Report A Claim
If you have received a notice of claim, a lawsuit, or a demand for compensation, you should:
- Report the claim to TMIC by calling 800-580-8658. Please allow about 20 minutes for the report call, and have whatever notice you received available for reference. It may also be helpful to have the patient’s medical record available. If calling after hours, please follow the phone prompts to contact the claim supervisor on call.
- Fax to 512-328-8067 or send by overnight mail a copy of the notice of claim letter or the lawsuit. Do not fax your medical records. Note that if you are served with a lawsuit, your TMIC policy requires as a condition of coverage that all such lawsuit papers be delivered to TMIC within 10 days of service or receipt of the lawsuit papers, and that you must obtain a delivery receipt from TMIC. “Delivery of lawsuit papers means sending by certified mail with return receipt requested, personal delivery, messenger, or electronic transmission. Proof of delivery of the lawsuit papers, however, may only be established by the obtaining a written receipt of such delivery from the Company."
- Gather a complete and unaltered copy of all pertinent medical records, including a copy of the hospital chart and any prior or subsequent treatment records. Mail a copy of these records to TMIC as soon as possible.
Do not discuss the case with anyone except a TMIC claims representative or the attorney assigned to defend you. You should also:
- Maintain your original medical records in a secure place for future reference. Do not make any additions, deletions, or any other type of alteration to the medical records. Secure any other pertinent information or items in your possession, such as billing records, x-rays, hospital charts, etc.
- Keep all correspondence to and from TMIC and your assigned attorney in a separate and secure file. These items should not be co-mingled with the original medical chart on the patient. Do not release these materials to anyone unless cleared through your assigned attorney or the TMIC Claims Operations Department.
- The TMIC claims representative assigned to your case will keep you fully informed as the case proceeds, both directly and through your assigned attorney. If you have questions, do not hesitate to call your claims supervisor.
The Claim Process
The claim process may take a few months or several years. You will be required to participate in several steps of the process (such as giving a deposition), but often months may pass without the need for your involvement. TMIC claims staff will keep you updated.
- TMIC is notified of a claim.
- If the policyholder reports the following, a claim file is set up:
- a notice of claim letter;
- a lawsuit; or
- a written demand from a patient for monetary compensation.
- no lawsuit is filed;
- there is no response from the plaintiff’s attorney; or
- TMIC denies the claim.
At other times, we will wait until the statute of limitations expires before closing the claim.