Audit Factors Used To Reverse
Undervaluation
THE INJURY CLAIM AUDIT Presents Evidence-Based Data in the correct language, format, and sequence to exchange the listed decision points, interface and input added valuation into an undervalued injury claim.
NOTE: A Threshold Neck injury is being overlooked up to 65% of the time. This injury cannot be seen by the human eye therefore requires special radiographic analysis to detect. We offer to analyze the images of the cervical flexion & extension x-rays to detect a hidden, overlooked Threshold Injury which adds tremendous valuation to the injury claim. This procedure is normally billed at $540 however is included in the audit at no additional cost. If interested, we’ll help you upload the x-ray images.
Go to:
www.overlookedinjury.com
This neck injury is overlooked 65% of the time and carries a very high settlement reserve.
The Revised Demand is designed to open the ‘WINDOWS’of the insurer's software so you do not lose the compensation for the decision points and payment associated with the injuries and 60 claim factors. The adjusters are required to input the decision points. Failure to do so is omission of data which is grounds for bad faith, and we rarely see them deliberately omit data rather, we see missing data which is one of the reasons for the audit.
Revised demand contains between 26 & 48 sections, each that will translate into added settlement valuation
Ten-page Independent Medical Validation report observes authorities to establish the preponderance, win the greater weight of the evidence challenges and reverse undervaluation of an injury claim.
Go to:
www.independent
medicalvalidation.com
Court Process wins the greater weight of the evidence challenges
The audit assesses the following 60 factors of the medical, administrative, legal and economic decision point factors of the injury claim to open the ‘WINDOWS’ of the insurers software so there is no loss of compensation for these decision points and payment associated with these factors.
- Medical, Administrative, Legal & Economic Decision Points
- Value Drivers of the Injury Claim
- CASE Maximizers
- Prolonged Modifiers
- Standard Multipliers
- Additional Increase Multipliers
- Injury Severity Points
- Liability Drivers
- Property Damage
- Income Loss
- Case Costs & Expenses
- Total of All Economic Losses
- Evidentiary Conclusion
- Mileage Drivers
- Medical Expenses
- Future Medical Expenses
- Undisputed Statements of Fact
- Memorandum of Points
- Evidentiary Burdens of Proof & Authorities
- Medical History
- Medical Office Records
- Diagnostic Procedures
- Hospital Records
- Records from Client
- Records from Other Sources
- Explanations for Delay in Seeking Care
- Explanations for Gaps in Treatment
- Functional Physical Examination Review
- Whole person Impairment Rating [25% value of claim]
- Symptoms (Documented)
- Laboratory Tests
- Special Tests
- Diagnostic Procedures
- Specialist’s Evaluation
- Clinical Evaluation
- Diagnoses (P.I. requires double Digits)
- Complaints – (intensity, frequency, type, radiation, further effects)
- Duties Under Duress [25% value of claim]
- Loss of Enjoyment [25% value of claim]
- Loss of Function Score
- Treatment utilization & necessity
- Medical Determination of Future Treatment
- Prognosis Overall
- Prognosis Each Body Area
- Referrals
- Prescriptions
- Future Treatment Plan
- Number of Future Visits (On stable injuries)
- Static VS Stable Injuries
- Future Treatment Duration and Timelines
- MMI For Each Body Part
- MMI Overall
- Evidence-based data to establish soft tissue injuries meet “Serious Injury Thresholds”
- Diagnostic Related Estimate (DRE) Categories
- Diagnosis Based Injury (DBI) Categories
- Spine Impairment Summary
- Specific Disorders of the Spine
- Abbreviated Injury Scale
- Independent 3rd Party Medical Validation Letter
- New Settlement Demand Valuation