| Service Maximum | Total Hours | |
|---|---|---|
| 1. | a. initial interview and research | 1.0 |
| b. setting up file; completing and filing forms | 0.5 | |
| 2. | Communications per month (with client, health care providers, other persons involved in the case) |
3 |
| 3. | Direct dispute resolution negotiation with the other party (per month) |
3.5 |
| 4. | Preparation and submission of an agreement or settlement |
2 |
| 5. | Participation in benefit review conference | Actual time in BRC + 2.0 |
| 6. | Participation in contested case hearing | Actual time in CCH + 4.0 |
| 7. | Participation in administrative appeal process | 5.0 |
| 8. | Travel (per month) | Actual costs that are reasonable and necessary |