside for future meds?
$3,000
When should you start looking into creative contact methods?
Day 1 - our attempts should be exhaustive.
In what category of your evaluation would you code what amount we are considering for punitive damages?
Additional Damages
Within 10 days of the PPO date
Within 10 days of the PPO date
Financial penalties awarded by a court to punish a defendant for extreme, intentional, or grossly negligent misconduct and to deter them and others from repeating similar actions called?
Punitive damages
Your customer has a soft tissue injury and plans to pursue PT - how many days from the date of loss can you offer future meds?
90 Days
What Acronym should you follow when running ISO for a party?
SNAPV (social, name, address, phone, vin)
What is the name of the codes we entered in the preliminary injury screen?
ICD-10
What was our branch's 30-day offer result in September?
76.7%
A legal claim that allows healthcare providers, health insurance companies, or government programs (like Medicare or Medicaid) to be repaid for treatment costs directly out of a person's future personal injury settlement or court judgment?
A medical lien
Your customer has a soft tissue injury and has been to the ER, their primary care doctor, and has a referral and plans for PT, and has missed $500 in wages - what is the high end of your generals range?
$3000
If you cannot reach the customer day one, what digital tool can you use to collect more information?
Emma
What information is required for medicare reporting compliance?
Gender, SSN, DOB, and MBI Dual (Medicare Beneficiary Identifier)
What was Georgia's back-end attorney rep rate in September?
52.1%
A verb that means to officially cancel, revoke, repeal, or make void a law, order, contract, policy, offer, or promise
Rescind