Reporting a Claim

Effective claims management relies on timely notification of an incident or claim. Notify us immediately of any unexpected result, untoward complication, or adverse outcome which has occurred that may precipitate a claim.

All claims must be reported to EPIC in writing to comply with policy reporting requirements. Use EPIC's First Report Form. First Report Form (Word) or First Report Form (.pdf) and fax to EPIC at (530) 653-2153.

For assistance, contact us at (866) 374-2467.

Notify us immediately if you receive:

• Letter of intent or correspondence serving as notice of a claim or lawsuit from a patient or attorney
• Notice from a hospital or other healthcare provider indicating that a lawsuit has been filed
• Request for medical records from an attorney
• Direct or indirect notice of dissatisfaction or displeasure by a patient or family member
• Notice from a patient's healthcare insurer of patient dissatisfaction or complaint
• Notice of complaint from a state licensing board or other consumer complaint board

It's important that you follow these steps:

• Do not make additions, deletions or alterations of any kind to the medical record
• Copy all related correspondence and keep in a secure place - not in a patient's chart - for future reference
• Obtain signature of patient or patient's representative before releasing a copy of the patient's medical record
• Only discuss the incident with your EPIC claims representative or defense counsel
• Refrain from discussions with others associated with the incident