Basic Medical Build Up
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Questions and Answers

Auto case, tier 11, DEF PL: 25/50k, UIM/UM 100/300, The client is complaining neck pain, lower back pain, bilateral shoulder pain and left knee pain Which MRIs the client will need?

  • MRI of bilateral knee, cervical spine, thoracic spine and lumbar spine
  • MRI of left knee, cervical and lumbar spine
  • MRI of bilateral shoulder, left knee, cervical and lumbar spine (correct)
  • MRI of cervical and lumbar spine
  • Auto case, tier 11, DEF PL: 100/300k, UIM/UM 50/100, The client is complaining headaches, dizziness, neck pain and lower back pain Which doctor you will need in this case?

  • Pain specialist, Neurologist, Neurosurgeon
  • Pain specialist, Neurosurgeon, ENT
  • Pain specialist, ENT, neurosurgeon
  • Pain specialist, Neurologist, ENT, Neurosurgeon (correct)
  • Auto case, tier 21, DEF PL: 15/30k UIM/UM: 15/30k, PD looks catastrophic, the client went to the ER by an ambulance How many injections the client will need to undergo in this case to send a demand?

  • At least one
  • None (correct)
  • Two
  • Three
  • Auto case, tier 21, DEF PL: 15/30k UIM/UM: 15/30k, PD looks catastrophic, the client didn’t go to the ER How many injections the client will need to undergo in this case to send a demand?

    <p>None</p> Signup and view all the answers

    Auto case, Tier: 11, DEF PL: 15/30, No UIM, PD looks catastrophic, Meds amount: $13,000. We sent a second demand, but we didn’t settle the case. We received an offer of $5,000. What is the next step?

    <p>Escalate the case to review a possible open policy</p> Signup and view all the answers

    Auto case, Tier: 11, DEF PL: 15/30, No UIM, PD looks catastrophic, Meds amount: $9,000, the client went with the ER, PM, underwent MRIs of cervical spine with multiples disc bulges, the bigger one 2mm and the client is doing physical therapy sessions, we sent the 1st demand and we receive an offer of $3,000 What is the next step?

    <p>Schedule the client with pain management to get epidural recommendation</p> Signup and view all the answers

    Case 50/100k tier 22, the client underwent 1st injection, and we have recommendation for a 2nd one, we sent a demand but we don’t settle. Which is the next step?

    <p>Undergo the 2nd injection</p> Signup and view all the answers

    Auto case 211 PL 25/50K, PD looks moderate. Client has an injection recommendation. Are we ready to send the demand?

    <p>Send demand</p> Signup and view all the answers

    Tier 22 PL 25/50K. PD looks moderate. Client is going to PT and has an injection recommendation, Meds amount: $9,500. We sent a demand a received an offer for 9k. Which is the next step?

    <p>Undergo the injection</p> Signup and view all the answers

    Auto case 100/300k tier 11, spine case, the client already underwent 3 epidurals injections, we sent a demand but we don’t settle. Which is the next step?

    <p>Get surgery recommendation</p> Signup and view all the answers

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