Claims Guide - We're there when you need
us.
1. Count on CNA experience
and commitment to guide you through the claims experience.
2. What you need to know.
3. What you need to do.
4. What we will do for you.
5. Dependability, experience and
financial strength are CNA's greatest assets.
2. What you need to know:
About Medical Incidents...
Spotting and reporting incidents is the essential first step
in the professional liability claims process. But how do you know
when you've experienced an incident? Many Medical Incidents are
obvious. In other cases however, you may wonder whether it is
necessary to report the event to your insurer. This information
should answer some basic questions about incidents and provide
guidelines on identifying and reporting them.
Medical Incidents are any error or omission in professional services
that you think may lead to a claim. Incidents also include any event
indicating that a patient may be considering filing a claim relating
to your professional services, even when you cannot find an error in
your treatment.
Incidents are specific events. Clinical concerns such as adverse
treatment results and medication errors would be considered
incidents. Incidents also include signs of patient displeasure, such
as a letter of complaint, a heated disagreement, or repeated failure
to keep appointments without adequate explanation
Here's how your policy defines a claim...
"A claim means a demand for money or services. Claim also
means filing of a suit or the starting of arbitration proceedings
naming you and alleging injury or damage."
That means a claim could be any one of the following:
- A summons or complaint alleging an act or omission in the
rendering of professional services.
- A letter, or any other document, or demand for services or
money from you because of acts or omissions arising from
professional services you provide.
- An oral threat or complaint indicating that a party is
holding you responsible for damages arising from professional
services rendered.
- Notice of arbitration filed against you for damages alleged
from your professional services.
Continue to What you need to do. |