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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 give <br /> rise to a demand for the payment of money. The c�aim charge is appli�able on a.per occurrence, per claimant, per line <br /> of coverage basis as deflned in the RISX—FACS�system. <br /> Discretionary Settlement Authority- GB is authorized to make payment,for loss or expense, up to this amount, as <br /> GB deems necessary. <br /> Qualified Loss or Claims- GB will investigate and adjust any loss or claim occurring within the service term, provided <br /> 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 expense 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 must <br /> have the explicit prior approval of the 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 /> • usua�, customary and reasonable bill review • prospecfive injury management services <br /> • medical case management and vocational • hospital bill audit services <br /> rehabilitation network • wholesale pharmaceutical network <br /> • retail pharmaceutical network <br /> , <br /> O6/cqt/17357 <br />