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Report a Claim

Reporting a Claim

Effective claims management relies on timely notification of an incident or claim. Notify us immediately of any unexpected result, untoward complication, or adverse outcome which has occurred that may precipitate a claim.

All claims must be reported to EPIX in writing to comply with policy reporting requirements. Use EPIX's First Report Form. First Report Form (Word "docx") or First Report Form (Adobe "pdf") and fax to EPIX at (530) 653-2153.

For assistance, contact us at (866) 374-2467.

Notify us immediately if you receive:

  • Letter of intent or correspondence serving as notice of a claim or lawsuit from a patient or attorney
  • Notice from a hospital or other healthcare provider indicating that a lawsuit has been filed
  • Request for medical records from an attorney
  • Direct or indirect notice of dissatisfaction or displeasure by a patient or family member
  • Notice from a patient's healthcare insurer of patient dissatisfaction or complaint
  • Notice of complaint from a state licensing board or other consumer complaint board

It's important that you follow these steps:

  • Do not make additions, deletions or alterations of any kind to the medical record
  • Copy all related correspondence and keep in a secure place - not in a patient's chart - for future reference
  • Obtain signature of patient or patient's representative before releasing a copy of the patient's medical record
  • Only discuss the incident with your EPIX claims representative or defense counsel
  • Refrain from discussions with others associated with the incident

EPIX EMAIL ALERT

Are you Violating EMTALA?

 

By Dr. Stephen Colucciello

Reviewed by Dr. R. A. Bitterman

 

EMTALA, the Emergency Medical Treatment and Active Labor Act. We all know the law, and as emergency providers we know we should do a medical screening exam (MSE) and not refuse appropriate transfers, but beyond that, most of us don't think about EMTALA very often. After all, we've got the MSEs and transfers down, so why should we?

 

Many of us do not realize that EMTALA covers other aspects of emergency care that we face every day. It is likely that some of you reading this article frequently violate this law. How? Keep reading... (Read More)

THE EPIX DIFFERENCE

Tanvir M Dara, MD, FACP, FACEP"EPIX has been our Liability Insurance carrier from day one. We, as five Emergency Medicine Physicians, started an Urgent Care group in 2012 and since then EPIX has nicely complemented our needs and growth. EPIX not only offers WORLD CLASS customer service...; Read More

Tanvir M Dara, MD, FACP, FACEP
BetterMed Urgent Care
Richmond, Virginia