Claim History Request
Our Underwriting department is here to assist you.
claims hx 1x1

For 3rd-party credentialers or admins.


Requirements for Claims History Requests

Clinician Information

Mass General Brigham does not directly employ clinicians. Please be more specific.

There is a $25 fee for your request. Click this link to submit payment to PayPal.

Releases must be dated within the last 6 months.

Bulk Requests

Add up to 10 clinicians in a bulk request. SSN digits needed for physicians only.

There is a $25 fee for each provider who is no longer covered by CRICO. Click this link to submit payment to PayPal. The link will also appear upon submitting this form.

Requester Information

Confirmation and Follow-Up

By checking the box, you have the necessary authorization to obtain a claims history on behalf of a former CRICO-insured provider. Further, you acknowledge that you have verified the recipient email address above.

Need a release form? Use this one if you don't have your own.

claimshistorywaiver

Can’t Reach Us? Assistance for CRICO members with urgent questions or needs may be obtained through the on-call risk manager at your institution.

Claims/Suits: Contact the Claim Manager responsible for your institution or the Senior Vice President of Claims.

Confirmation of Coverage /Facesheets: CRICO-insured physicians needing access to your Confirmation of Coverage (Facesheet), log into your CRICO portal, or email our Underwriting staff or 617.450.8219.

CME Questions: Email Maggie Janes or call 617.4506828.

Media Requests: Email Missy Padoll or call 617.450.6841.

Other Inquiries: To reach someone at CRICO, call 617.450.5500. If you are a physician, identify yourself as such and the organization with which you are affiliated. You will be connected to the CRICO representative responsible for your organization.


X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm