Return-to-work Roadmap
Crash Course in Coverage
Provider Puzzle
Injury Insight
Legal & Ethical Lane
100

This term describes a temporary job assignment that accommodates physical restrictions.

What is modified duty?

100

This type of coverage pays for injuries to others when the insured is at fault.

What is Bodily Injury Liability?

100

This provider must be selected from the employer’s Medical Provider Network.

What is the treating physician?

100

This repetitive motion injury is common among office workers.

What is carpal tunnel syndrome?

100

This federal law protects the privacy of injured workers’ medical information.

What is HIPAA?

200

This document outlines physical capabilities and restrictions after an injury.

What is a work status report?

200

This coverage pays for medical expenses of the insured and passengers, regardless of fault.

What is Personal Injury Protection (PIP)?

200

This type of provider evaluates permanent impairment.

What is a Qualified Medical Evaluator (QME)?

200

This injury often results from lifting heavy objects improperly.

What is a lumbar strain?

200

This document outlines all medical charges and treatment history for legal review.

What is a medical billing summary? 

300

This law prohibits discrimination against employees with disabilities.

What is the Americans with Disabilities Act (ADA)?

300

This insurance helps cover damage to the insured’s own vehicle in a collision. 

What is Collision Coverage?

300

This provider may be requested for a second opinion on surgery.

What is an Independent Medical Examiner (IME)?

300

This type of injury may require psychological evaluation.

What is post-traumatic stress disorder (PTSD)?

300

This agreement resolves outstanding medical bills after a settlement. 

What is a lien resolution? 

400

This plan helps transition an injured worker back to full duty.

What is a return-to-work plan?

400

This clause in a policy sets the maximum amount the insurer will pay per accident. 

What is the Aggregate Limit?

400

This document outlines the provider’s treatment plan.

What is a Request for Authorization (RFA)?

400

This document outlines the patient’s diagnosis, treatment plan, and progress notes.

What is a medical case summary? 

400

This legal term refers to the monetary compensation awarded to a claimant. 

What is damages?

500

This professional may assist in ergonomic evaluations for office-related injuries.

What is an occupational therapist?

500

This type of coverage protects against losses caused by uninsured or underinsured drivers.

What is Uninsured/Underinsured Motorist Coverage?

500

This provider specialty is often involved in pain management cases.

What is a physiatrist?

500

This condition may develop from prolonged exposure to loud noise.

What is occupational hearing loss?

500

This type of conflict may arise when an injured worker refuses recommended treatment.

What is non-compliance?