Anytime a claim or suit is received by a physician, or even an incident has occurred that is cause for concern, your insurance carrier should be informed immediately. If you have an incident, claim, suit, or an inquiry from the Nevada Board of Medical Examiners, please submit this information along with the Confidential Patient Incident Complaint Report attached below, immediately to Michelle Morgen via fax (702) 697-6401 or email michelle.morgen@ind-insurance.com. More details on claims reporting can be found in your current IND policy under Section IV – Conditions, Subsection 2. Duties in the Event of a Medical Incident, Business Entity Incident, Claim or Suit.

Confidential Patient Incident Complaint Report (MS Word Document)