How Justine flags the Medicare set-aside.
A Medicare set-aside protects the worker’s benefits and must satisfy CMS, and getting it wrong after a Compromise & Release is a costly problem. Justine flags when a WCMSA is implicated — Medicare-beneficiary status, the CMS review thresholds, open future medical — and frames the analysis the attorney needs before the C&R is signed. She does not compute the set-aside dollar amount; that stays with a WCMSA vendor and the attorney’s judgment.
What WC does.
- 01
Justine flags Medicare-beneficiary status and the CMS review thresholds that decide whether a set-aside should be submitted for approval.
- 02
She surfaces the open-future-medical exposure that makes a set-aside necessary, so the structure is chosen with that risk in view — before, not after, the C&R.
- 03
The output is a flag and a written analysis of the considerations, explicitly not a computed set-aside allocation.
- 04
Justine tells the attorney to resolve the set-aside with a WCMSA vendor before papering the C&R — she does not invent the figure.
- 05
Every consideration traces to its statutory or record basis; the attorney decides.
The AI reasons; the attorney decides.
JustineAI™ WC is in market for applicant-side California workers’ comp. Rating, apportionment, and settlement figures are projections for the attorney to verify against the current schedule and CMS thresholds. Not legal advice · not a law firm · the attorney decides.