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f <br /> ' - 8 - <br /> SCHEDU�EIV <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 claim charge is applicable on a per occurrence, per claimant, per line <br /> of coverage basis as defined 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 /> • p�ofessional 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 nefinrorks • 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 /> • medica� case management and vocational • hospital bill audit services <br /> rehabilitation neiwork • wholesale pharmaceutical network <br /> • retail pharmaceutical network <br /> 06/cq1/17357 <br />