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Primary Checklist Directory For - GEN PI 7 | an Be eal feral atc) Phase| Staff] Ref_| S/R__| Days = IM_ STATUTE OF LIMITATIONS 1 [pol [Single | 1,094 Civ ee W1_|STATUTE WARNING (6 months, 4_[Dol [Single 914 CIeCR W2_|STATUTE WARNING (3 months, 1_|pol ‘Single 1,004 LE Io] W3_/STATUTE WARNING (1_month: 1_|pol {Single | 1,064 BIG W4 STATUTE WARNING (2 weeks 4_[DoI ‘Single 1,080 ECR IMIS [Mise 1_|MAN [Single 0 Ee 100 Is this an Qut of State Case? | 1 | 1 [COD Single 0 [Fie 101 Change Statues & Warnings | 1 1 [100 {Single 0 Et 1_ [Client Sign Fee Agreement 1 1_|cop__ [Single ae El BIG ‘Thank You Note to Referral i 3 |coD [Single 0 lo B1_(Client Sign Medical Releases 4 1 |coD [Single a Eo LC io] B2_ (Client Sign General Release 4_| 1 [cop [Single 0 [3 FIFE C1_ Req Incident Rj 1 1_|con [Single i Es Et C2_|_Rec’d Incident Rpt 1 1 {act [Single 21 Bla C3_*Req Witness Stmt 4 1 [Ac2 [Single a [62 2 |G CA | Rec'd Witness Stmt + [1 [AC3 ingle 7 [Fie C5 ‘Add all Defs & Check DO! 4_| 1 [cop Single 7 Bio \C6_Disposition of Citations 1_| 1 |con [Single 21 rice \C7_|Atty to Check on Statute Date 1 2 [ac2 [Single 0 ial \C8_Voluntary Statement 4 1 [cop [Single T Blo 1 |*Letter of Rep - Liabili 4 4 [cod [Single 0 [3 Ec \CR D2_|_Rec’d Resp from Liability 1 1 {apt [Single 14 Ee F1_*Req Dec Page from Client 1 1 |coo [Single 0 [ee "2_|__Rec’d Dec Page from Client 4 4_[AF1 ‘Single 7 ieee F3__*Req Dec Page from Client's Em 1 1 |coD__ [Single O82 BIE F4_ | Rec'd Dec Page fromClients| 1 | 1 |AF3 [Single 7 Fie § "Req Dec Page from Client's Hol__1 1 |cop [Single a Ee LC io] F6_ | Rec'd Dec Page from Client's | 1 1_|aFs [Single 7 BIG F7_Reg 911 Tape 4 4_|DoI ‘Single 0 (eee 1 |Get Photos - Client 1 1 |coD_ [Single 0 ane 12__(Get Photos - Scene 4 [4 |coo [Single 0 FIPy |_Ret_| ieee i Dt teil San ea des |2__|Get Photos - Scene 1 4 |COD [Single 0 Ie 1 /*Reg Rx from Client 1 1 |COD [Single 0 [73 re j2_|_ Rec'd Rx from Client 1_ [1 At Repeat [30 E |e K1_"Req EMS Bill & Recs 4 1_|coo__ [Single a {60 EIE K2_|__Rec’d EMS Bill & Recs 1 4_ [AKA Single 21 Bie L1_|*Reg ER Physician's Bill 1 1_|coD ingle OE ee L2_|_ Rec'd ER Physician's Bill 1 [4 Au ingle 24 FIP M1_|*Reg Hosp Recs. 1 1_|con [Single a [ez rick M2_|_ Rec'd Hosp Recs 1 4_ JAN ingle 21 rie \M3_|*Req Hosp Bills 1 1_|coD ingle 0 [63 Ie M4 _|_Rec'd Hosp Bills 1 [1 AN ingle 24 FIE i1_|"Req Radiology Recs & Bills 1 1_|coo__ [Single o | 64 {iG N2_|__Rec'd Radiology Recs & Bills, 1 1_ [ant ingle 2 BIG N3_|*Req Radiology Films Ask Attorn 1 1 |coD [Single ( N4_|__Rec'd Radiology Films 1_| 1 (Ana [Single 24 FIP 01_ "Req Dr__Recs & Bills, 1 1_|cop ingle 7 [665 GIG 02_|_ Rec'd Dr_ Recs 1 1 (A01__[Single 2 EE 03 | Rec'd Dr___ Bills 1 4_fao1 ingle 24 Ie 4 _|*Call Medicare to Set-Up Claim | 1 4_|cob ingle 0 Ce P2_|Receive Rts & Resp Ltr 1 1_|AP1__ [Single 14 EIE P3_ Send Proof of Rey 1 1_|AP2__ [Single 0 E Ie P4_ Receive Initial CPL 1 4 fap2 ingle 63 |p P& (Check MYMedicare GoviGet Upt__1 | 1 [AP4 epeat_| 91 _ je ie 01 _|Notice to Medicare 1_| 1 (CoD Single 14 [67 C|ce (05 Notice to Medicaid 1 1_|cop ingle 14_[68 EE 1_|‘Is this a Serious Case? 1 4_|coD ingle 60 rie 'S2_|_ Prepare Video Tape 1 1_ {ast ingle 0 OG 3_|_*Req Newspaper Articles 1 | 1 Ast Single o[r4 Ee 84 Rec'd Newspaper Articles __1 1_(As3 ingle 14 BIG S5_| "Want IME? 1 1 1 Single 0 | [| 86 *Schedule IME with Dr. 1 1_[Ass Single 0 Hj pace Gees del al ee oars Pe *Schedule IME with Dr. 1_| 1 Ass [Single Fic et 7 *Send Med Recs to Dr. 1 1 ISingle 5 75 Cc Ce 8 Rec'd IME Rpt from Dr.| 1 1 \AST ‘Single 30 CIC Tt Send Letter to Client re: i 1 | 1 Ss Single 0 (76 cic e 3AQ_ | "21 MAN [Single 0 CIEE BA1_ "CLIENT RELEASED or MMI 2 4_ (MAN [Single 0 [me 3A2_|__ Change Class to REL 2 1 (BAI ‘Single 0 Cif B1_|_*Req Lost Wages 2 [1 BAT ingle 0 [6 cic e 2. Rec'd Lost Wages 2 1_|BB1 [Single 14 CIC 3C1_|_ *Req Disability Rating 2 [1 (Bat __[Single o {70 FIC Ee Bc2 Rec'd Disability Rating 2 1 (Bct {Single 14 FIER D1 | *Req B&A Letters 2 1_|BAt [Single o [7 |r IER D2 Rec'd B&A Letters 2 [1 Dt [Single 14 [EE] 1E1_|_Rec'd Update Prescriptions fro 2 | 1 [Bai [Single 0 CIC ke F1_|" *Req Updated Med Recs 2_ [1 Bai [Single a [72 cic ea F2 Rec'd Updated Med Recs 2 1_|BF1 [Single 7 Ciel IG1_|" *Submit Med Pay Bills 2 | 1 BAT ingle 0 [73 Cie G2 Recd Ck ar InfofromMede 2 [1 [BG1___ [Single 30 CIC "AO 3 1_|MAN [Single 0 FIle 1_|fPREPARE DEMAND PKG 3 1 [MAN [Single o [77 Cc iC e "A2_|__ Change Class to NEG 3 1 cat {Single 0 cick 81 | “Atty Review of Demand Coma 3 | 1 [CAT [Single 7 EE B2_| “Contact Client re Demand | 3 | 1 |cB1 [Single 0 EIE 83 “Mail Demand toAdjusterw 3 | 1 |CB2 [Single 0 C|C ea BA 30 Day Follow Upw. Adi 3 | 1 |CB3 [Single 30 Cire D3_|Reg Final Payment Lir-Medicay_ 3 | & [MAN Single Q FICE D4_|"*Receive Final Payment Letter | 3 | 8 |CD3__ [Repeat 49 GI D5 _|Disburse Funds — Medicare 3 8_|cb4 [Single 0 [FI] 101 4 1_|MAN [Single 0 | |] JA1_/PLITIGATE? 4 1 [MAN [Single 0 Ble YA2_| Change Class to LIT 4 1 \DA1 \Single 0 rice