What is reviewed when it comes to a Personal Injury Settlement (Case Value)?

The criteria the insurance companies look at include:

1. The injuries documented by an ICD-9 Code;
2. The modalities of care documented by a CPT-Code;
3. Intensity, frequency and duration of all medical care;
4. Types of doctors seen including any specialists;
5. Age, weight, and height of injured person are reviewed;
6. "Special damages" like wage loss, and out-of-pocket expenses are reviewed;
7. Any interference into the personal life (duties under duress, and loss of enjoyment of life damages);
8. Is there a permanent impairment to any particular body part documented under the American Medical Association (AMA) guidelines, and if so, what percentage under the Whole Person Method?

All of these criteria are condensed into a comprehensive review to ascertain case value. If the injury is caused by a car accident, then property damage to both vehicles is important and evaluated by most insurance companies. Thus, if the injured person’s vehicle has low property damage (anything under $1,500), then it becomes important to analyze the types of vehicles involved; whether there is movement in the bumpers on any of the vehicles involved; whether the at-fault party or anyone in the at-fault party’s vehicle was injured, and the total damage repair to the at-fault party’s vehicle.

It is important to understand the review process for claim value because it is highly detailed and complicated. It becomes paramount that the injury attorney you use for your claim is proactive in gathering all the relevant documentation that will help support your case value.

More Legal Questions About El Cajon California Car Accident Cases?

Do you have more legal questions about El Cajon California Car Accident cases?  Return to the Auto, Motorcycle & Truck Accidents in California Frequently Asked Questions page. 

The Law Offices of Mark C. Blane, APC

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The El Cajon Car Accident Attorney that offers FREE books to anyone BEFORE they speak to a Lawyer, or a Claims Adjuster, and signs any Forms; also we represent clients across Southern California including the following areas: 

Alpine, Bonita, Camp Pendleton, Cardiff by the Sea, Carlsbad, Chula Vista, Coronado, Del Mar, Downtown San Diego, El Cajon, El Centro, Encinitas, Escondido, Imperial Beach, Julian, La Jolla, Lakeside, La Mesa, Lemon Grove, National City, Ocean Beach, Oceanside, Pacific Beach, Poway, Ramona, Rancho Bernardo,San Marcos, Santee, Rancho Bernardo, Ramona, San Diego, Solana Beach, Spring Valley, Pacific Beach, Ocean Beach, San Ysidro, Julian,Lakeside, Vista and all other areas in San Diego County. We also proudly serve the following Southern California areas of: Imperial,Riverside, Orange, Los Angeles, San Bernardino, Santa Barbara, San Luis Obispo, Ventura, and Kern Counties.