Intake Form
Source
- LSA
- PPC
- GMB
- Referral
- Former/Existing Client
- Other
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- List is empty.
Case Type
- Motor Vehicle Accident
- Slip & Fall
- Animal Attack
- Medical Malpractice
- Job Injury
- Wrongful death
- Other
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- List is empty.
Lead Score
- Average
- Above Average
- Below Average
- Disqualified
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- List is empty.
Assign to:
- Mark H. Wright
- Katelyn Caddell
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- List is empty.
Auto Insurance Provider
- State Farm
- GEICO
- Progressive
- Allstate
- USAA (primarily serves military members and their families)
- Liberty Mutual
- Farmers Insurance
- Travelers
- Nationwide
- Mercury Insurance
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- List is empty.
Health Insurance Carrier:
- Florida Blue (Blue Cross Blue Shield of Florida)
- UnitedHealthcare
- Aetna
- Cigna
- Humana
- Molina Healthcare
- Ambetter (Centene Corporation)
- AvMed
- Coventry Health Care
- Simply Healthcare
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- List is empty.
Status
- Open
- Lost
- Abandoned
- Won
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- List is empty.
Attorney
- Mark H. Wright
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- List is empty.
Legal Assistant
- Katelyn Caddell
- Kerri
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- List is empty.