Claim Note Acronyms
A
- AA โ Applicant Attorney
- AC โ Activity Check
- ADL – Activities of Daily Living
- ADL โ Approved Doctorโs List (TX)
- ALF โ Assisted Living Facility
- AME โ Agreed Medical Examiner
- AOE/COE – Arising Out of Employment / in the Course of Employment
- AWW โ Average Weekly Wage
B
- BFOLD – Bona Fide Offer of Light Duty
C
- CA/CAS โ Claims Assistant
- CCH – Contested Case Hearing
- CE โ Claims Examiner
- COC โ Continuity of Care
- CRPS โ Chronic Regional Pain Syndrome
- CRT โ Claims Round Table
- CSR – Customer Service Representative
- CT โ Cumulative Trauma
- CTS – Carpal-Tunnel Syndrome
- CTU โ Cold Therapy Unit
- C&R โ Compromise & Release (full settlement, closes claim)
- C&S – Course and Scope
D
- DA โ Defense Attorney
- DB โ Death Benefits
- DD โ Designated Doctor
- DFR โ Doctorโs First Report
- DME โ Durable Medical Equipment
- DOB โ Date of Birth
- DOD โ Date of Death
- DOE โ Date of Exam
- DOH โ Date of Hire
- DOI โ Date of Injury
- DOL โ Date of Loss
- DOR โ Declaration of Readiness
- DOS โ Date of Service
- DWC โ Division of Workersโ Compensation
- DX โ Diagnosis
E
- EE โ Employee
- EOB – Explanation of Benefits
- EOP – Explanation of Payment
- EOR โ Explanation of Review
- ER โ Employer
- ERTW โ Early Return to Work
F
- FCE โ Functional Capacity Evaluation
- FCM – Field Case Manager
- FD – Full Duty
- FM โ Future Medical
- FNC โ Field Nurse Consultant
- FROI โ First Report of Injury
- FRP โ Functional Restoration Program
- FS – Full Salary
- FX – Fracture
- F&A โ Findings & Award (when a judge issues a ruling on a case taken to trial)
- F/S โ First Seen
- F/U โ Follow Up
H
- HEP – Home Exercise Program
- HIPAA โ Health Insurance Portability and Accountability Act
- HX – History
I
- IBR โ Independent Bill review
- IIBs – Impairment Income Benefits
- IME – Independent Medical Exam
- IMR โ Independent Medical Review
- Insd โ Insured
- IOV โ Initial Office Visit
- IP – Initial Payment
- IR – Impairment Rating
- IRO – Independent Review Organization
- IW โ Injured Worker
J
- JA โ Job Analysis
- JD โ Job description
L
- LC โ Labor Code
- LD – Light Duty
- LDW โ Last Day Worked
- LE โ Life Expectancy
- LM – Left Message
- LOV โ Last Office Visit
- LP – Life Pension
- L/S โ Last Seen
M
- MCC โ Major Contributing Cause
- MCPW โ Medical Care Projection Worksheet
- MDR – Medical Dispute Resolution
- MMI โ Maximum Medical Improvement (The injured employee is discharged with possible restrictions, permanent disability and/or future medical)
- MMN โ Medical Management Nurse
- MO โ Medical Only
- MPN โ Medical Provider Network
- MSA โ Medicare Set Aside
- MSC โ Mandatory Settlement Conference
- MVA – Motor Vehicle Accident
- MW โ Modified Work
N
- NC โ Nurse Consultant
- NCM โ Nurse Case Manager
- NOI โ Notice of Injury
- N/V or NOV โ Next Office Visit
O
- OCC/OCCM – One Call Care Management (Coordinates specialty care such as physical therapy, diagnostics and medical equipment)
- OOW โ Out of Work
- OP โ Overpayment
- OT – Occupational Therapy
- OTC โ One Time Change
- OV โ Office visit
P
- PA โ Plaintiff Attorney
- PADS โ Drug Screen
- PC โ Phone Call
- PC โ Plaintiff counsel
- PCP – Primary Care Physician
- PD โ Permanent Disability
- PDA โ Permanent Disability Advance
- PDR โ Provider Dispute Resolution
- PH โ Policy Holder
- PIF โ Paid in Full
- PIR โ Permanent Impairment Rating
- POA โ Plan of Action
- PPD โ Permanent Partial Disability
- PQME โ Panel Qualified Medical Evaluator (independent doctor selected off a state issued list)
- PT – Physical Therapy
- PTD – Permanent Total Disability
- PTIBs – Partial TIBs (Temporary Income Benefits)
- PTP โ Primary Treating Physician
- PWR โ Permanent Work Restrictions
- P&S โ Permanent & Stationary (the injured employee is discharged with possible restrictions, permanent disability and/or future medical)
Q
- QME โ Qualified Medical Evaluator (independent doctor selected off a state issued list)
R
- RLE – Reduced Life Expectancy
- RME – Required Medical Exam
- RN โ Registered Nurse
- RRTW – Release to Return to Work
- RT โ Round Table
- RTW โ Return to Work
- RX – Prescription
- R/S – Recorded Statement
S
- SC โ Salary Continuation
- SIBs – Supplemental Income Benefits
- SIU โ Special Investigation Unit
- SJDB โ Supplemental Job Displacement Voucher
- SLU โ Serious Loss Unit
- SNF โ Skilled Nursing Facility
- Stip โ Stipulation (leaves future medical open)
- SX โ Surgery
- S&H โ Safety & Health
- S&W โ Serious & Willful
T
- TD โ Temporary Disability
- TIBs – Temporary Income Benefits
- TIN โ Tax ID Number
- TOC โ Transfer of Care
- TP – Treating Provider
- TPA – Third Party Administrator
- TPD โ Temporary Partial Disability
- TTD โ Temporary Total Disability
- TWA โ Transitional Work Assignment
- Tx – Treatment/Treating
U
- UP – Underpayment
- U&C โ Usual & Customary
V
- VR – Vocational Rehabilitation
- VRC- Vocational Rehabilitation Counselor
W
- WCAB โ Workersโ Compensation Appeals Board
- WCJ โ Workersโ Compensation Judge
- WL โ Wage Loss
- WP – Waiting Period
- WPI โ Whole Person Impairment
- WS โ Wage Statement
Z
- ZMD โ Zenith Medical Director
- ZMPN – Zenith Medical Provider Network
- ZPN โ Zenith Provider Network