Payment Codes
Payment to claimant's counsel for ongoing TTD/TPD
What is Claimant legal - Temporary Total Disability?
This is the best practice for initial contacts.
What is 2 attempts within 1 business day upon claim assignment, then contact letter within 2 business days if unable to reach claimant and/or employer and within 1 business day upon claim assignment for provider contact? (Follow up daily until contacts are made.)
This screen must be updated and have no errors prior to closure.
What is RTW Screen?
When received, you have 2 business days to handle (respond, pay, or document.) and 5 days to update the plan of action.
What is a petition, decision or other legal mail?
An LIBC 751 cannot be filed under this circumstance.
What is when a TNCP (or no documents) have been filed?
(Also, 1) when the employee has not actually returned to work and 2) before you've accepted the claim, and 3) after 7 days of the return to work.)
New Jersey PPD attorney settlement (not full and final)
What is Claimant legal - Perm (then either unscheduled or scheduled.)?
This note type is for an item you must request and receive from defense within 30 days of assignment and then quarterly.
What is a legal budget?
Note: This request is in our defense counsel referral letter. You can note that it was requested when you send this letter and follow up within 30 days.
These screens should be reviewed for accuracy at every plan of action update or when the claim changes.
What are:
MMI/body part screen, RTW screen, Medical Diagnosis, and Safety/NCCI screen. If there is litigation, litigation and settlement screens.
A note under the payment category is required when doing this.
What is sending a legal bill to be paid to the claim's assistants?
This note should not only include if a claim is reportable due to the financial threshold, but any other reportable criteria.
What is Excess Carrier?
Pennsylvania settlement: Attorney portion
What is Claimant legal - Temporary total
When a claimant is represented by counsel, you must do this to complete the injured worker contact.
Request permission to take the claimant's statement from claimant's counsel.
When closing a claim, what is required to be completed and added to the claim notes?
What is the Closure Template?
Bonus - where can you find the closure template?
Any correspondence (including letters, emails, phone calls) with Defense counsel would be included under this note type.
What is Litigation - Defense Strategy?
This is also required every time you update a plan of action. (2 answers)
What is separate reserve note?
What is respond to the most recent supervisor review stating why or why not you are doing what is recommended?
Pennsylvania settlement - Claimant attorney's litigation expenses
Claimant legal - Temporary Total Disability
Prior contact made by MO adjuster
What is an invalid contact?
Use the new claim checklist
What is the best way to ensure that all required data integrities and screens are completed when receiving a new claim?
Also - when closing a claim, find the settlement checklist, the closure checklist and all kinds of useful information!
$0.00
What is the amount you have authority of to resolve a penalty petition that will be paid by CorVel?
Bonus: How do you get authority?
Your supervisor's cell phone and CorVel's help desk numbers
What are 2 numbers you should have saved in your personal cell phone. (If you get locked out of your system altogether (windows) please contact Brenda to put in a ticket.)
New Jersey settlement - Claimant attorney's litigation expenses
What is Claimant Legal - PPD - (match the type of PPD it is.)?
The template for insured/employer contact.
What is a template we should NOT be copying and pasting into an email and sending to an employer to request they complete and return?
You should update these items when you now of a settlement/settlement hearing date. (6 answers)
1) Add an end date to the compensation to ensure no overpayments are made. (Yes, you can put a future date when ending compensation.)
2) Add a task to obtain the decision and make the payments timely.
3) Notify the pharmacy department by email or terminate the pharmacy card.
4) Ensure reserves are set and adequate.
5) Ensure the settlement screen is updated.
6) Request any prefunding required.
This category is used to document a legal action plan.
What is litigation?