How to Report an Incident or Claim
You are always welcome to call your DT Insurance Agency representative to obtain direction or guidance on an incident before your report it to the carrier. However, if you have incurred an actual claim, it is best to contact the carrier immediately.
Helpful tips on reporting a claim to MedPro:
Contact a MedPro Claims Representative if you have:
- Been served with legal papers
- Received notice of an investigation by the Board of Medicine
- Been subpoenaed
How to report an incident or claim:
- Dial 1-800-4-MEDPRO (1-800-463-3776) and you will be connected with the claims representative who will handle your incident or claim.
- You will be provided with the appropriate report forms to complete.
- Return the completed report forms and all correspondence received from the claimant or the claimant’s representative, as well as any other pertinent material you may have, to the claims team.
The information is needed when reporting an incident or claim:
- Your contact information (phone, fax, and email).
- Information about, or copies of, any documents you may have received.
- If served with legal papers, the dates that papers were received.
- Patient’s information (name, address, age, etc.).
- The dates of treatment that form the basis of the incident or claim.
A MedPro representative will begin the claims process after receiving the report form and verifying coverage. They will then:
- Appoint the defense counsel
- Request and gather discovery data
- Supervise the defense development
- Maintain ongoing communication with the defense counsel
- Assess the potential damage
- Collaborate on the decision to defend or settle the case
- Issue the check in the event a payment is required
- Pay the legal fees and expenses
- Obtain the legal closing documents
If you have a claim, DO:
- Do collect all of the pertinent patient records concerning the claimant and maintain them in a separate and secure location.
- Do keep correspondence and any other communications received from your attorney or your insurance company in a file separate from the patient chart.
- Do ask your defense counsel questions if you are unclear about any of the proceedings.
- Do assist your attorney in your defense. You are the best source of information and expertise, and your assistance is a vital element of an effective and successful defense.
If you have a claim, DO NOT:
- Do not discuss the case with anyone other than your appointed defense counsel.
- Do not change, discard, or otherwise alter the patient records.
- Do not mail, e-mail, or fax patient records regarding a claim to anyone other than your attorney or your MedPro claims specialist without consulting your defense team.
- Do not rely solely on your attorney to defend you in your case. Your active participation is key to an effective and successful defense.