Adventist health claims file

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Get unlimited access to our full publication and article library. Interested in Group Sales? Learn more. Adventist is a non-profit healthcare organization that operates hospitals and other healthcare facilities in 10 states.

Would-be violators should take notice that my office will use the False Claims Act to prevent and pursue health care providers that threaten the integrity of our health care system and waste taxpayer dollars. The allegations arose from two lawsuits that were filed respectively by whistleblowers who worked at an Adventist hospital in Hendersonville, NC, and another whistleblower who worked at the corporate office of Adventist, under the qui tam provisions of the False Claims Act.

The act permits private parties to file suit on behalf of the United States for false claims and to share in any recovery. The Claims Department issues an acknowledgement letter for each claim received. This letter includes the name and contact information of the claims examiner. You may contact the claims examiner to check the status of your claim. If you have not received an acknowledgement letter, it may have been sent to your Adventist institution depending on the type of coverage involved.

Check with your conference or institution to determine if the claim was received by Adventist Risk Management, Inc. If the letter is not with your institution, contact us at claims adventistrisk. In some cases, events that start out as minor accidents can quickly turn into much more, when additional injuries or damages are reported at a later time. Your Adventist Risk Management Claims Examiner is available to talk things over any time you have questions.

A: No. Adventist Risk Management encourages policyholders to contact us immediately when a loss occurs. The sooner we learn about your loss, the quicker we can begin to help your ministry recover from it. A: If a loss is covered by insurance, a deductible is the portion of a loss that must be paid by the insured party before the insurance company starts paying the costs.

A: After you thoroughly document the damages especially with pictures and descriptions , you can make any necessary repairs to protect your property from further damage. It is a requirement of your insurance policy that you do everything you can immediately to prevent further damage to your property. If the initial loss is covered by your policy, these repairs are generally covered as well, subject to your deductible. A: Yes, contact the police in cases where the law has been violated, such as theft, burglary, vandalism, auto accidents, or suspected arson and obtain a copy of the police report to send in with your claim.

A: Contrary to popular perception Claim Examiners don't look for ways to minimize your damages. Their job is to establish the true extent of damages resulting from the claim and find as much coverage as possible in the insurance policy. Your full cooperation will enable Claim Examiners to do their job quickly and fairly. If you have a preferred contractor, it can be very helpful to have a second estimate for comparison purposes.

If no adjuster is needed for your loss, two repair estimates by qualified contractors will be required when your property is damaged. A: This is where a documented property inventory becomes invaluable. Your Claims Examiner will work with you to help you gather the needed information to prove your loss. A: If your claim requires immediate attention, you may contact an Adventist Risk Management Claims Examiner directly by calling option 1. Claims representatives are available at Adventist Risk Management 7 a.

The more information you are able to provide may expedite the process to determine if an adjuster should be assigned to your claim. A: Notify the Claims Department as soon as possible. If it is not an emergency situation, prepare the claim form and email it to claims adventistrisk.

If it is an after-hours emergency, we will get an adjuster to your site as quickly as possible and assist you with immediate information on how to handle your loss. Provide a detailed description of what happened, including information about the extent of damage. A: Our claims department will acknowledge your claim as quickly as possible, usually within a day or two of notification. You can ensure response if an email address is provided when you submit your loss.

Our experienced staff will gather any other information needed and assist you in resolving your claim as quickly as possible. When the Claims Department issues an acknowledgement letter for each claim received, it includes the name and contact information of the claims examiner.

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