Sample PRE-CONFERENCE CALL CHECKLIST

Name of person to be called: ___________________________________

Telephone Number: ______________________

(Area code, number)

Person to be called is: _____Claimant ___Attorney/Representative

Agenda items: Item Completed Comments

1. Explain purpose of pre-conference call ____ _________

2. Explain purpose of conference

and topics to be discussed; i.e.,

fault determination and/or waiver ____ _________

3. Describe info person will need at ____ _________

conference

4. Confirm person’s ability to obtain info ____ _________

5. Explain “at fault” finding, if applicable____ _________

6. Explain criteria for “waiver” ____ _________

7. Explain “interest” charges ____ _________

8. Indicate conference is limited to

overpayment issues ____ _________

9. Confirm person’s understanding ____ _________

of conference

10. Ask if person has questions ____ _________

11. Conference scheduled for:

Date_______________________ Time______________

12. Other items (specify) ________________________________________________________________________________________________________________________________

13. Pre-conference call made by ________________Date____________