Medical canvassing is a service used by insurance adjusters, case managers, or

attorneys to identify and verify the existence of a Workers’ Compensation claimant’s

medical records. It ensures HIPAA-compliant, accurate medical history, which is critical

for validating claims and can significantly impact the outcome for clients.

Purpose of Medical Canvassing

The primary goal is to gather comprehensive medical history to support or challenge a

Workers’ Compensation claim. This helps determine whether a claim should be paid or

denied by providing verified details about the claimant’s medical treatments.

Benefits of a Medical Canvass

A medical canvass provides valuable insights by answering key questions, such as:

• Multiple Facilities: Has the claimant sought treatment for the same injury at more

than one medical facility?

• Prior Injuries: Was the claimant treated for a similar injury before reporting it to the

insured?

• Unreported Treatments: Are there unreported or unknown treatments that could

affect the claims process?

• Verification: Confirms dates of service and facility locations where the claimant

received treatment.

These insights help ensure accurate decision-making in the claims process.

Medical Canvass Process

The process typically involves the following steps:

1. Submit a Request: Initiate the medical canvass request.

2. Review Claimant Information: Examine the claimant’s address history and

determine if the search needs to cover multiple geographic areas.

3. Identify Facilities: Select the closest relevant medical facilities (e.g., hospitals,

pharmacies, walk-in clinics) based on a geographical scale.

4. Collect Detailed Data: Gather information on facilities, dates of service, and

physicians involved.

5. Reporting: Provide a detailed report summarizing findings.

Types of Facilities Canvassed

Medical canvass profiles can include a variety of providers, such as:

• Hospitals

• Pharmacies

• Walk-in clinics

• Other medical providers

Pricing Information

The text mentions a pricing list but does not provide specific details. For pricing

inquiries, you would typically need to contact the service provider directly. If you have a

specific provider in mind or a website mentioned in the original context (e.g., similar to

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pricing list.

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resource. Alternatively, if you’d like me to search for general information about medical

canvassing services or providers, let me know!