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1 SLIDE Insurance Company Regulation Division Insurance Market Regulation Division Medical Professional Liability Insurance Claim Reports Online Claim Report User’s Guide

1 SLIDE Insurance Company Regulation Division Insurance Market Regulation Division Medical Professional Liability Insurance Claim Reports Online Claim

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Page 1: 1 SLIDE Insurance Company Regulation Division Insurance Market Regulation Division Medical Professional Liability Insurance Claim Reports Online Claim

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Insurance Company Regulation DivisionInsurance Market Regulation Division

Medical Professional Liability Insurance Claim Reports

Online Claim Report User’s Guide

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System Overview

To better assist our patrons, Medical Professional Liability Insurance Claim reports can now be created, updated, and closed online. This tutorial is designed to guide a user through account creation, account management, and claim management.

Site Address: https://apps.difp.mo.gov/profliab

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Account Management

New Users will need to create accounts, that will be approved by staff in Statistical Analysis of DIFP, before claims can be created, updated, or closed. User will not be able to access the system until the registration is accepted.

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Account Registration

Users will need to create and/or provide the following information when registering an account with DIFP:

•Create a User Name

•Provide a valid Email Address

•Create a Password

•Provide valid NAIC number(s)

•Provide Contact Name

•Provide Contact Phone Number

•Provide Contact Address Information

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Account Registration

New user’s should register with DIFP to gain access to the application. Simply, select Signup to being the process from the login page.

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Registration Page

After selecting the signup link. You will be directed to the following page.

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Account Registration

Begin the sign up process by providing the requested information. All information requested is required to complete account registration. Follow prompts to correct online registration inconsistencies or errors. Select the “Register” button to submit registration.

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Registration Complete

After selecting the “Register” button you will be directed to the registration complete page. You will also receive an email notification verifying your registration.

•It is important to note that processing registrations can take up to 48-72 hours before approval is received. You will receive a confirmation email once your account is accepted.

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Contact Information Updates

You will need to login to your account in order to manager your account

settings.

You can change your password, email account, and contact information

online through the account settings option.

Updates to accounts will be approved immediately but changes to

accounts will be processed nightly.

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Account Login Screen

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Account Login

To login, you will be asked to provide your username and password.

•If you forget your account login information, you may request your information sent to your on file email address by selecting the “Can’t access your account?” link.

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Homepage

The homepage will allow you to navigate to your account settings, open, update and modify a claim, and direct you to DIFP contact information.

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Account Settings

Navigate to the Account Settings by selecting the “Account Settings” link at the top right of the Home page.

Settings

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Account Settings

Complete any necessary changes and click “save”.

If you need to make changes to your NAIC number, please contact the office of DIFP.

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Account Settings Saved

After you save your changes, you will be directed to the account settings saved page.

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Managing ClaimsFrom the homepage you can select one of the following options for claims management:

•Open Claim

• Opens online form for new claim creation

•Update Claim

• Used to modify an existing claim

•Close Claim

• Used to close an existing claim

Menu Options

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Create a Claim

To create a claim, select the “Open Claim” from the menu bar.

Menu Bar

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Claim Creation Notification

When you open the form, a prompt will inform you that you only have three hours to complete the form before you are logged out of the system.

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Create a New Claim

Obtain form instructions by selecting the link titled “Here” at the top of the form.

Form Help

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File Submitted Screen

After you submit your claim, you will be redirected to a new screen that includes your filing number.

•Be sure to keep this number, it will be useful in the future when you modify or close your claim.

•Claim processing can take 48-72 hours.

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Update an Existing Claim• From this screen you can

update your claim.

• You will need to provide

your web filing number or

claim file identification and

your NAIC Number – which

you can select from the

drop down menu.

• After you’ve entered the

required information select

the “Update” button.

• Do not use the Update tab

to close a claim

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• The system will retrieve your record and display some previously entered data in blue lettering above the corresponding field (pictured below).

• Some information you may have previously entered for this record will not appear in the fields below.  Items that are reasonably likely to identify any party to a malpractice action are confidential by statute, and for security reasons are not displayed. 

• However, if you have previously entered information in these fields, you do not have to reenter such information, though you may do so.  Reentering information will overwrite any previously entered data.

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Close an Existing Claim

• From this screen you can

close your claim.

• You will need to provide

your web filing number or

claim file identification and

your NAIC Number – which

you can select from the

drop down menu.

• After you’ve entered the

required information select

the “Close” button.

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• The system will retrieve your record and display some previously entered data in blue lettering above the corresponding field (pictured below).

• Some information you may have previously entered for this record will not appear in the fields below.  Items that are reasonably likely to identify any party to a malpractice action are confidential by statute, and for security reasons are not displayed. 

• However, if you have previously entered information in these fields, you do not have to reenter such information, though you may do so.  Reentering information will overwrite any previously entered data.

• You should notice from the above picture, that several fields are required before you can fully close the claim. The system will flag fields requiring additional attention with a red ‘x’.

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Find Assistance On Our Contact Page or on the Claims Form

Form Instructions Contact Us Page

Form instructions are provided for entities filing a new claim. (See filing a claim)

Contact information is provided on our Contact Us page in the system.

Medical Professional Liability Link