Medical Only Claim

Medical Only Claim

Medical Only Claim

The claim covers medical treatment where the employee did not miss work beyond the statutory waiting period. These claims constitute the majority of filings but a small portion of total cost.

Conversion to lost time claims drives cost.

Alternative Names:

Med Only|Medical Only

Why it Matters?

Conversion from medical only to lost time is where cost escalates, since a claim that develops indemnity exposure typically increases in value by an order of magnitude. Monitoring medical only claims for treatment escalation and work status changes identifies conversions early enough to intervene through return to work coordination. Claims closed prematurely may reopen with substantially greater exposure.

Frequently Confused with

Related terms

Frequently asked questions

Why monitor medical only claims?

Why monitor medical only claims?

Because conversion to lost time typically increases claim value by an order of magnitude.

What signals a conversion risk?

What signals a conversion risk?

Treatment escalation, specialist referral, and work status changes appearing in the medical record.