How to Report Incidents, Claims and Lawsuits
TO: Claims Department/MAIC
c/o Illinois Risk Management Services
1151 East Warrenville Rd., P. O. Box 3015
Naperville, IL 60566
Telephone: 630/276-5694
Fax: 630/276-5462
WHEN TO REPORT:
Illinois Risk Management
Services (IRMS) provides claims and risk management services for Medical
Alliance Insurance Company. Please report occurrences, claims or lawsuits
(defined below) to IRMS’ Claims
Department as soon as you become aware of an occurrence, claim, or lawsuit. An IRMS
representative will review your report.
HOW AND WHERE TO REPORT:
You must report all occurrences, claims, or lawsuits in writing by
mailing or faxing a Notice of Claim form (click
here for form) to the address or fax number listed above. You may also report by telephone
if you would like an IRMS representative to conduct an immediate investigation,
work with a claimant to resolve a dispute, or assign defense counsel immediately
in the event of suit. However, all oral notices must be followed up with
submission of a written Notice of Claim form in order to ensure coverage under
your policy.
WHAT TO REPORT:
OCCURRENCES: Occurrences are incidents which might
give rise to a claim or lawsuit. These include such things such as
surgical or medical errors, significant and unexpected adverse results and
complications, as well as billing disputes that question the quality of your
care.
CLAIMS: Claims include demands and requests for money
or for reduction in bills because of complaints concerning your care. Claims
may be written or oral.
LAWSUITS: Service of a Summons and Complaint.
WHY REPORT:
By early reporting, you protect your coverage and enable us to manage
the claim in an appropriate manner. Once you make a timely report of a
situation, and IRMS determines that it is covered, coverage will continue unless
you do not comply with the requirements of your policy (such as failing to
promptly report that a suit has been served upon you).
If you have any questions or need to make a report, please call
630/276-5694. Office hours are 8:30 a.m. to 4:30 p.m.
Monday through Friday. If calling after hours, leave a voice mail message. Our
fax number is 630/276-5462.
|