Laserfiche WebLink
DocuSign Envelope ID 06CEAA47-F11 F-421A-B8CE-390F42C61208 <br /> (e) Unless agreed to otherwise in writing by the parties, any questions or concerns from an industrial <br /> accident board or commission concerning First Reports of Loss forms completed by CorVel hereunder <br /> will be handled directly by CorVel. All such inquiries will receive an initial response within the next <br /> business day following CorVel's receipt of the inquiry. CorVel will keep Customer apprised of any <br /> inquiries it receives and the response thereto. CorVel will send a written response to the inquiry within <br /> five(5)business days outlining the nature of the inquiry and the resolution of same by CorVel. A copy <br /> of such response will also be sent to the attention of the designated Customer representative if requested <br /> in writing by Customer. Customer shall have the right, but not the obligation, at any time and at <br /> Customer's expense,to interject itself into the inquiry between CorVel and the industrial accident board <br /> or commission, and in connection therewith to resolve the inquiry in a manner acceptable to Customer <br /> at its sole discretion, in which case Customer shall defend, indemnify and hold harmless CorVel from <br /> and against any claim, liability, damages or costs arising from Customer's handling of such inquiry or <br /> the resolution thereof. <br /> III. DELIVERY OF CLAIMS MANAGEMENT SERVICES <br /> (a) Customer shall arrange so that all claims and all related bills of any type, as well as all other <br /> correspondence that Customer receives relating to such claims,are sent directly to CorVel. CorVel shall <br /> perform all of the following "Claims Services" in connection with each portion of a Claim related to <br /> Workers' Compensation benefit payments shall be defined as: Claims requiring work beyond the <br /> standard scope for each claim type will be invoiced at the next higher rate. The following <br /> section indicates the basis for the categorization of claims fees. You will be provided with <br /> reports that provide full transparency of the fees invoiced. <br /> (i) Record Only—system notation of an event that does not require any claims handling, <br /> including contact or investigation. These are used solely for the purpose of record keeping. <br /> (ii) Medical Only—claims where time-off does not exceed the state waiting period and the <br /> scope of work is within the parameters noted in the Pricing section("Fees"),Exhibit B. <br /> (iii) Indemnity—claims not otherwise classified as either Record Only or Medical Only. <br /> (b) All Claims Services provided by CorVel under this Agreement shall be performed in accordance with <br /> the guidelines set forth in Sections II-IX of this Exhibit A: <br /> (i) CorVel shall immediately assign each new Indemnity Claim and Medical Only Claim to <br /> CorVel's designated claims professional. <br /> (ii) Utilizing CorVel's CareMC Application or other applicable CorVel Online System, CorVel <br /> shall maintain a chronological record of all Claims Services performed by CorVel. <br /> (iii) CorVel shall make all filings related to Indemnity Claims and Medical Only Claims with the <br /> appropriate state Workers' Compensation regulatory authorities. <br /> (iv) CorVel shall maintain a complete and accurate claim file for each Indemnity Claim and Medical <br /> Only Claim. <br /> (v) CorVel shall perform reasonable and necessary administrative and clerical work including, <br /> without limitation,the following: <br /> IV. Investigate all Indemnity Claims and Medical Only Claims. . <br /> V. Determine and evaluate any coverage and/or compensability issues and provide <br /> Customer with appropriate recommendations and advice regarding the same. <br /> VI. Adjust, handle, or settle to a conclusion those Indemnity Claims and Medical Only <br /> Claims that CorVel believes the Customer is legally obligated to pay under applicable <br /> state law and regulations, and in accordance with the authority granted to CorVel by <br /> City of Everett,WA—CorVel EC Amendment 3 7-25-2022 <br />