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. . : : - 8 - <br /> SCHEDULE IV <br /> DEFINITIONS <br /> Claim - Any report of an accident(first or third party)alleging or resulting in injury,damage,or loss which could giv e <br /> rise to a demand for the payment of money. The ciai m charge is applicable on a per occurrence, per claimant, per <br /> line of coverage basis as defined in the RISX—FACS�system. <br /> DiscretionarySettlementAuthority - GB is authorized to make payment, for loss or expense, up to this amount, <br /> as GB deems necessary. <br /> Qualified Loss or Claims - GB will investigate and adjust any loss or claim occurring within the service term, <br /> provided the loss or claim type is identified in Schedule V. <br /> Allocated Expenses - Shall be the responsibility of the CLIENT and shall include, but not be limited to: <br /> • legal fees • sub rosa investigations <br /> • professional photographs • medical examinations <br /> • medical records • extraordinary travel made at CLIENT's request <br /> • experts' rehabilitation costs • court reporters <br /> • accident reconstruction • fees for service of process <br /> • architects, contractors • pre- and post-judgment interest paid <br /> • engineers • chemists <br /> • police, fire, coroner, weather, or other such • collection costs payable to third parties on <br /> reports subrogation <br /> • property damage appraisals • any other similar cost,fee or expe nse reasonably <br /> • extraordinary costs for witness statements chargeable to the investigation, negotiation, <br /> • official documents and transcripts settlement or defense of a claim or loss which <br /> must have the explicit prior approval of the <br /> CLIENT <br /> • Managed Care <br /> Managed Care- Managed Care services shall include, but not be limited to: <br /> • preferred provider organization networks • utilization review services <br /> • state fee scheduling • light duty and return to work programs <br /> • usual, customary and reasonable bill review • prospective injury management services <br /> • medical case management and vocational • hospital bill audit services <br /> rehabilitation network • wholesale pharmaceutical nefinrork <br /> • retail pharmaceutical network <br /> 06/cq 1/17357 <br />