№ files_lp_3_process_9_32025
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Administrative form outlining procedures for injured workers and pharmacists to process first-fill Workers’ Compensation prescriptions through the CorVel pharmacy network under parameters established by CHUBB.
Organization:
CorVel Pharmacy Solutions
Phone:
(800) 563-8438
Associated Company:
CHUBB
Document Type:
Workers’ Compensation Prescription Form
Program:
CorVel Pharmacy Program
Purpose:
Processing of approved Workers’ Compensation prescriptions
Eligible Person:
Injured Worker
Identification Requirement:
Social Security Number and Date of Injury
Member ID Format:
9 digit SSN plus 8 digit Date of Injury (MMDDYYYY)
BIN:
004336
PCN:
ADV
RxGroup:
RXFFWC695
Medication Supply Limit:
7 or 14 day supply
Cost to Injured Worker:
No costs or co-pays at participating pharmacies
Participating Network:
Over 72,000 pharmacies
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2020
Region / City:
Not specified
Topic:
Military Health System, Data Processing, Healthcare for Veterans
Document Type:
Specification
Organization / Institution:
Not specified
Author:
W. Funk, L. Hopkins
Target Audience:
Military Healthcare Personnel
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
09/02/2020
Year:
20____
Region / City:
Texas
Topic:
Legal Procedures
Document Type:
Search Warrant
Authority / Institution:
Justice Court
Author:
Affiant (Peace Officer)
Target Audience:
Law Enforcement, Legal Professionals
Period of Validity:
Not specified
Approval Date:
_____________________, 20
Amendment Date:
Not specified
Year:
Not specified
Region / City:
Not specified
Document Type:
Instructional Letter
Organization:
Not specified
Author:
Not specified
Target Audience:
Injured Workers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2018
Region / City:
USA
Subject:
Trauma Care
Document Type:
Clarification Document
Organization:
American College of Surgeons
Author:
Verification Review Committee
Target Audience:
Healthcare professionals involved in trauma care
Effective Period:
N/A
Approval Date:
30/04/2018
Modification Date:
N/A
Organization:
Kids’ Chance of [STATE]
Legal status:
501(c)(3) non-profit organization
Document type:
Scholarship application form
Program type:
Annual scholarship program
Eligibility:
Dependent children of workers killed or seriously injured in a compensable work-related accident or occupational disease
Age requirement:
Between [AGE RANGE] years old at time of application
Education level:
Post-secondary education (undergraduate only; graduate students not eligible)
Enrollment status:
Full-time or part-time student
Financial requirement:
Demonstrated financial need
Required filing:
Completion of the FAFSA for eligible institutions
Scholarship amount:
[$X,XXX – $X,XXX] annually, based on financial need
Required documentation:
Application form, transcript, Student Aid Report (SAR) with SAI, proof of compensable claim or death certificate, employer information, personal statements
Application deadline:
[DATE]
Decision date:
[DATE]
Award disbursement:
Paid directly to the post-secondary institution
Use of funds:
Items included in the official Cost of Attendance unless restricted by state organization
Year:
Not specified
Country:
United States
Program Administrator:
CorVel
Associated Organization:
Puget Sound Worker’s Compensation Trust
Document Type:
Prescription authorization form
Subject:
Workers’ compensation pharmacy benefits
Intended Audience:
Injured workers and pharmacists
Contact Phone:
(800) 563-8438
BIN:
004336
PCN:
ADV
RxGroup:
RXFFWC849
Medication Supply Limit:
Up to 10-day supply
Pharmacy Network:
CorVel Network with over 65,000 participating pharmacies
Note:
Year
Theme:
Injury Reporting
Document Type:
Form
Organization / Institution:
South West Football League
Author:
South West Football League
Target Audience:
Club Managers, Doctors, League General Manager
Year:
2018
Region / City:
Global
Topic:
Military Health System (MHS) Data
Document Type:
Specification
Organization / Institution:
Military Health System
Author:
W. Funk, L. Hopkins, K. Hutchinson, B. Ross
Target Audience:
Military Health System personnel, data analysts, IT specialists
Period of Validity:
Ongoing
Approval Date:
08 October 2018
Revision History:
Document updated periodically as per changes in military health data collection and processing protocols.
Change Log:
08 October 2018, 11 July 2017, 9 April 2013, 26 July 2012, 24 February 2012, etc.
Year:
2022
Region / city:
London, United Kingdom
Theme:
Road safety, child casualties
Document type:
Press release
Organization:
Brake, road safety charity
Partners:
esure, Aardman
Target audience:
General public, schools, parents
Event date:
22 June 2022
Data period:
2016–2020
Child casualties in London 2020:
1,227
Notable boroughs:
Croydon, Richmond upon Thames, Wandsworth
Lowest casualty boroughs:
Kensington and Chelsea, Kingston upon Thames
No casualties:
City of London, Heathrow
Activities:
Kids Walk with Shaun the Sheep, banners, posters, assemblies, manifesto
Contact information:
[email protected]
Year:
2023
Region / City:
Not specified
Topic:
Comparison of fibrillar patterns, echogenicity, and clinical test findings in ligaments
Document Type:
Research Table
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Medical professionals, researchers in orthopedics
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Institution:
Western Washington University
Type of document:
Master’s Thesis
Author:
Claire Baker
Advisory Committee:
Dr. Jessyca Arthur-Cameselle, Dr. Linda Keeler, Dr. Nathan Robey, Samantha MacDonald
Degree:
Master of Science
Field of study:
Sport Psychology
Target population:
Injured collegiate student-athletes
Date of submission:
June 11, 2025
Methodology:
Mixed-methods, quantitative and qualitative analysis
Intervention type:
In-person, social-support-focused group intervention
Number of participants:
5
Average age of participants:
20.2
Gender distribution:
60% female
Measures used:
Stress-Related Growth Scale (SRGS), Perceived Available Support in Sport Questionnaire (PASS-Q), Athletic Identity Measurement Scale (AIMS)
Note:
Year
Topic:
Certification of True Copy
Document Type:
Application Form
Organization:
The Hong Kong Polytechnic University
Target Audience:
Students of The Hong Kong Polytechnic University
Context:
Application form for certifying a true copy of academic documents issued by The Hong Kong Polytechnic University.
Year:
2026
Region / City:
Hong Kong
Subject:
Academic Records, Student Services
Document Type:
Application Form
Institution:
The Hong Kong Polytechnic University
Author:
The Hong Kong Polytechnic University
Target Audience:
PolyU graduates, leavers without eStudent access
Validity Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Context:
Application form for requesting academic transcripts from The Hong Kong Polytechnic University, specifically for graduates or students without access to the eStudent system.
Year:
2026
Region / City:
Not specified
Subject:
Procurement of engineering and professional services
Document Type:
Request for Proposal (RFP)
Organization / Agency:
Local Government, Local Assistance Division
Author:
Not specified
Funding Source:
Federal-Aid, State-Aid, and/or Local Funds
Contract Type:
Project Specific or Limited Services Term Contract
Number of Awards:
Single or Multiple Award
Estimated Contract Value:
$ #######
Contract Duration:
1-year term with up to three optional 1-year renewals or project-specific duration
DBE Goal:
##%
SWaM Goal:
##%
Procurement Contact:
Name of Local Government Locality Procurement Contact
Tentative Procurement Schedule:
Includes pre-proposal conference, EOI due date, shortlist posting, project briefing, interviews, final selection, pre-award documents due, contract signed
Year:
2020
Region / city:
Anaheim, California, USA
Topic:
Toxicology, Travel awards
Document type:
Announcement
Organization / institution:
IUTOX, Society of Toxicology (SOT)
Author:
IUTOX
Target audience:
Junior and senior toxicologists from underrepresented countries
Application deadline:
October 9, 2019
Award notification date:
November 2019
Award period:
March 15–19, 2020
Eligibility:
Junior or senior scientists from developing countries with a GNA<$8,000
Requirements:
Completed application form, statement of benefit, CV, recommendation letter
Abstract requirement:
Optional, but must be submitted through normal abstract process
Contact:
[email protected]
Year:
YYYY
Region / City:
Region XX, City/Town/Village, County
Topic:
Environmental Reassessment
Document Type:
Memorandum
Organization / Institution:
New York State Department of Transportation (NYSDOT)
Author:
First Last, Regional Director
Target Audience:
NYSDOT staff and project stakeholders
Period of Validity:
Until further reevaluation or project change
Approval Date:
Month DD, YYYY
Date of Changes:
N/A
Year:
YYYY
Region / city:
City/Town/Village, County
Theme:
Project reevaluation, environmental determination
Document type:
Memorandum
Organization / institution:
New York State Department of Transportation (NYSDOT)
Author:
First Last, Regional Director, Region XX
Target audience:
NYSDOT officials, project team, and relevant environmental stakeholders
Period of validity:
Until the next reevaluation or project change
Approval date:
Month DD, YYYY
Date of changes:
N/A
Year:
2019
Region / City:
New Jersey, USA
Topic:
Federal Aid Highway Project Management
Document Type:
Guidance / Summary
Organization:
NJDOT Division of Local Aid and Economic Development
Author:
New Jersey Department of Transportation
Target Audience:
Local Public Agencies (LPA)
Period of Applicability:
Upon project initiation and during administration
Approval Date:
September 20, 2019
Procurement Requirements:
23 CFR 172, 23 U.S.C. 112, 2 CFR 200
Consultant Selection Methods:
Competitive negotiation, small purchases, noncompetitive procurement
Payment Methods:
Lump sum, cost plus fixed fee, cost per unit of work, specific rates of compensation
Evaluation Criteria:
Staff qualifications, prior experience, past performance, workload capacity, technical approach
Contract Compliance:
FAR cost principles, NJDOT approved overhead rates
Year:
2024
Region / City:
Massachusetts
Topic:
Long-Acting Injectable Antipsychotic Medications
Document Type:
MassHealth Drug List Update
Institution:
MassHealth
Author:
MassHealth
Target Audience:
Healthcare providers, inpatient psychiatric service providers
Effective Period:
May 15, 2024
Approval Date:
May 15, 2024
Update Date:
Ongoing updates
Applicable Policy:
Long-Acting Injectable Antipsychotic Medication Payment and Reimbursement Policy
J-Codes:
J0401, J0402, J1631, J1943, J1944, J2358, J2426, J2427, J2428, J2680, J2794, J2798, J2799, J2801
Billing Instructions:
Available on the MassHealth website
Year:
2026
Region:
United States
Document Type:
Healthcare Quality Report
Measure:
NQF #0680
Facility Type:
Inpatient Rehabilitation Facility (IRF)
Target Population:
Short-stay residents or patients
Data Source:
IRF-PAI reports
Average Number of Facilities:
1161
Average Number of Reports per Facility per Year:
309
Average Time per Assessment:
5 minutes
Estimated Annual Hour Burden per Facility:
25.75 hours
Estimated Annual Hour Burden All Facilities:
29,895.75 hours
Average Nursing Cost per Facility per Year:
$855.67
Average Nursing Cost All Facilities per Year:
$993,433
Average Monthly Cost per Facility:
$71.30
Cost per Individual Quality Indicator Assessment:
$2.77