MMIC CLAIM SERVICES

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WE PROVIDE THE PERSONALIZED, PROACTIVE, COST-EFFICIENT CLAIM SERVICE OUR CLIENTS DESERVE.

ur specialized team works on medical liability cases. Period. Several team members have medical and legal training,

which enhances our thorough investigation of every claim. And, our local presence ensures that we understand state laws and the litigation environment in your area. What’s more, our claim professionals are backed by a committee of physician policyholders that reviews, analyzes and evaluates the most complex and serious cases.

Simple case or complex, our expertise will beworking for you.

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Doing the right thing for you, the right way.

Our objective is simple: to protect your interests in every way possible. We are committed to defending your integrity and protecting your peace of mind through every stage of the claim process.

You can count on MMIC claim for these service hallmarks:

n Prompt and thorough investigation and evaluation of your claim

n Strong and steadfast defense of your reputation and integrity, and uncompromising defense of claims and lawsuits without merit

n Consulting with you before any settlement is considered

n Vigorous negotiation to mitigate damages and indemnity

n Keeping you thoroughly informed through the entire process

n Seeking your approval of wording for the National Practitioner Data Bank report before a claim is submitted

n Assistance with State Licensing Board investigations

ur first priority is to do what is right for you and your unique case. So we tailor our full range of services to fit your exact needs at

every turn – from investigation to resolution – and everything in between.

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DEDICATED TO YOUR SUCCESS

Our sole focus is to do the right thing, the right way. As much as possible, we will work to resolve matters without making payments or going to trial. We won’t involve you in a nuisance value settlement and will discourage plaintiff counsel from pursuing cases without merit.

When litigation is unavoidable, we will aggressively defend your interests to achieve the best possible results. We partner with the most experienced malpractice law firms in each state and, as a result, consistently prevail on 91 percent of cases taken to trial. Above all, we recognize that your success depends on the entire team – you, your defense counsel and our claim professionals – working together in your defense. Your input is absolutely crucial, so we consult with you every step of the way.

VALUE-ADDED SERVICES MINIMIZE STRESS

In addition to prompt customer service, efficient claim processing, and vigorous defense services, we offer both litigation and communication programs to support you.

Lean on our Physician Litigation Support Program

When a patient files a lawsuit, an attorney protects your practice – but who protects you? We understand the heavy personal and professional toll a claim or lawsuit can take. In fact, of our clients who have gone through a medical litigation process, most said it was the worst experience of their lives.

We created our Litigation Support Program to remove the mystery of litigation and to prepare our clients for what they’ll encounter during the legal process.

It’s important to maintain your physical health and emotional well-being during this very stressful time, as you juggle work responsibilities and a medical suit. Medical specialists on our team will support you and those close to you as you go through the process.

How it works

As soon as we know that you are involved in a lawsuit or claim, one of our specialists will contact you. He or she will listen to your concerns, explain what will happen during the litigation process, link you with resources and, in general, help you deal with stress and anxiety created by the litigation process. The program is tailored to your needs:

n The specialist is a medical professional who will educate both you and the legal team about the strategic and emotional realities of litigation and how to best prepare for trial.

n Typically, the assigned specialist speaks with people during times of greatest pressure: before depositions, before trial and each night of the trial — to help relieve as much stress as possible.

n Rather than discuss the details of the case, the specialist talks about the emotional and physical toll exacted by the legal process and your specific concerns.

You will benefit from this program in two important ways. First, you’ll experience less emotional trauma as a defendant and be better able to assist in your defense. Second, by dealing more effectively with stress, you’ll be better able to serve your own patients during the discovery and litigation process.

ANOTHER MMIC SAFETY NET: CRISIS MANAGEMENT SUPPORT

Having an experienced communications professional in your corner during a crisis can make all the difference. MMIC partners with skilled communications experts to help you manage communications during a crisis and provide effective messages to your employees, your patients and the media.

It’s simple. If you are involved in an adverse event that may generate negative media attention, contact us. We’ll pair you with one of our media experts. They’ll work with you to create a plan of action with the goal of protecting your reputation and the reputation of your staff and organization.

TO REPORT A CLAIM

CONTACT US WHEN

n There is an unexpected outcome resulting in injury to the patient.

n A birth results in injury or death of the infant or mother. (In this instance, you may want to consider preserving the placenta for future testing.)

n You are served with a lawsuit.

n You receive a letter from an attorney stating that they are making a claim on behalf of a patient against a physician, hospital or facility.

n A failed medical device results in patient injury. Be sure to secure the defective device for future testing. Do not send the device back to the manufacturer for testing until you consult with us.

n You are contacted by a licensing board that states they are commencing an investigation.

n We insure the premises for general liability. Notify us of any reported injuries or property damage that occurs on the premises.

The MMIC website gives you access to the information you need, 24 hours a day, seven days a week. You’ll find online claim reporting, credentialing reports and detailed loss history at MMICgroup.com

nsure about whether to report an incident? Here are details on when and how to report an incident, and the information we’ll need if

you submit a report.

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INCLUDE THIS INFORMATION WHEN YOU REPORT AN INCIDENT

n If you submit a claim online, you need only to complete the form provided there.

n If you submit a claim via email, please include the following information:

– The name and preferred phone number of the insured or contact person at the facility who will assist us with scheduling appointments or obtaining records

– Policy number of the insured

– The name of the involved physician or health care professional, phone number and email address

– The name, address, phone number and date of birth of the involved patient

– The date of occurrence and, if suit papers are served, the date of receipt

– Copies of any claim correspondence or suit papers

– Copies of the patient record, along with any report of a potential claim or suit

– A brief description of the allegation or event leading to the claim

2 choices for submitting claimsHOW TO REPORT AN INCIDENT OR CLAIM

Submit online at our secure website: MMICgroup.com>Login>Report a Claim.

Email the report to claim.mail@MMICgroup.com. We encourage you to follow your organization’s policies and procedures for transmitting protected health information if submitting this information via email.

If your agent asks that you contact them before submitting a claim, please do so. In these cases, agents will forward the information to MMIC directly at claim.mail@MMICgroup.com.

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TO REPORT A CLAIM TO MMIC:

n Email the report to claim.mail@MMICgroup.com

n Make a secure online submission atMMICgroup.com>Login>Report a Claim

n In an emergency, call us at 1.800.328.5532 during regular business hours and ask to speak to someone in the Claim department

Copyright 2014 by MMIC • All rights reserved. MMICgroup.com 1378 8/6/14

For more information on claim services, or any of MMIC’s products and services, call us at 1.800.328.5532, or write to us at communications@MMICgroup.com.

Corporate headquarters:

7701 France Avenue South, Suite 500, Minneapolis, MN 55435

Tel: 952.838.6700

Fax: 952.838.6808

Email: communications@MMICgroup.com

MMIC is the largest policyholder-owned medical liability insurance company in the Midwest.We serve the entire health care community, including large hospitals and health care systems,physician practices, outpatient and long-term care facilities. We are always thinking ahead tofind new and better ways to protect clients through risk financing, improving patient safety andclinician well-being, and reducing risks associated with information technology. We providepeace of mind so clients can focus on delivering health care in an era of health care reform,increasing regulations and a growing patient base. MMIC is headquartered in Minneapolis.