ADA

Americans with Disabilities Act

AHI

Account Handling Instructions

AME

Agreed Medical Exam

ARE

Actual Reduced Earnings

ASI

Account Service Instructions

AWW

Average Weekly Wage

C/R

Causal Relationship or Causally Related

CIB

Central Index Bureau

DOI

Date of Injury

DOL

Date of Loss

Dx

Diagnosis

EE

Employee

ER

Employer

ERTW

Estimated Return to Work or Early Return to Work

FBCM

Field-based Case Management

FCE

Functional Capacity Evaluation

FCRD

Further Causally Related Disability

FD

Full Duty

FMLA

Family & Medical Leave Act

FTE

Full-Time Equivalent (Employee)

Hx

History

IME

Independent Medical Evaluation/Examination

Incurred

All costs which have been paid and reserved.

IND

Indemnity. Lost wages which are paid

LD

Light Duty - another term for transitional duty

LOV

Last office visit

LT

Lost Time

LTD

Long Term Disability

MD

Modified Duty - another term for transitional duty

MDA

Modified Duty Assignment

MMI

Maximum Medical Improvement

MO

Medical-Only, Med-Only. No time lost from work

NCM

Nurse Case Management

NOV

Next Office Visit

OOW

Out Of Work

OSHA

Occupational Safety and Health Agency

OT

Occupational Therapy

OTC

Over the Counter (Drugs)

P & S

Permanent and Stationary (similar to MMI)

Paid

Costs that have been paid to medical providers, the employee or for expenses.

PIR

Permanent Impairment Rating

POA

Plan of Action

PPD

Permanent Partial Disability

PPI

Prior Permanent Impairment

PPL

Push, Pull, Lift

PT

Physical Therapy

PTD

Permanent Total Disability

QME

Qualified Medical Exam (similar to IME)

RD

Restricted Days

RE

Reduced Earnings

Reserved

Money that has been set aside to cover future claim costs.

RFP

Request for Proposal

RM

Risk Management

RMIS

Risk Management Information Systems s

ROM

Range of Motion

RTW

Return-To-Work

Rx

Prescription

SAI

Special Account Instructions

SHI

Special Handling Instructions

SIF

Second Injury Fund

SLU

Schedule Loss of Use

SS

Social Security

SSDB

Social Security Disability Benefits

SSDI

Social Security Disability Insurance

SSI

Supplemental Security Income (disability payments for people without enough reported earnings to qualify for SSDB)

STD

Short Term Disability

Sx

Surgery

TAF

Transitional Assignment Form m

TD/TAD

Transitional Duty/ Transitional Alternate Duty

TPA

Third Party Administrator

TPD

Temporary Partial Disability

TTD

Temporary Total Disability. Temporarily not able to work.

Tx

Treatment

VAO

Valued As Of (a certain date)

WAF

Work Ability Form

WC

Workers' Compensation

WCB

Workers' Compensation Board d

AD

Account Designee. Assigned by the Account Manager

AM

Account Manager. Assigned by the Authorized Representative

AR

Account Representative. Can contractually bind the insurer

COBC

Coordination of Benefits Center. Responsible for receiving MQF and MIR files

COBSW

Coordination of Benefits Secure Web-Site. For RRE registration processing

CPCP

Conditional Payment

CPR

Conditional Payment Research

CMS

Centers for Medicare & Medicaid Services

CSA

Claim Settlement Allocation

EDI

Electronic Data Interface

LC

Lead Contractor, see MSPRC

MIR

Mandatory Insurer Reporting

MMSEA

Medicare & Medicaid State Children's Health Insurance Program Extension Act

MQF

Medicare Query Function. Used to determine Medicare eligibility & reporting requirements

MSA

Medicare Set Aside. Allocation

MSP

Medicare Secondary Payer

MSPRC

Medicare Secondary Payer Recovery Contractor. Responsible for recovery of CP

NAIC

National Association of Insurance Commissioners

NGHP

Non-Group Health Plans. Workers' compensation, liability, auto NF

PIN

Personal Identification Number. For COBSW

RRE

Responsible Reporting Entity

RRE ID

Responsible Reporting Entity Identification

SCHIP

State Children's Health Insurance Program

SFTP

Secure File Transfer Protocol

S/J/A

Settlement/Judgment/Award

TIN

Tax Identification Number

TPA

Third Party Administrator

TPOC

Total Payment Obligation of Claimant
 

* Provided by Gould & Lamb

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