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Managed Care Errors & Omissions

Protect against unexpected E&O liability

Managed healthcare E&O policies generally cover an organization and their employees for specific tort liabilities associated with the managed care activities conducted by providers in a managed care environment.

A few exposures faced by managed care organizations or providers include:

Utilization Review: Liability that arises from the process of evaluating the appropriateness or necessity of medical services for purposes of determining whether payment or coverage for such medical services will be authorized or paid for under any health care plan. This includes prospective review, concurrent review, or retrospective review.

Provider Selection: Liability that arises from the evaluation, selection, credentialing, contracting with or performing peer review of any provider of Medical Services.

Vicarious Liability: Liability that arises from the alleged negligent acts of a person or entity that is related to you via a theory of agency or ostensible agency.

Medical Information Protection: Liability that arises from failure to maintain the confidentiality of information you obtain on your members and limit the release or use of such information in accordance with the law.

While D&O insurance covers those who make the decisions on how the organization will operate, E&O liability insurance protects the organization as well as its employees, committee members, and medical directors from alleged errors, omissions, and breach of duties made carrying out the managed health care activities.

Whether you are a large organization or a physician's office, Madison is here to assist with all of your Managed Care Errors & Omissions insurance needs.

To receive Errors and Omissions Insurance coverage, you can either call our toll free number, or visit our Online Quote Center. A professional insurance expert from Madison will go over all your options and the best ways to proceed with protecting your practice.