Guide

How Do Personal Injury Firms Screen and Evaluate Cases?

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Personal injury case screening is the accept or decline review a firm runs before it signs a client: it tests liability, damages, insurance coverage, the statute of limitations, causation, client credibility and conflicts, then scores the case against the firm’s own thresholds. Screening sits inside personal injury intake, and it’s the step that decides whether intake ends in a signed retainer or a decline letter.

EvenUp supports the intake case analysis that follows once a file has records, with tools that summarize case files, flag missing records and treatment gaps, and surface weaknesses an adjuster will raise.

A declined case costs the firm a phone call. A weak case signed on contingency can cost months of staff time and advanced costs before anyone admits it won’t pay. A written screen makes the decision repeatable, so two intake specialists looking at the same facts reach the same answer.

Key Takeaways

  1. Screening answers one question: should the firm sign this case on these facts? Valuation and intake operations are separate jobs.
  2. Seven criteria cover most screens: liability, damages, coverage, the statute of limitations, causation, client credibility and conflicts.
  3. A scoring rubric with knockout criteria makes accept or decline calls consistent across staff.
  4. A clear decline letter protects the person who called and protects the firm, and it should never estimate a deadline.
  5. Screening doesn’t end at signup. Re-screen when records, coverage answers or treatment patterns change the facts.

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What Is Personal Injury Case Screening?

Personal injury case screening is the firm’s decision on whether a potential case meets its standards for liability, recoverable damages and collectability. It happens after the first intake conversation and before the retainer, and it ends in one of three outcomes: accept, decline or hold for more facts.

Screening is easy to confuse with the jobs on either side of it. The table separates them.

JobWhen It HappensQuestion It AnswersTypical OwnerOutput
IntakeFirst contactWho is this person and what happened?Intake specialistContact record and incident facts
ScreeningBefore the retainerShould the firm take this case?Attorney or intake leadAccept, decline or hold
Re-screeningAs records arriveDo the new facts change the decision?Case manager and attorneyContinue, adjust strategy or withdraw
ValuationBefore the demandWhat is the case worth?AttorneyDemand strategy

Valuation gets its own treatment in our guide on how to calculate personal injury settlement value. At screening, the firm needs a rough sense of value only to decide whether the case clears its floor.

What Criteria Do PI Firms Use to Evaluate a Case?

Most firms screen on seven criteria. Each one can sink a case on its own, so the screen checks all seven before anyone scores the file.

  1. Liability. Who caused the incident, and can the firm prove it? Police reports, witness names, photos and video carry the most weight at this stage. Comparative fault rules vary by state, and some states bar recovery when the client’s share of fault crosses a set line.
  2. Damages. What injuries does the client report, what treatment have they had, and what has the injury cost them in wages and daily life? An ER visit with no follow-up care is a different case from a surgical recommendation.
  3. Coverage and policy limits. Is there an insurer, and how much can it pay? A strong liability case against an uninsured driver with no assets may not be collectable. Underinsured and uninsured motorist coverage on the client’s own policy can change the answer. Our guide to policy limits settlements covers what happens when damages exceed coverage.
  4. Statute of limitations. How much time is left to file? A case with weeks left on the clock needs an immediate decision, and some claims carry much shorter notice deadlines.
  5. Causation. Did this incident cause these injuries? Prior injuries, degenerative findings and long delays before first treatment are the defense’s usual attacks.
  6. Client credibility. Is the account consistent, and does the client have the documents to back it up? Inconsistent dates, prior claims and social media posts all affect how a carrier and a jury will see the client.
  7. Conflicts. Does the firm already represent, or has it consulted with, anyone on the other side? A conflict check runs before the firm takes in more confidential facts than it needs.

Liability questions often need early investigation. Our guide on streamlining policy limit investigations and liability tracing covers how firms find every responsible party and policy.

How Do You Check the Statute of Limitations and Conflicts at Screening?

Firms should consider checking both before scoring anything else, because either one can end the screen. A missed deadline can’t be fixed, and a conflict can disqualify the firm.

Statute of limitations

Every state sets its own deadlines, and the clock can depend on the claim type, the defendant and the client. California’s general deadline for personal injury is two years under Code of Civil Procedure section 335.1, as the Santa Clara County Superior Court’s statute of limitations table lists. The same table shows a much shorter path for claims against a public entity: the claim generally goes to the entity within six months. Other states set different periods, and tolling rules for minors, discovery of the injury and other situations vary.

Record three dates at screening:

  1. The date of the incident
  2. The earliest filing or notice deadline for every possible defendant, including any government claim deadline
  3. The internal date by which the firm must decide, set well ahead of the earliest deadline

For a view of how long each stage takes once a case is signed, see our guide to personal injury claim timelines.

Conflicts

A person who consults the firm about a possible case is a prospective client, and ABA Model Rule 1.18 limits how the firm can use what that person shares, even if the firm declines. The rule also explains when information from a prospective client can disqualify the firm from representing someone on the other side. 

You can run the conflict check on the client, the other driver or property owner, the insurer’s insured and any business involved before the intake call goes deep into the facts. Your state’s version of the rule controls.

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How Do You Build a Case Screening Scoring Rubric?

Score each criterion on a fixed scale, mark the criteria that can end a case on their own and set an acceptance threshold the whole firm uses. The rubric below is illustrative. Adjust the weights to your practice areas and case mix.

Criterion0 Points1 Point2 PointsKnockout?
LiabilityClient likely at faultDisputed or shared faultClear fault by another partyYes, at 0
DamagesNo treatment, minor symptomsOngoing conservative careSurgery, imaging findings or lasting impairmentNo
CoverageNo known coverage or assetsMinimum limits onlyAdequate limits or multiple policiesYes, at 0
Statute of limitationsExpiredLess than 90 days leftAmple timeYes, at 0
CausationMajor prior injury to same areaSome prior history or delayed careClean history, prompt treatmentNo
Client credibilityAccount conflicts with recordsMinor inconsistenciesConsistent and documentedNo
ConflictsUnresolved conflictWaivable conflictNo conflictYes, at 0

In this illustrative version, a case that hits any knockout is declined. A case that clears the knockouts and scores 10 or more out of 14 is accepted. A score of 7 to 9 goes to attorney review. Anything lower is declined. Consistency is the point. When every intake specialist applies the same rubric, the firm can see which criteria predict its best and worst cases over time.

A firm that signs cases it can’t move creates its own backlog. Our guide to personal injury firm bottlenecks covers how weak files slow everything behind them.

How Should a Firm Decline a Personal Injury Case?

Decline in writing, promptly and in plain language. A non-engagement letter confirms there’s no attorney-client relationship and tells the person that time limits apply to their claim. It’s the firm’s record that it declined, and it’s the person’s signal to keep looking for a lawyer.

Consider the following five criteria for a decline letter:

  1. State that the firm won’t represent the person on this matter.
  2. Warn that a deadline applies to the claim and that missing it can end the claim, without calculating or estimating the date.
  3. Recommend that the person speak with another lawyer promptly.
  4. Avoid any opinion on the merits of the claim.
  5. Return any original documents the person provided.

Keep the letter short and send it by a method that creates a record, such as email with the screening notes attached to the firm’s file. The duty of confidentiality under Rule 1.18 still applies to what the person shared, so limit internal access to the screening notes. Wording requirements and best practices vary by state, so have the firm’s malpractice carrier or ethics counsel approve the template.

When Should a Firm Re-Screen a Case After Records Arrive?

Re-screen whenever new facts could change the original decision. The first screen relies on what the client says. The medical records, the carrier’s coverage answer and the client’s treatment pattern either confirm that account or change it.

Five triggers should send a file back through the screen:

  1. Medical records show a prior injury or treatment to the same body part.
  2. The carrier denies liability or discloses limits lower than expected.
  3. Treatment stops, or gaps open between visits.
  4. Imaging or diagnostic results come back negative.
  5. The client’s account of the incident changes.

A medical chronology is the fastest way to see whether the records support the client’s story, because it puts every visit, diagnosis and prior condition on one timeline. Treatment patterns matter as much as diagnoses: our guide to how treatment gaps reduce personal injury settlements explains why a break in care becomes a carrier’s first argument.

EvenUp’s Case and Negotiation Preparation flags missing medical bills and records, shows treatment gaps on a care timeline, tracks treatment costs against policy limits and identifies weaknesses such as negative diagnostics and prior incidents. A re-screen built on that view is faster than one built on a stack of raw records. Re-screening ends in one of three decisions: continue as planned, change the case strategy or withdraw under the rules of professional conduct in your state.

What Does Case Analysis Software Do for Personal Injury Firms?

Case analysis software reads a case file and tells the firm what’s in it: injuries, treatment, costs, gaps, prior history and the arguments the other side is likely to make. For screening, it’s most useful once records exist, at re-screen and before the demand.

Check five things before you rely on any case analysis tool:

  1. Citations to source pages. Every fact the tool reports should link to the page it came from, so staff can confirm it in seconds.
  2. Coverage of the whole file. The tool should read medical records, bills, police reports and correspondence together.
  3. Prior history detection. It should surface prior treatment and history that affect causation.
  4. Fit with your case management system. It should work alongside your CMS without forcing staff to re-enter facts.
  5. Security and data handling. The vendor should explain in writing how it stores, protects and retains case data.

EvenUp’s Companion answers questions about a case with line-level citations to the records, summarizes documents and identifies likely adjuster arguments. Across the caseload, it flags cases falling behind on treatment or approaching the statute of limitations, using the firm’s CMS data. MedChrons turns the records into a searchable timeline and identifies prior treatment and history that may affect causation.

Make the Accept or Decline Call on Evidence, Then Make It Again

Good screening is a written standard that every person at intake applies the same way. Check the statute of limitations and conflicts first, score the seven criteria, decline in writing and record why. Then treat the decision as provisional. The records, the carrier and the client’s treatment will test the first screen, and the firms that re-screen on those triggers spend less time on cases that were never going to pay.

Schedule a call to see how EvenUp helps your team analyze case files once records arrive.

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Frequently Asked Questions

What Is Personal Injury Case Evaluation?

Personal injury case evaluation is the review a firm runs to decide whether to take a case and how strong it is. It tests liability, damages, insurance coverage, the statute of limitations, causation, client credibility and conflicts. Firms often call the first pass screening and the later, records-based review case analysis.

What Is Case Analysis Software for Personal Injury?

Case analysis software reads the documents in a PI file and reports what they show: injuries, treatment, costs, gaps, prior history and likely defense arguments. The best tools cite the source page for every fact. It’s most useful once medical records are in the file.

What Are the Most Common Reasons PI Firms Decline Cases?

The most common reasons are unclear liability, no collectable insurance coverage, minor injuries with little treatment, an expired or nearly expired deadline and a conflict of interest. Many firms also decline when the client’s account conflicts with the records. Each firm sets its own thresholds.

What Should a Personal Injury Decline Letter Say?

It should say the firm won’t represent the person, warn that a deadline applies to the claim without estimating the date, recommend speaking with another lawyer promptly and give no opinion on the merits. Requirements vary by state, so have ethics counsel or the firm’s malpractice carrier approve the template.

When Should a Personal Injury Case Be Re-Screened?

Re-screen when new facts could change the decision: prior injuries in the records, a liability denial, lower-than-expected policy limits, treatment gaps, negative imaging or a change in the client’s account. A medical chronology makes most of these visible on one timeline.

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