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Claims Assessment Cases: Prognosis

prognosis letters with stethoscope

In the general medical practice, when your doctor provides you with a prognosis, they are essentially giving you an explanation of how they expect your condition or disease to advance in the future. There are general prognosis categories, such as excellent, good, fair, poor, etc. When it comes to claims assessment cases, the categories may differ, depending on the software that the insurance company is using.

For example, the most prevalent software – Colossus – uses the following categories:

  1. Resolution undetermined,
  2. No complaint/no further treatment required,
  3. Complaint/no further treatment required,
  4. Complaint/further treatment required,
  5. Guarded

With all this being said, the most important thing that you can do when filing your claims assessment case is to ensure that your doctor gives each of your injuries a prognosis. If you are aware of the type of claims assessment software your insurance company uses, then make sure that your doctor adopts the terminology that the software prefers. To give your claim the best chance of success with a high settlement, it is important that all of the documents are properly filed with attention to the details of each injury sustained. If you are concerned about whether your documents are sufficient to make a claim, or need help with properly formatting your demand letter to the insurance company, our personal injury attorneys at KI Legal Personal Injury are here to help. With a strong attention to detail and a focus on dedicated advocacy, our team will do everything it can to help you succeed with your claim. Give us a call at (212) 404-8605 or email to set up a free consultation today.




This information is the most up to date news available as of the date posted. Please be advised that any information posted on the KI Legal Blog or Social Channels is being supplied for informational purposes only and is subject to change at any time. For more information, and clarity surrounding your individual organization or current situation, contact a member of the KI Legal team.


KI Legal Personal Injury fights for victims of a wide array of personal injury claims, from Motor Vehicle Accidents to Scaffolding and Ladder Falls to Slip/Trip & Falls, amongst others. By leveraging its multidisciplinary foundation and, with the help of its experienced litigators, KI Legal Personal Injury can fight for the results and compensation that victims deserve without pushing for premature settlements due to financial reasons. This financial paradigm shift swings the pendulum in our favor when it comes to negotiating with insurance carriers, inherently leading to better results for clients. For the latest updates.

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