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. -8- <br /> SCHEDULE IV <br /> • DEFINITIONS <br /> Claim - Any report of an accident (first or third party) al�eging or resulting in injury, damage, or loss which could <br /> give rise to a demand for the payment of money. The claim charge is applicable on a per occurrence, per <br /> claimant, per line 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 <br /> amount, as GB deems necessary. <br /> Qualified Loss or Claims - GB will investigate and adjust any loss or claim occurring within the service term, I <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 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 <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 /> • automated state fee scheduling • light duty and return to wo�k programs <br /> • medical case management and vocational • prospective injury management services <br /> rehabilitation network • hospital bill audit services <br /> Cont�LE p�89) <br />