Serious Injury claim

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includes all short-term disability, long-term disability, and fatal claims with a first payment in the month of injury or in the three months following the month of injury that meet at least one of the following criteria: long duration (wage loss of 50 days or more), high health care costs (costs equivalent to 28 or more days of wage loss, fatality, or serious medical condition(one of 275 selected ICD-9 codes).

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Serious Injury claim