WHAT IS MEDICAL CANVASSING?
Insurance fraud is an ongoing and costly issue for insurance providers. The purpose of a medical canvass investigation is to determine previously undisclosed medical treatment of a workers compensation claimant that may have occurred prior to the alleged date of loss or injury. This can help to determine if the claimant's injuries could have possibly occurred outside the scope of employment. In addition, HIPPA-compliant confirmed medical history is crucial for an insurance adjuster, case manager or an attorney making a canvass an invaluable tool when investigating Workers’ Compensation fraud.
BENEFITS TO A MEDICAL CANVASS:
It is important to know as much of a claimant's medical history as possible when an insurance company pays or denies a claim. Requesting a medical canvass can help answer questions such as:
Has the claimant sought treatment for the same injury at more than more facility?
Was the claimant treated for a similar injury prior to reporting an injury to the insured?
Discovering unreported and unknown treatments, dates of service and facility locations can be important knowledge for a claims adjuster or attorney.
OUR MEDICAL CANVASS PROCESS:
1.) Submit your request for a canvass.
2.) Review all the information on the assignment form. This includes rechecking the history of the claimant's addresses and advising the client if there is a need to expand the search to cover multiple geographical areas.
3.) Medical facilities are mapped using a geographical scale and ran with our 3 point system to make sure we are targeting the right area. The closest facilities of the correct type to the canvass selection are chosen.
4.) Detailed reporting of facilities, date of service and name of physicians are collected.
5.) Provide a finalized report to the client within five business days. A rush turn around is available if needed.
WHY CHOOSE US TO PROVIDE YOUR NEXT MEDICAL CANVASS?
Our experts have researched and continue to stay up to date with the latest HIPAA laws and procedures. This ensures compliance allowing peace of mind that laws have not been violated in obtaining information.
Our medical canvass reports deliver solid results and offer more information than any of the leading competitors. Above all, we never charge extra for vital information and details. We offer package selections or you may select which facility you would like to search. You're not locked into grouping which can waste your time and money. We allow you to customize your selection. You can pick from hospitals, pharmacies, walk-in clinics or various medical providers. As a result, we can deliver the best results to you.