Claim History Request
Our Underwriting department is here to assist you.
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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. The payment link will appear in an email when you submit this form.

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. The payment link will 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.


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 Physician 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.

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