API Key:
Output Format:
XML JSON ( Small Full )
Client ID:
Data Type:
State:
No Designation Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federal Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont VirginiaWashington West Virginia Wisconsin Wyoming No Designation Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia
Average Weekly Wage:
Expected Days Lost:
Employee Age:
Job Class:
Compensation Rate:
Modified Duty Duration:
TPD Lost Wages:
Medical Only Claim:
Medical Only Claim (No Indemnity Costs Calculations)
Confounding Factors:
Body Part Code:
Nature of Injury Code:
ICD Proc Codes:
CPT Proc Codes:
NDC Proc Codes:
HCPCS Proc Codes:
Job Demand Score:
Input Request XML:
Output Response XML/JSON: