-Database your QME/AME
patients
-Prepares
required DWC QME Forms and
medlegal billing
-Aids in collecting past due medical legal billings
-Stores Electronic Documents with Patients record
Calmedlegal
Forms
offers DWC document production and medlegal billing functions.
Purchase Annual Registration of Calmedlegal Forms Calmedlegal
Forms
includes the following features for the production of DWC QME Forms and Billing
-
Email Us
- Notification of Past
Due Medlegal Billings.
Helps you Identify and Act on past due
bills
-
Electronic
file storage and .pdf export
- Secondary Treating Physician PR-2 Form
- Drop Down list boxes
for easy viewing and selection of information
-
Quotation List
allows for storage, retrieval
and insertion of frequently used references.
-
SB 899, and 2005 Rating Schedules easily
accessible
- Peer to Peer Network Functionality -
See our Networking Page
- Request Authorization for Additional
Treatment Form
- PI Attorney Lien
- PI Attorney Status Report
- Petition for Payment of Medical Legal
Expense form
- Data Entry Sheet Form for Petitions
- DWC Court Order for Payment
- Mailing Labels
- Print Labels Using Standard Label Sheet,
- Select Single Label on a
sheet!
Thank you to Peter De Baets
- Late Payment / Penalty
Form - new simplified version
- QME Appointment Notification Form
- Notification Cover Letter and General Letter to
Patient
- Medical Legal Billing Statement
- QME / AME Findings Summary Form IMC 111
-
Request for Summary Rating Determination DEU101 -
- Employee's Disability Questionnaire
DEU100
- Proof of Service Form
with selectable recipients names and addresses
automatically entered
- Letters & Fax Covers
to Attorneys, Carrier and PTP
- Phone Consultation Report
insure that
you are properly reimbursed for phone time consults
- Treating Physicians Report of Disability Status
RU90
- QME/AME
Time Frame Extension Form
- QME
notice of Unavailability Form
- Doctors First Report Form
- Treating Physicians Progress Report Form PR-2
- WCAB Lien
- Application for Adjudication
- Declaration of Readiness to Proceed
- Treating Physicians Supply Report (fast
and easy)
-
The latest
2001 IMC Physicians Guide
- IMC “Medical Reporter” back issues
- Sample PTP P&S Referral Letter to
Carrier
- Sample PTP P&S Adoption of Report
Letter to Carrier
- Sample Medlegal Patient
Questionnaire
- AMA Guides combined Values Calculator |
-PC
Requirements
- Any PC system running Windows XP or higher
- Monitor set to 1024 x 768 (17 inch or larger)
- Printer for document output
- Self contained, using
Microsoft Access 2007 Access Runtime
 |
|
Calmedlegal
4400 Keller Avenue, Suite 250
Oakland CA 94605
Email Us
Daniel Buch, BS, DC,QME
- Developer
and Founder
Maggie Tan
- Administration
William Wood, B.S. -
Software Consultant
Thank
you to:
Dennis Sosine, DC,QME -
medical legal consultant
Jim Dettman President,
Online Computer Services of WNY, Inc.
Peter De Baets from
Peter's Software
The
Honorable Mr. Christopher Miller
Gregory Smith, BS, DC, QME
© 2008 Calmedlegal