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This page is currently under construction. Check back for updates!The Medical Providers screen allows for the viewing and recording of medical providers, medical visits, medical bills and medical payments in the case. This page also provides the opportunity to generate and track medical record requests.

 

Structure of This Page

Medical Providers Table

The medical providers table lists…. The information included in this table includes:

...

  1. Name of plaintiff associated with this medical provider

  2. Name of medical provider/facility

  3. Name of individual medical provider

  4. First date of service associated with this medical provider

  5. Last date of service associated with this medical provider

  6. Indication that treatment with this medical provider has ended

  7. Total amount of medical bills for this medical provider

  8. Total amount of medical payments recorded for this medical provider

  9. Total amount of medical adjustments recorded for this medical provider

  10. Balance of medical bills for this medical provider

  11. Indication that medical bills for this provider have been finalized

  12. Comments associated with this medical provider

Adding a Medical Provider

By clicking the Add Medical Provider button, the following information can be indicated:

...

  1. Name of plaintiff associated with this medical provider

  2. Name of medical provider/facility

  3. First date of service associated with this medical provider

  4. Name of individual medical provider

  5. Last date of service associated with this medical provider

  6. Indication that treatment with this medical provider has ended

  7. Indication that treating medical provider will testify in this case

  8. Medical provider’s chart or medical record file number

  9. Indication that treating medical provider will serve as an expert in this case

  10. Total number of treatment visits for this medical provider

  11. Date client was referred to this medical provider

  12. Indication that client was referred to this medical provider

  13. General status of medical records for this medical provider

  14. Indication that medical bills for this provider have been finalized

  15. Indication that medical bills for this provider should not be paid at settlement of this case

  16. Indication of Letter of Protection associated with this medical provider

  17. Date of last record update

  18. Comments associated with this medical provider

Medical Visits Sub-Table

The medical visits sub-table lists…. The information included in this table includes:

...

  1. First date of service associated with this medical visit

  2. Last date of service associated with this medical visit

  3. Type of medical visit

  4. Medical complaints associated with this medical visit

  5. Medical diagnosis associated with this medical visit

  6. Medical treatment plan associated with this medical visit

  7. Comments associated with this medical visit

  8. Additional description of this medical visit

Adding a Medical Visit

By clicking the Add Visit button, the following information can be indicated:

...

  1. First date of service associated with this medical visit

  2. Last date of service associated with this medical visit

  3. Type of medical visit

  4. Result of this medical visit

  5. Medical complaints associated with this medical visit

  6. Medical diagnosis associated with this medical visit

  7. Medical treatment plan associated with this medical visit

  8. Comments associated with this medical visit

  9. Attorney’s notes associated with this medical visit

  10. Additional description of this medical visit

Medical Bills Sub-Table

The medical bill sub-table lists…. The information included in this table includes:

...

  1. Visit/Comments: Lists visit information associated with this medical bill

  2. Medical bill number

  3. Billing account number

  4. Amount of bill

  5. Negotiated amount of bill

  6. Date bill was submitted

  7. First date of service associated with this medical bill

  8. Last date of service associated with this medical bill

  9. Balance of this medical bill

Adding a Medical Bill

By clicking the Add New Bill button, the following information can be indicated:

...

  1. Selection of medical visit associated with this medical bill

  2. Medical bill number

  3. Billing account number

  4. Amount of bill

  5. Negotiated amount of bill

  6. First date of service associated with this medical bill

  7. Last date of service associated with this medical bill

  8. Date bill was submitted

  9. Comments associated with this medical bill

Payment/Adjustment Sub-Table

The payment/adjustment sub-table lists…. The information included in this table includes:

...

  1. Information regarding the medical bill associated with this medical payment/adjustment

  2. Date claim was submitted

  3. Date payment/adjustment was made

  4. Payee

  5. Collateral source of medical payment/adjustment

  6. Amount of payment/adjustment

  7. Indication of adjustment

  8. Comments associated with this medical payment/adjustment

Adding a Medical Payment/Adjustment

By clicking the Add Payment/Adjustment button, the following information can be indicated:

...

  1. Selection of medical bill associated with this medical payment/adjustment

  2. Collateral source of medical payment/adjustment

  3. Date claim was submitted

  4. Date payment/adjustment was made

  5. Payee

  6. Amount of payment/adjustment

  7. Indication of adjustment

  8. Comments associated with this medical payment/adjustment

Medical Requests Table

The medical requests table lists…. The information included in this table includes:

...

  1. Name of plaintiff associated with this medical record request

  2. Name of medical provider associated with this medical record request

  3. Date of medical record request

  4. Staff member making the medical record request

  5. First date of service associated with this medical record request

  6. Last date of service associated with this medical record request

  7. Information about this medical record request: lists type of medical record requests, dates of service covered by this medical record request, and staff member assigned to follow up on this request

  8. Staff member assigned to follow up on this request

  9. Date request was completed

  10. Status of the request

  11. Date associated with the status of the request

  12. Date of next follow up on request

Adding a Medical Request

By clicking the Add Medical Request button, the following information can be indicated:

...

  1. Name of plaintiff associated with this medical record request

  2. Name of medical provider associated with this medical record request

  3. Date of medical record request

  4. Staff member assigned to follow up on this request

  5. First date of service associated with this medical record request

  6. Indication that the request is to cover all dates of service

  7. Last date of service associated with this medical record request

  8. Indication that the request is to cover all dates between the first date of service through the date of the request

  9. Date of next follow up on request

  10. Type of medical record request

  11. Priority level of medical record request

  12. Status of the request

  13. Date associated with the status of the request

  14. Staff member making the medical record request