Corvel Enterprise Comp, Inc. 9/6/2022 Amendment 3

DocuSign Envelope ID:06CEAA47-F11 F-421A-B8CE-390F42C61208 iii.Letters will be sent to all treating physicians to obtain their opinions on future medical treatments including medications and therapies for the claimant. The physician's opinions will be included as recommendations within the Life Care Plan summaries. iv.Future cost projections are utilized to immediately set reserves for future medical needs regarding catastrophic or major injuries. Home visits are not conducted for a future cost projection. v.Customer may submit a request for a life care plan or future cost projection via email, phone,fax, or electronically via CorVel's CareMC website, if applicable. SCHEDULE 11 Advocacy 24/7 Nurse Triage Services Terms and Conditions CorVel shall provide to Customer the following Services related to Nursing Coordination of Care Services: • Answer calls received 24 hours a day/7 days per week on CorVel maintained Customer triage telephone line. • Instruct the caller/injured employee on first aid and or initial injury treatment. • Facilitate assessment at a designated outpatient clinic or emergency room as needed. • Follow up with the injured employee within 24 hours of initial report to evaluate current condition. • Document all calls and communicate to appropriate parties. An incident shall encompass • The nurse receipt of the initial call, • The gathering of necessary information and distribution of said information to the appropriate parties,and • One clinical follow-up to the injured employee in the first 24 hours following the initial call. SCHEDULE 12 Medication Review Services Terms and Conditions I. DESCRIPTION OF SERVICES. (a) CorVel acknowledges there is a subset of patients in the system that do not improve despite extensive diagnostic testing and numerous treatments. CorVel knows these relatively fewer cases drive a disproportionate amount of costs. Interestingly,these "creeping catastrophic"claims often present as a simple strain or sprain injury or diffuse spinal pain. There is ample data to suggest that bio-psychosocial factors can amplify, sustain or mitigate a patient's perception of disability in these cases. CorVel shall use clinical modeling to identify those patients at risk for delayed recovery and apply an City of Everett,WA—CorVel EC Amendment 3 7-25-2022