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FAQs About Claims Data Reporting


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FAQs About Claims Data Reporting

Related to: Claims, Emergency Medicine, Primary Care, Nursing, Obstetrics, Other Specialties, Surgery

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Q: Who has access to my malpractice claims information?



Physicians may request their own CRICO claims history.

For credentialing purposes, the sponsoring institution can request access to your complete CRICO claims history. Institutions other than your insuring institution requesting your CRICO claims history must have your signed approval before the records will be released. The following information is provided:

  • The fact and date that a claim has been made against you, and a brief description of the case and allegations.
  • Tribunal information and current status of the claim.

From the National Practitioner Data Bank

Hospitals requesting information concerning a practitioner on their medical staff or to whom they have granted clinical privileges, or with respect to professional review activity.

  • Health care entities (including hospitals) that have entered or may be entering employment or affiliation relationships with a practitioner or to which the practitioner has applied for clinical privileges or appointment to the medical staff, or with respect to professional review activity.
  • Practitioners requesting information about themselves.
  • Boards of medical examiners or other State licensing boards.
  • Attorneys or individuals representing themselves upon submission of proof that a hospital failed to submit a mandatory query.
  • Persons or entities requesting information in a form which does not identify any particular entity or practitioner.

From Medical Licensing Boards in Massachusetts

  • Malpractice history is available from the Board of Registration in Medicine (BRM) to state and federal law enforcement agencies for investigative purposes.
  • Closed complaint files, which contain the complaint and other information in matters which have been dismissed or otherwise resolved without adjudication, are public records. (243 CMR 1.03).
  • If the BRM formally investigates a malpractice report and makes findings, these are available to inquiring individuals.
  • An individual can find out from the BRM if a malpractice action has passed the tribunal stage and been assigned a court docket number. A suit's status can be ascertained by checking the docket number.
  • Profiles of a physician's background, credentials, and medical malpractice claims (for the past 10 years) are available to the public via telephone and the Internet.

From Medical Licensing Boards in Rhode Island/New Hampshire

  • In Rhode Island, a medical malpractice history over the most recent ten years with accompanying context for comparison should be available. This information is accessible to the public at
  • Medical malpractice history, as reported to the Rhode Island Board of Medical Licensure and Discipline and the New Hampshire Registration Board in Medicine, is not accessible to individuals. After receiving reports of medical malpractice actions, either board may conduct an investigation of a physician. The formal agreement arising out of any actions taken by either board is published in the local newspaper and is available to individuals on written request.
  • In New Hampshire, settlement information is public record.

In all states, a verdict in a medical malpractice trial becomes a matter of public record.

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