Medical Canvassing Is One Of The Few Ways To Uncover & Verify Medical Treatment Information For A Claim

Discover Unknown Medical Records
Verify Legitimate Claims Sooner To Save Further Claim Spend
Reduce the chances of missing crucial data
Verified information allows for additional discovery

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When Might A Medical Canvass Be Needed?

Obtaining a medical canvass and/or medical records may be required to uncover information about a claim. A medical canvass is designed to uncover WHERE & WHEN a claimant may have received treatment.

Common Triggers To Perform A Medical Canvass

Claim size / exposure size
Soft tissue / low impact injuries
Conflicting information and/or witness testimonials about the incident
Claims index history raises suspicion

How Medical Canvassing Works

Medical canvasses are designed to contact the closest medical facilities in a specific geographic area to identify When & Where an injured person may have received medical treatment. The starting point is usually the Claimant’s home address, but it can be equally helpful to search the area around the work address or even a prior address of the injured person.

Medical canvassing can assist all lines of insurance associated with any bodily injury claim (workers’ compensation, auto bodily injury, disability, etc.). No matter the line of insurance involved, the key point of consideration is that at any time a claimant and/or their attorney may knowingly withhold information pertaining to a claimant’s medical treatment history. As an example, claimants often “pick and choose” what medical information is being shared whether it is a 1st party or 3rd party claim. In any case, being able to further validate or discover other medical providers involved in treating the claimant is always going to be critical in evaluating the claim.

Step 1

Streamlined Order Submission

Utilize iTotalAccess, online request form, or request form integration to make your request. Once you have submitted your request, INTERTEL’s intake team will confirm all demographics via third party information resource integrations. If any discrepancies are identified such as aliases, variations of DOB and/or SSN, or additional address history one of our Client Success Team members will contact you to review the information prior to final submission for the assignment.

Step 2

INTERTEL Conducts Canvass

Once your request is reviewed & confirmed, our proprietary software will identify all medical facilities matching the criteria of your selected medical facility types. Thus, building a list of medical facilities to be contacted that have already eliminated all “bad facilities” and duplicate listing. Then, our expertly trained medical canvassing analyst will begin the initial contacts of all medical facilities listed. Upon the completion of the initial canvass, additional QC protocols will be triggered by MedCheckPro allowing our review process to seamlessly begin. Finally, the completed canvass set up for formatting for final report generation.

Step 1

Best-In-Class Reporting

Finally, after the canvass has been thoroughly reviewed and formatted, INTERTEL’s system will notify the client based on their preferred workflow to the completed status of the report. You will receive an email confirming the completion with a link to your completed medical canvass. If there is an established integration, the report will be uploaded to your third party system for your review. INTERTEL’s proprietary software has the capability to integrate via the following:

Single Sign On with Various Platforms
Guidewire – INTERTEL Medical Canvass Accelerator (V9&V10)
Secure FTP

Benefits Of Performing A Medical Canvass

Medical canvassing is a crucial part of claim discovery that will help reduce claim spend, provide better intelligence and allow for speedier settlements.

Identify Possible Pre-Existing Conditions

Helps Determine Whether The Claimant Has A History Of Injury Claims

Uncovers Possible Patterns Of Drug Seeking Behavior

Discover Treatment Information Not Previously Disclosed

Substantiates Claimant Statements About Prior Medical Treatment And Reveals Possible Material Misrepresentations

Provides Targeted Scope For Record Retrieval

Verifies that Treatment Dates Are For Time Frames Relevant To Incident

Identify If Injuries Occurred Outside The Course Of Employment And/Or Injury Causation

Ready To Spend Less Per Claim, Get Better Information & Settle Faster?

INTERTEL’s full time canvassing staff has the logistical capabilities to continually offer the best-in-class service and results.

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Medical Canvass Search Can Cover A Multitude Of Facilities

Comprehensive facility searches allow for the greatest discovery of relevant information to help you resolve your claim.

Hospital Check
Pharmacy Check
Health Clinic Check
Doctor Check
Chiropractic Check
Orthopedic Check

X-Ray/MRI Check
Physical Therapy
Gym Check
Dental
Optometry / Ophtalmology
Pain Management

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Podiatry
Cardiology
Neurology
Clinical Laboratories
Ear, Nose, & Throat
Mail Order Pharmacy

Adjuster Tool

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Testimonials

What Our Happy Customers Have To Say About Us

“Choosing INTERTEL as our preferred data provider allowed for increased consistency of results, faster turn-around times, and overall cost savings.”
Vice PresidentClaims

“INTERTEL is the gold standard for medical canvassing! I have worked with other canvass companies, and your service, reports, and customer service are far-and-away better than any of the others!”
Vice PresidentClaims