[Admin] [Notes] Template tags

Template Tag

Description

<adc_Employer_Account_Billing_Address>

Employer Account Billing Address

<adc_Employer_Account_Mailing_Address>

Employer Account Mailing Address

<adc_Employer_Group_Name>

Employer Organization Name

<adc_Employer_LniAccountId>

Employer L&I Account ID

Template Tag

Description

<adc_CaseNoteSynopsis>

Inserts all case notes from the case

<adc_Range_CaseNoteSynopsis>

Inserts all case notes from the case for a given date range

<adc_Range_CaseNoteSynopsis_Concise>

Inserts all case notes from the case (DueDate-Description) for a given date range

<adc_Range_End_CaseNoteSynopsis>

End Date of the range defined by adc_Range_CaseNoteSynopsis

<adc_Range_Start_CaseNoteSynopsis>

Start Date of the range defined by adc_Range_CaseNoteSynopsis

Template Tag

Description

<adc_BillClaimNumber>

State Claim Number

<adc_ClaimNumber>

State Claim Number

<adc_ClientClaimNumber>

Client Claim Number

Template Tag

Description

<adc_Worker_Age>

Injured Worker's Current Age

<adc_Worker_Age_Current>

Injured Worker's Current Age

<adc_Worker_Age_Injury>

Injured Worker's Age at the Date of Injury

<adc_Worker_DOB>

Injured Worker's Date of Birth

<adc_Worker_DOB_Intl>

Injured Worker's Date of Birth (yyyy/mm/dd)

<adc_Worker_Gender>

Injured Worker's Gender

<adc_Worker_HeShe>

Injured Worker's Gender – He/She

<adc_Worker_HimHer>

Injured Worker's Gender – Him/Her

<adc_Worker_HisHer>

Injured Worker's Gender – His/Her

<adc_Worker_MrMs>

Injured Worker's Gender – Mr/Mrs

<adc_WorkerSpouse>

Injured Worker's Spouse Name

<es_Worker_ElElla>

Injured Worker's Gender in Spanish – Él/Ella

<es_Worker_Gender>

Injured Worker's Gender

<es_Worker_SrSra>

Injured Worker's Gender in Spanish – Señor/Señora

<es_Worker_SrSraAbb>

Injured Worker's Gender in Spanish – Sr./Sra.

<adc_Worker_SSN>

Injured Worker's Social Security Number

Template Tag

Description

<adc_Body_Part_Injured>

Injured Worker's Involved Body Part

<adc_Date_of_Injury>

Injured Worker's Date of Injury

<adc_Date_of_Injury_Intl>

Injured Worker's Date of Injury (yyyy/mm/dd)

<adc_Employer_Event_Description>

Employer Incident Description

<adc_InjuryDescription>

Involved body part

<adc_InjuryType>

Involved body part

<adc_JobTitle>

Job of Injury – Title (user input)

<adc_JOI_BusinessOwner_X>

Job of injury 'X' if Injured Worker is the business owner, otherwise nothing

<adc_JOI_BusinessOwner_YesNo>

Job of injury 'Yes' if Injured Worker is the business owner, otherwise 'No'

<adc_JOI_DaysPerWeek>

Job of injury Days Worked Per Week

<adc_JOI_DuringJobDuties_X>

Job of injury 'X' if Injury was during regular job duties, otherwise nothing

<adc_JOI_DuringJobDuties_YesNo>

Job of injury 'Yes' if Injury was during regular job duties, otherwise 'No'

<adc_JOI_HoursPerDay>

Job of injury Hours Worked Per Day

<adc_JOI_JobDescription>

Job of injury Job Description

<adc_JOI_LastDayWorked>

Job of injury Last Date Worked (mm/dd/yyyy)

<adc_JOI_LastDayWorked_Full>

Job of injury Last Date Worked (month dd, yyyy)

<adc_JOI_LastDayWorked_Intl>

Job of injury Last Date Worked (yyyy/mm/dd)

<adc_JOI_LightDuty_X>

Job of injury 'X' if Light Duty is available, otherwise nothing

<adc_JOI_LightDuty_YesNo>

Job of injury 'Yes' if Light Duty is available, otherwise 'No'

<adc_JOI_MultipleJobs_X>

Job of injury 'X' if Injured Worker has multiple jobs, otherwise nothing

<adc_JOI_MultipleJobs_YesNo>

Job of injury 'Yes' if Injured Worker has multiple jobs, otherwise 'No'

<adc_JOI_PayRate>

Job of injury Pay Rate Dollar Amount

<adc_JOI_PayRateUnit>

Job of injury Pay Rate Unit

<adc_JOI_ReturnToWork>

Job of injury Return To Work Date (mm/dd/yyyy)

<adc_JOI_ReturnToWork_Full>

Job of injury Return To Work Date (month dd, yyyy)

<adc_JOI_ReturnToWork_Intl>

Job of injury Return To Work Date (yyyy/mm/dd)

<adc_JOI_ReturnToWork_YesNo>

Job of injury 'Yes' if there is a Return To Work Date, otherwise 'No'

<adc_JOI_StartDate>

Job of injury Start Date (mm/dd/yyyy)

<adc_JOI_StartDate_Full>

Job of injury Start Date (month dd, yyyy)

<adc_JOI_StartDate_Intl>

Job of injury Start Date (yyyy/mm/dd)

<adc_JOI_WageComments>

Job of injury Wage Comments

<adc_JOI_WorkShift>

Job of Injury Work Shift

<adc_JOITitle>

Job of injury Injured Worker's Job Title/Description

<adc_Location>

Location (user has to enter in Word Add-In)

<adc_Original_Diagnosis>

Original Diagnosis

<adc_ROA_Provider_Clinic>

Facility and its address, if treatment was given away from worksite

<adc_ROA_Provider_Name>

Name of physician or other healthcare professional

<adc_Time_of_Injury>

Injured Worker's Time of Injury

Template Tag

Description

<adc_AcceptedConditions>

Allowed Diagnoses

<adc_BodySide>

List of Diagnosis Body Side Codes in Chronological Order

<adc_DeniedConditions>

Denied Diagnoses

<adc_DiagnosisCode>

List of Diagnosis Codes in Chronological Order

<adc_InjuryACode>

List of Diagnosis Allowed or Denied Codes in Chronological Order

Template Tag

Description

<adc_AttendingPhysician_Company>

Attending Physician's Organization Name

<adc_AttendingPhysician_DirectPhone>

Attending Physician's Primary Phone Number/ with extension when applicable

<adc_AttendingPhysician_FaxPhone>

Attending Physician's Fax Number

<adc_AttendingPhysician_FirstName>

Attending Physician's First Name

<adc_AttendingPhysician_LastName>

Attending Physician's Last Name

<adc_AttendingPhysician_MailingAddress>

Attending Physician's Mailing Address

<adc_AttendingPhysician_MainPhone>

Attending Physician's Primary Phone Number/ with extension when applicable

<adc_AttendingPhysician_Name>

Attending Physician's First and Last Name or Organization Name (if no First or Last Name)

<adc_AttendingPhysician_Prefix>

Attending Physician's Prefix

<adc_AttendingPhysician_Title>

Attending Physician's Title

<adc_Attorney_CellPhone>

Attorney's Primary Phone Number

<adc_Attorney_Company>

Attorney's Organization Name

<adc_Attorney_DirectPhone>

Attorney's Primary Phone Number

<adc_Attorney_Email>

Attorney's Email address

<adc_Attorney_FaxPhone>

Attorney's Fax Number

<adc_Attorney_FirstName>

Attorney's First Name

<adc_Attorney_LastName>

Attorney's Last Name

<adc_Attorney_MailingAddress>

Attorney's Mailing Address

<adc_Attorney_MainPhone>

Attorney's Primary Phone Number

<adc_Attorney_Name>

Attorney's First and Last Name

<adc_Attorney_Title>

Attorney's Title

<adc_Corr_Address>

Selected Contact's Mailing Address or Office Address or Home Address

<adc_Corr_Address_Zip>

Selected Contact's Zip Code

<adc_Corr_Email>

Selected Contact's E-mail Address

<adc_Corr_FaxPhone>

Selected Contact's Fax Number

<adc_Corr_LastName>

Selected Contact's Last Name

<adc_Corr_Name>

Selected Contact's First and Last Name or Organization Name

<adc_Corr_Organization>

Selected Contact's Organization Name

<adc_Corr_Phone>

Selected Contact's Primary Phone Number/ with extension when applicable

<adc_Employer_CellPhone>

Employer's Primary Phone Number

<adc_Employer_Company>

Employer's Organization Name

<adc_Employer_DirectPhone>

Employer's Primary Phone Number

<adc_Employer_Email>

Employer's email Address

<adc_Employer_FaxPhone>

Employer's Fax Number

<adc_Employer_MailingAddress>

Employer's Mailing Address

<adc_Employer_MainPhone>

Employer's Primary Phone Number

<adc_Employer_Name>

Employer's First Name, Last Name, and Suffix

<adc_Employer_Title>

Employer's Title

<adc_EmployerRep_Company>

Employer's Representative's Organization Name

<adc_EmployerRep_FaxPhone>

Employer's Representative's Fax Number

<adc_EmployerRep_FirstName>

Employer's Representative's First Name

<adc_EmployerRep_LastName>

Employer's Representative's Last Name

<adc_EmployerRep_MailingAddress>

Employer's Representative's Mailing Address

<adc_EmployerRep_MainPhone>

Employer's Representative's Primary Phone Number/ with extension when applicable

<adc_EmployerRep_Name>

Employer's Representative's First and Last Name

<adc_Osha_WorkerNameFull>

Injured Worker's Full Name – First, Middle, Last respecting OSHA privacy flag

<adc_Referrer_ClaimUnit>

Claim Manager's Claim Unit (Location for Claim Manager Contact)

<adc_Referrer_Company>

Claim Manager's or Claim Examiner's Organization Name

<adc_Referrer_DirectPhone>

Claim Manager's or Claim Examiner's Primary Phone Number/ with extension when applicable

<adc_Referrer_Email>

Claim Manager's or Claim Examiner's Email

<adc_Referrer_FaxPhone>

Claim Manager's or Claim Examiner's Fax Number

<adc_Referrer_FirstName>

Claim Manager's or Claim Examiner's First Name

<adc_Referrer_LastName>

Claim Manager's or Claim Examiner's Last Name

<adc_Referrer_MailingAddress>

Claim Manager's or Claim Examiner's Mailing Address

<adc_Referrer_MainPhone>

Claim Manager's or Claim Examiner's Primary Phone Number/ with extension when applicable

<adc_Referrer_Name>

Claim Manager's or Claim Examiner's First and Last Name

<adc_Referrer_Title>

Claim Manager's or Claim Examiner's Title

<adc_Worker_Address>

Injured Worker's Mailing Address

<adc_Worker_Address_Home>

Injured Worker's Home Address

<adc_Worker_Cell_Phone>

Injured Worker's Primary Phone Number/ with extension when applicable

<adc_Worker_City>

Injured Worker's Mailing Address City

<adc_Worker_Email>

Injured Worker's email address

<adc_Worker_Home_Phone>

Injured Worker's Primary Phone Number/ with extension when applicable

<adc_Worker_Name_First>

Injured Worker's First Name

<adc_Worker_Name_Last>

Injured Worker's Last Name

<adc_Worker_Name_Middle>

Injured Worker's Middle Name (user input)

<adc_Worker_Name_Suffix>

Injured Worker's Suffix

<adc_Worker_Other_Phone>

Injured Worker's Secondary Phone Number/ with extension when applicable

<adc_WorkerNameFull>

Injured Worker's Full Name – First, Middle, Last

<adc_WorkerNameLCFMS>

Injured Worker's Name (Last, First Middle Suffix)

<adc_Worker_State>

Injured Worker's Mailing Address State

<adc_Worker_Street>

Injured Worker's Mailing Address Street

<adc_Worker_Zip>

Injured Worker's Mailing Address Zip

Template Tag

Description

<adc_Billing_Code>

Service Code

<adc_PhaseDescription_Long>

The current vocational phase - long description

<adc_PhaseDescription_Short>

The current vocational phase - short description

<adc_Referral_ID>

Referral ID

<adc_ReferralDate>

Referral Date

Template Tag

Description

<adc_Firm_Billing_Address>

Firm Billing Address

<adc_Firm_Mailing_Address>

Firm Mailing Address

<adc_MapMailingAddress>

Mailing Address for the office which the case is assigned to (Branch Location)

<adc_Office_FaxPhone>

Firm Fax Number

<adc_Office_MainPhone>

Firm Primary Phone Number/ with extension when applicable

<adc_OfficeName>

Firm Name

<adc_VocFirm_Address>

Firm Billing Address

<adc_VocFirm_Fax>

Firm Fax Number

<adc_VocFirm_Name>

Firm Name

<adc_VocFirm_Phone>

Firm Phone Number/ with extension when applicable

Template Tag

Description

<adc_Analyst_CommonName>

Current User's First and Last Name

<adc_Analyst_Credentials>

Current User's Credentials (e.g. CRC, CDMS)

<adc_Analyst_Email>

Current User's email Address

<adc_Analyst_Fax>

Current User's Fax Number, or office fax number when current user doesn't have one.

<adc_Analyst_FirstName>

Current User's First Name

<adc_Analyst_LastName>

Current User's Last Name

<adc_Analyst_MainPhone>

Current User's Primary Phone Number/ with extension when applicable

<adc_Analyst_Office>

Current User's Office Name

<adc_Analyst_Office_MailingAddress>

Current User's Mailing Address

<adc_Analyst_Office_Number>

Current User's Office Number

<adc_Analyst_Phone>

Current User's Primary Phone Number/ with extension when applicable

<adc_Analyst_ProperName>

Current User's First and Last Name

<adc_Analyst_Signature>

Current User's Signature Image. Sized 0.5 inches tall.

<adc_Analyst_Signature_{size}>

Current User's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_Analyst_Signature_2.0)

<adc_Analyst_Signature_0.5>

Current User's Signature Image. Sized 0.5 inches tall.

<adc_Assigned_CM_CommonName>

Lead Claims Consultant's First and Last Name

<adc_Assigned_CM_Credentials>

Lead Claims Consultant's Credentials

<adc_Assigned_CM_Email>

Lead Claims Consultant's email Address

<adc_Assigned_CM_Fax>

Lead Claims Consultant's Fax Number

<adc_Assigned_CM_FirstName>

Lead Claims Consultant's First Name

<adc_Assigned_CM_LastName>

Lead Claims Consultant's Last Name

<adc_Assigned_CM_MainPhone>

Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_Assigned_CM_Office>

Lead Claims Consultant's Office Name

<adc_Assigned_CM_Office_MailingAddress>

Lead Claims Consultant's Mailing Address

<adc_Assigned_CM_Office_Number>

Lead Claims Consultant's Office Number

<adc_Assigned_CM_Phone>

Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_Assigned_CM_ProperName>

Lead Claims Consultant's First and Last Name

<adc_Assigned_CM_Signature>

Lead Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_Assigned_CM_Signature_{size}>

Lead Claims Consultant's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_Assigned_CM_Signature_2.0)

<adc_Assigned_CM_Signature_0.5>

Lead Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_CM_of_Record_CommonName>

Lead Claims Consultant's First and Last Name

<adc_CM_of_Record_Credentials>

Lead Claims Consultants Credentials (e.g. CRC, CDMS)

<adc_CM_of_Record_Email>

Lead Claims Consultant's email Address

<adc_CM_of_Record_Fax>

Lead Claims Consultant's Fax Number

<adc_CM_of_Record_FirstName>

Lead Claims Consultant's First Name

<adc_CM_of_Record_LastName>

Lead Claims Consultant's Last Name

<adc_CM_of_Record_MainPhone>

Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_CM_of_Record_Office>

Lead Claims Consultant's Office Name

<adc_CM_of_Record_Office_MailingAddress>

Lead Claims Consultant's Mailing Address

<adc_CM_of_Record_Office_Number>

Lead Claims Consultant's Office Number

<adc_CM_of_Record_Phone>

Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_CM_of_Record_ProperName>

Lead Claims Consultant's First and Last Name

<adc_CM_of_Record_Signature>

Lead Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_CM_of_Record_Signature_{size}>

Lead Claims Consultant's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_CM_of_Record_Signature_2.0)

<adc_CM_of_Record_Signature_0.5>

Lead Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_From_CommonName>

Current User's First and Last Name

<adc_From_Credentials>

Current User's Credentials (e.g. CRC, CDMS)

<adc_From_Email>

Current User's email Address

<adc_From_Fax>

Current User's Fax Number, or office fax number when current user doesn't have one.

<adc_From_FirstName>

Current User's First Name

<adc_From_LastName>

Current User's Last Name

<adc_From_MainPhone>

Current User's Primary Phone Number/ with extension when applicable

<adc_From_Office>

Current User's Office Name

<adc_From_Office_MailingAddress>

Current User's Mailing Address

<adc_From_Office_Number>

Current User's Office Number

<adc_From_Phone>

Current User's Primary Phone Number/ with extension when applicable

<adc_From_ProperName>

Current User's First and Last Name

<adc_From_Signature>

Current User's Signature Image. Sized 0.5 inches tall.

<adc_From_Signature_{size}>

Current User's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_From_Signature_2.0)

<adc_From_Signature_0.5>

Current User's Signature Image. Sized 0.5 inches tall.

<adc_ReferredOrLead_CommonName>

Referred or Lead Claims Consultant's First and Last Name

<adc_ReferredOrLead_Credentials>

Referred or Lead Claims Consultant's Credentials (e.g. CRC, CDMS)

<adc_ReferredOrLead_Email>

Referred or Lead Claims Consultant's Email Address

<adc_ReferredOrLead_Fax>

Referred or Lead Claims Consultant's Fax Number

<adc_ReferredOrLead_FirstName>

Referred or Lead Claims Consultant's First Name

<adc_ReferredOrLead_LastName>

Referred or Lead Claims Consultant's Last Name

<adc_ReferredOrLead_MainPhone>

Referred or Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_ReferredOrLead_Office>

Referred or Lead Claims Consultant's Office Name

<adc_ReferredOrLead_Office_MailingAddress>

Referred or Lead Claims Consultant's Mailing Address

<adc_ReferredOrLead_Phone>

Referred or Lead Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_ReferredOrLead_ProperName>

Referred or Lead Claims Consultant's First and Last Name

<adc_ReferredOrLead_Signature>

Referred or Lead Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_ReferredOrLead_Signature_{size}>

Referred or Lead Claims Consultant's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_ReferredVRC_Signature_2.0)

<adc_ReferredVRC_CommonName>

Referred Claims Consultant's First and Last Name

<adc_ReferredVRC_Credentials>

Referred Claims Consultant's Credentials (e.g. CRC, CDMS)

<adc_ReferredVRC_Email>

Referred Claims Consultant's Email Address

<adc_ReferredVRC_Fax>

Referred Claims Consultant's Fax Number

<adc_ReferredVRC_FirstName>

Referred Claims Consultant's First Name

<adc_ReferredVRC_LastName>

Referred Claims Consultant's Last Name

<adc_ReferredVRC_MainPhone>

Referred Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_ReferredVRC_Office>

Referred Claims Consultant's Office Name

<adc_ReferredVRC_Office_MailingAddress>

Referred Claims Consultant's Mailing Address

<adc_ReferredVRC_Office_Number>

Referred Claims Consultant's Office Number

<adc_ReferredVRC_Phone>

Referred Claims Consultant's Primary Phone Number/ with extension when applicable

<adc_ReferredVRC_ProperName>

Referred Claims Consultant's First and Last Name

<adc_ReferredVRC_Signature>

Referred Claims Consultant's Signature Image. Sized 0.5 inches tall.

<adc_ReferredVRC_Signature_{size}>

Referred Claims Consultant's Signature Image. NOTE: {size} should be replaced to specify height in inches (e.g. Two inch tall signature: adc_ReferredVRC_Signature_2.0)

<adc_ReferredVRC_Signature_0.5>

Referred Claims Consultant's Signature Image. Sized 0.5 inches tall.

Template Tag

Description

<adc_ContactDate>

Today's Date (mm/dd/yyyy)

<adc_ContactDate_Full>

Today's Date (month dd, yyyy)

<adc_ContactDate_Intl>

Today's Date (yyyy/mm/dd)

<adc_Corr_Date>

Today's Date (mm/dd/yyyy)

<adc_Corr_Date_Full>

Today's Date (month dd, yyyy)

<adc_Corr_Date_Intl>

Today's Date (yyyy/mm/dd)

<adc_DateNow>

Today's Date (mm/dd/yyyy)

<es_ContactDate_Full>

Today's Date in Spanish (dd de month de yyyy)

<es_Corr_Date_Full>

Today's Date in Spanish (dd de month de yyyy)