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Intake Workflow Template - Docket #OZM-2026

Ozempic Mass Tort Intake Template: GLP-1 Gastroparesis Qualification

The Ozempic Mass Tort Intake Template provides specialized clinical qualification for individuals who suffered severe gastroparesis, intestinal blockage, or deep venous thrombosis following the use of semaglutide medications like Ozempic and Wegovy under MDL 3094.

Screen prescription records, verify diagnostic testing documentation, and route review-ready master claimant files to pharmaceutical mass tort teams.

Target EntitiesNovo Nordisk, Eli Lilly, Pharmacy Benefit Managers
Statutory Rule PacksIn re: Glucagon-like Peptide-1 (GLP-1) Receptor Agonists Products Liability Litigation (MDL 3094)
Average Claim ValueMDL Master Settlement Tier Allocation
Extraction EnginesPharmacy Record OCR, Diagnostic Test Parser (Gastric Emptying Study)
Automated Execution Pipeline

Four synchronous verification gates from lead to retainer.

This workflow executes four automated screening steps before the claimant is countersigned and queued in your firm case ledger.
1

Medication History Verification

Collects specific brand, dosage, dates of use, and prescribing physician details.

  • Screen for Ozempic, Wegovy, Mounjaro
  • Verify minimum 60-day use duration
  • Prescription bottle photo OCR
2

Injury & Hospitalization Qualification

Validates primary qualifying medical diagnoses.

  • Gastroparesis / severe stomach paralysis
  • Bowel obstruction or ileus
  • Emergency room or ICU hospital admission
3

Diagnostic Test Verification

Homeowner or patient uploads Gastric Emptying Study (GES) or endoscopy results.

  • Extract GES retention percentages at 4 hours
  • Flag pre-existing conditions (diabetic gastroparesis check)
  • Extract facility names
4

HIPAA Release & Retainer Execution

Executes HIPAA medical authorization and legal representation agreement.

  • Dual canvas signature on HIPAA release
  • Client agreement countersign
  • MDL plaintiff factsheet data prep
Frequently Asked Questions

Docket-specific intake considerations.

What is the primary injury required for Ozempic mass tort claims?

Qualified claims typically require a formal medical diagnosis of gastroparesis (stomach paralysis), severe intestinal obstruction, or prolonged hospitalization following the use of Ozempic or Wegovy, supported by diagnostic testing.

Template Deployment

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