Julio Mendez

treating

medium

CS-2606-6433·Auto Accident·zuly@azandassociates.net

Original Intake Submitted

Staff Updates Applied

Last updated by joselinJun 15, 2026 5:05 PM

Missing Information

Client Email

Client Insurance

People Involved

Total People1

Injured1

driverJulio MendezInjured

DOB: 1969-07-01

6787615681

⚠ left arm, chest, neck, back, L leg

Client

NameJulio Mendez

Phone6787615681

DOB1969-07-01

Address2665 Fairburn rd #H203 south west, Smyrna, ga 30331

Insurance

Client Carrier—

At-Fault CarrierProgressive

At-Fault Claim #26-455571605

At-Fault Policy #988422490

At-Fault Limits250/500

Adjusters

PD AdjusterKatelin Edmisten

PD Phone8339051744

Vehicle

Year2012

MakeFord

Modelf-150

DrivableYes

Medical

Assigned ClinicDominguez Chiro- Smyrna

Treatment Statuspending

ER VisitNo

Currently TreatingYes

Injuries

Client

left arm, chest, neck, back, L leg

Julio Mendez

left arm, chest, neck, back, L leg

AI Analysis

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Case Summary

Incident Date

May 20, 2026

Incident Type

auto accident

Incident Location

Atlanta ga

Client Role

driver

Description

defendant made a change of lanes to the right into our clients lane hitting him on the front and driver side, client tried to aboid collision by steering right but collided against a railing

At-Fault Insurance

Carrier

Progressive

Policy #

988422490

Claim #

26-455571605

Policy Limits

250/500

Adjuster

Katelin Edmisten

Adjuster Phone

8339051744

At-Fault Driver

Francesca A De Benitez

Insured Name

Jorge Benitez Zavaleta

Client Vehicle

Year

2012

Make

Ford

Model

f-150

Damage Description

entire front railing fell damage ln right side

At-Fault Vehicle

Make

ford

Model

F-150

At-Fault Party

2012

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30331Smyrna, ga

Dominguez Chiro- Smyrna

Custom entry

Assigned Attorney

Stephen Law Firm

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

No clinics assigned yet.

Intake Completeness

3 fields still missing

88%

Client Info

6/7

First Name
Last Name
Phone
EmailMissing
Address
Date of Birth
Preferred Contact Method

Incident

5/5

Incident Date
Incident Location
Incident Type
Incident Description
Client Role in Accident

Police & Injuries

4/4

Police Report Filed
Police Department Name
Police Report Number
Injuries Description

Vehicle & Parties

3/5

Vehicle Year
Vehicle Make
Vehicle Model
Insurance CompanyMissing
Insurance Policy NumberMissing

Docs & Consent

4/4

ID Document
Consent to Share Info
Consent to Accuracy
Digital Signature