IMMEDIATELY CONTACT YOUR OPTIMA CLAIMS SPECIALIST IN THE EVENT OF:
- Death of a patient under any circumstance
- Any diagnostic or therapeutic conditions resulting in injury
- Incident of potential claim
- Contact by an attorney
- Receipt of a subpoena or suit papers
- Contact by peer or state review agency
How you respond to an incident (patient event) or the filing of a claim (lawsuit) can go a long way towards determining the outcome. Incidents handled properly may never escalate into a claim.
Contact your designated Optima claims specialist right away if an incident occurs that you believe could put you at risk of litigation. Even if you aren’t sure a claim will arise, it is wise to report all unusual occurrence/events or anything out of the ordinary just to be safe. Contacting your claims specialist promptly is vital and will result in you receiving expert advice and guidance at an early stage, possibly preventing the worsening of a situation that could lead to litigation.
Contact your Optima designated claims specialist if a claim is filed against you, the procedure to follow is similar to that when reporting an incident.
The expert advice provided by Optima claims specialist/RM should answer any questions you might have, such as “Should I say I am sorry to the patient?” or “Should I consent to settle?”
Every case is unique, and this is a time to be cooperative and helpful when Optima claims and risk management to ensure the best possible outcome.