Medical Only Claims definition

Medical Only Claims. : shall mean any reported workers’ compensation accident or claim involving an injured worker who is or may be entitled to medical benefits but is not likely to lose time from work or submit a claim for indemnity benefits.
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Examples of Medical Only Claims in a sentence

  • The report shall provide the aggregate number of open claims, including indemnity with medical and Medical Only Claims, along with the amount of any compensation paid on open claims, as of the end of each June and December.

  • Medical Only Claims A medical only claim is when the only payments made are for medical expenses and they total over $1,000.

  • Medical Only Claims The process described above for lost time claims is also available for medical only claims.

  • Medical Only Claims: Any claim with no time lost from work or any claim in which the lost time is less than three days.

  • Of the total open claims in FY 2019, 347 are Indemnity Claims and 25 are Medical Only Claims.

  • The employee also receives the following benefits package explaining the possible benefits to expect with an accepted workers’ compensation claim.For Medical Only Claims: For Lost Time Claims: Payment of Benefits Payment of all medical expenses arising out of the injury will be made directly to the medical provider or hospital at the Virginia Fee Schedule or contracted Preferred Provider Organization (PPO) allowance (See Chapter Eleven on PPO).

  • Additionally, the spray booths are all controlled by panel filters, which are taken into account in these calculations.

  • North Dakota WSI Operating Report Performance Indicators for Average Active Claims and New Reports per Claim Adjuster (Indemnity and Medical Only Claims) FiscalYearAverageActiveStatistics in the Operating Report and conversations with WSI staff indicate that WSI staffing is adequate to manage the number of new claim reports received as well as the average active opencaseload per adjuster.

  • Lost Time Claims: $ 794 each Medical Only Claims (TPA Administered: $ 145 each Medical Plus Claims (City Administered): $ 30 each Record Only Claims (City Administered): $ 30 each Administration Fee: $ 8,295 annual Administration Fee will be due and payable at contract inception.

  • Of the total open claims in FY 2017, 366 are Indemnity Claims and 27 are Medical Only Claims.

Related to Medical Only Claims

  • Diagnosis of autism spectrum disorders means assessments, evaluations, or tests, including the autism diagnostic observation schedule, performed by a licensed physician or a licensed psychologist to diagnose whether an individual has 1 of the autism spectrum disorders.

  • Diagnosis of autism spectrum disorder means medically necessary assessments, evaluations, or tests

  • Medical Benefits means medical, optical, or dental benefits, including, but not limited to, hospital and physician services, prescription drugs, and related benefits.

  • Medical order means a lawful order of a practitioner which may include a

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Released PAGA Claims means the claims being released as described in Paragraph 6.2 below.

  • Medical history means information regarding any:

  • Medical personnel means those persons assigned, by a Party to the conflict, exclusively to the medical purposes enumerated under subparagraph (e) or to the administration of medical units or to the operation or administration of medical transports. Such assignments may be either permanent or temporary. The term includes:

  • Employee Claims means any claims (including all fines, judgments, penalties, costs, litigation and/or arbitration expenses, attorneys’ fees and expenses, and costs of settlement with respect to any such claim) made by or in respect of an employee or potential hire of Manager against Manager and/or Lessee which are based on a violation or alleged violation of the Employment Laws or alleged contractual obligations.

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Advanced emergency medical technician or “AEMT” means an individual who has successfully completed a course of study based on the United States Department of Transportation’s Advanced Emergency Medical Technician Instructional Guidelines (January 2009), has passed the psychomotor and cognitive examinations for the AEMT, and is currently certified by the department as an AEMT.

  • Medical use of marijuana means the acquisition, use, and possession of usable marijuana to treat or alleviate a qualifying patient's debilitating medical condition.

  • Complex or chronic medical condition means a physical,

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • Medical professional means a person licensed to practice

  • Medical means belonging to the study and practice of medicine for the prevention, alleviation or management of a physical or mental defect, illness, or condition.

  • Medical use means the intentional internal or external administration of radioactive material or the radiation from radioactive material to patients or human research subjects under the supervision of an authorized user.

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Clinical peer means a physician or other health care professional who holds a non-restricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.

  • medical food means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and is formulated to be consumed or administered enterally under the direction of a Practitioner.

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Medical control means a person who provides medical supervision to an emergency medical service provider.

  • Secondary emissions means emissions which occur as a result of the construction or operation of a major stationary source or major modification, but do not come from the major stationary source or major modification itself. For the purposes of this chapter, “secondary emissions” must be specific, well-defined, and quantifiable, and must impact the same general areas as the stationary source modification which causes the secondary emissions. “Secondary emissions” includes emissions from any offsite support facility which would not be constructed or increase its emissions except as a result of the construction or operation of the major stationary source or major modification. “Secondary emissions” does not include any emissions which come directly from a mobile source, such as emissions from the tailpipe of a motor vehicle, from a train, or from a vessel.