Claim Note Acronyms
A
- AA – Applicant Attorney
- AC – Activity Check
- ADL – Activities of Daily Living
- ADL – Approved Doctor’s List (TX)
- ALF – Assisted Living Facility
- AME – Agreed Medical Examiner
- AOE/COE – Arising Out of Employment / in the Course of Employment
- AWW – Average Weekly Wage
B
- BFOLD – Bona Fide Offer of Light Duty
C
- CA/CAS – Claims Assistant
- CCH – Contested Case Hearing
- CE – Claims Examiner
- COC – Continuity of Care
- CRPS – Chronic Regional Pain Syndrome
- CRT – Claims Round Table
- CSR – Customer Service Representative
- CT – Cumulative Trauma
- CTS – Carpal-Tunnel Syndrome
- CTU – Cold Therapy Unit
- C&R – Compromise & Release (full settlement, closes claim)
- C&S – Course and Scope
D
- DA – Defense Attorney
- DB – Death Benefits
- DD – Designated Doctor
- DFR – Doctor’s First Report
- DME – Durable Medical Equipment
- DOB – Date of Birth
- DOD – Date of Death
- DOE – Date of Exam
- DOH – Date of Hire
- DOI – Date of Injury
- DOL – Date of Loss
- DOR – Declaration of Readiness
- DOS – Date of Service
- DWC – Division of Workers’ Compensation
- DX – Diagnosis
E
- EE – Employee
- EOB – Explanation of Benefits
- EOP – Explanation of Payment
- EOR – Explanation of Review
- ER – Employer
- ERTW – Early Return to Work
F
- FCE – Functional Capacity Evaluation
- FCM – Field Case Manager
- FD – Full Duty
- FM – Future Medical
- FNC – Field Nurse Consultant
- FROI – First Report of Injury
- FRP – Functional Restoration Program
- FS – Full Salary
- FX – Fracture
- F&A – Findings & Award (when a judge issues a ruling on a case taken to trial)
- F/S – First Seen
- F/U – Follow Up
H
- HEP – Home Exercise Program
- HIPAA – Health Insurance Portability and Accountability Act
- HX – History
I
- IBR – Independent Bill review
- IIBs – Impairment Income Benefits
- IME – Independent Medical Exam
- IMR – Independent Medical Review
- Insd – Insured
- IOV – Initial Office Visit
- IP – Initial Payment
- IR – Impairment Rating
- IRO – Independent Review Organization
- IW – Injured Worker
J
- JA – Job Analysis
- JD – Job description
L
- LC – Labor Code
- LD – Light Duty
- LDW – Last Day Worked
- LE – Life Expectancy
- LM – Left Message
- LOV – Last Office Visit
- LP – Life Pension
- L/S – Last Seen
M
- MCC – Major Contributing Cause
- MCPW – Medical Care Projection Worksheet
- MDR – Medical Dispute Resolution
- MMI – Maximum Medical Improvement (The injured employee is discharged with possible restrictions, permanent disability and/or future medical)
- MMN – Medical Management Nurse
- MO – Medical Only
- MPN – Medical Provider Network
- MSA – Medicare Set Aside
- MSC – Mandatory Settlement Conference
- MVA – Motor Vehicle Accident
- MW – Modified Work
N
- NC – Nurse Consultant
- NCM – Nurse Case Manager
- NOI – Notice of Injury
- N/V or NOV – Next Office Visit
O
- OCC/OCCM – One Call Care Management (Coordinates specialty care such as physical therapy, diagnostics and medical equipment)
- OOW – Out of Work
- OP – Overpayment
- OT – Occupational Therapy
- OTC – One Time Change
- OV – Office visit
P
- PA – Plaintiff Attorney
- PADS – Drug Screen
- PC – Phone Call
- PC – Plaintiff counsel
- PCP – Primary Care Physician
- PD – Permanent Disability
- PDA – Permanent Disability Advance
- PDR – Provider Dispute Resolution
- PH – Policy Holder
- PIF – Paid in Full
- PIR – Permanent Impairment Rating
- POA – Plan of Action
- PPD – Permanent Partial Disability
- PQME – 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 – Primary Treating Physician
- PWR – Permanent Work Restrictions
- P&S – Permanent & Stationary (the injured employee is discharged with possible restrictions, permanent disability and/or future medical)
Q
- QME – Qualified Medical Evaluator (independent doctor selected off a state issued list)
R
- RLE – Reduced Life Expectancy
- RME – Required Medical Exam
- RN – Registered Nurse
- RRTW – Release to Return to Work
- RT – Round Table
- RTW – Return to Work
- RX – Prescription
- R/S – Recorded Statement
S
- SC – Salary Continuation
- SIBs – Supplemental Income Benefits
- SIU – Special Investigation Unit
- SJDB – Supplemental Job Displacement Voucher
- SLU – Serious Loss Unit
- SNF – Skilled Nursing Facility
- Stip – Stipulation (leaves future medical open)
- SX – Surgery
- S&H – Safety & Health
- S&W – Serious & Willful
T
- TD – Temporary Disability
- TIBs – Temporary Income Benefits
- TIN – Tax ID Number
- TOC – Transfer of Care
- TP – Treating Provider
- TPA – Third Party Administrator
- TPD – Temporary Partial Disability
- TTD – Temporary Total Disability
- TWA – Transitional Work Assignment
- Tx – Treatment/Treating
U
- UP – Underpayment
- U&C – Usual & Customary
V
- VR – Vocational Rehabilitation
- VRC- Vocational Rehabilitation Counselor
W
- WCAB – Workers’ Compensation Appeals Board
- WCJ – Workers’ Compensation Judge
- WL – Wage Loss
- WP – Waiting Period
- WPI – Whole Person Impairment
- WS – Wage Statement
Z
- ZMD – Zenith Medical Director
- ZMPN – Zenith Medical Provider Network
- ZPN – Zenith Provider Network