title: [Preparation and assignment of medical reports: basis for settlement of compensation claims].
abstract: Medical reporting represents an essential element in the settlement of personal claims. Moreover, the report prepares the basis for determing the compensation which is appropriate to the injury. The practice of instructing the expert medical assessor to obtain the medical documents required has proved a failure and causes delays in completion of the report. The doctor who is the expert medical assessor is often unsuccessful in obtaining these vital documents. In doubtful cases the expert will deliver his report without access to the vital documents. Incomplete reports affect the settlement adversely and promote unnecessary legal disputes. Many errors can be avoided if the officials of the relevant insurance company prepare the report assignment carefully. Such preparation includes clarification of the accident circumstances, requests for copies of the primary diagnosis and requests for hospital and medical reports, including full details of surgery carried out. Printouts of the daily reports by the doctors involved are also required. Of course these doctors must be released from the obligation to treat medical records confidentially. Furthermore, if the original documents are used, results of the injury which may seem insignificant will not be overlooked. The report assignment and primary medical documents should be sent to the medical assessor at the same time. The report assignment contains a detailed questionnaire which takes into account the particular aspects of the individual claim.
authors.affiliation: Institut für Versicherungs-medizin, Frankfurt am Main.
authors.forename: K D
authors.initials: KD
authors.lastname: Thomann
mesh_terms: D035881:Compensation and Redress; D004282:Documentation / Q000379:methods*; D005858:Germany; D007345:Insurance Claim Review / Q000458:organization & administration*; D017008:Negotiating / Q000379:methods*; D011795:Surveys and Questionnaires