What is Claims Management?

A medical malpractice claim is one of the most difficult and trying experiences you can go through as a health care provider. MedMal Direct Insurance Company prides itself on a proactive, aggressive claims management approach — and will be there to support you every step of the process by retaining top, local attorneys to aggressively defend you, if necessary.

We understand that a legal accusation is a threat to your reputation. Our claims team comprises some of the most experienced medical malpractice claims professionals in the business and will be there to support you through every step of the process.

What Should Be Reported?

Coverage can be triggered by a number of incidents or circumstances that should be reported.

Formal Notification

  • Notice of a claim or suit
  • Proceedings from a state medical board
  • Request for verbal or written statements or copies of records
  • Request for recorded statements or depositions
  • Demand for a refund, money, damages or potentially-compensable events
  • Demand for mediation or arbitration

Medical Incident

  • Adverse outcomes
  • Unexpected deaths
  • Unanticipated neurological, sensory or brain damage
  • Permanent paralysis
  • Partial/complete loss of sight or hearing
  • Birth-related injuries
  • Unexpected burns
  • Unexpected/uncontrollable internal injuries
  • Unexpected disabilities
  • Complicated recoveries
  • Serious medication reactions
  • Verbal complaints or threats
  • Issues/disputes relating to other providers that may result in litigation
  • Any event out of the ordinary

Reporting Checklist

When you call, please be prepared to provide our claims manager with the following information:

  • Date, time and location of the event
  • Patient’s name, gender, and date of birth
  • Any lawsuit notices or documents pertaining to legal proceedings
  • Names of any other physicians or medical providers involved in care
  • Names of any involved hospitals, clinics, etc. 
  • Chronology of medical treatment
  • Information available regarding the nature of the event

Claims Reporting: 855.663.3625 HIPAA Secure Fax: 888.974.6458 Email: Claims@MedMalDirect.com

Next Steps

  1. Create a separate file for correspondence related to the claim/incident. Do not modify, alter or add anything to the patient’s medical chart – make a separate folder.
  2. Do not discuss the case with anyone other than your claim adjuster and your defense attorney.
  3. Do not contact the patient or the patient’s attorney
  4. Rest assured that you can rely on MedMal Direct to conduct our due diligence, enabling you to return your focus to providing care for your patients.