MediGuard
If a patient, colleague, or institution files a medical board complaint against you, the outcome can affect your license, your credentials, and your career.
The Doctors Company is fiercely committed to protecting doctors. MediGuard regulatory risk coverage, included automatically as part of your medical malpractice policy, provides legal representation for a licensing board review, a Medicare/Medicaid billing inquiry, a credentialing action, a Professional Review Organization proceeding, an EMTALA matter, or a DEA action.
Download Policy Documents
Already a member or agent/broker? Sign in to download policy documents or pay your bill.
To make changes to your policy or update your information, call Member Services at
(800) 421-2368.
Coverage Features
Utilization
Addresses Medicare and Medicaid utilization and billing review proceedings, including allegations of improper documentation involving overutilization, overbilling, unnecessary services charges, and “up coding.”
Licensing
Covers state medical licensing board reviews involving potential sanctions for unprofessional conduct.
Credentialing
Covers healthcare practitioner credentialing reviews that may adversely affect existing clinical privileges, credentialing, or staff membership.
Misconduct
Provides protection for Professional Review Organization proceedings involving allegations of misconduct.
This coverage is also available at higher limits through MediGuard PLUS.
What Happens When a Medical Board Complaint Is Filed?
A medical board complaint can be filed by a patient, a colleague, an employer, or even a hospital, and it can trigger a formal licensing board review with the potential for sanctions, restrictions, or loss of license. The process is often lengthy, stressful, and separate from any related malpractice claim, meaning you could face a board review even if no lawsuit has been filed.
MediGuard provides coverage when a complaint escalates into a formal proceeding. You'll be assigned legal representation experienced in medical licensing matters, and you'll have support throughout the review, from the initial response to final resolution. Because MediGuard is built into your malpractice policy, there's no separate coverage to purchase and no additional premium.
Protection Built for Doctors, by Doctors
A medical board complaint can surface with little warning, and the legal costs of defending your license can add up quickly.
Frequently Asked Questions
Contact your malpractice carrier immediately, even if you haven't been sued. If you're a member of The Doctors Company, MediGuard provides legal representation for licensing board proceedings as part of your policy.
Not all policies do. MediGuard is included automatically with The Doctors Company's medical malpractice coverage and covers state licensing board reviews related to allegations of unprofessional conduct.
Yes. Licensing board reviews are separate from malpractice litigation. A complaint can lead to sanctions or license restrictions independent of any civil claim.
No. MediGuard is automatically included as part of your medical malpractice policy with The Doctors Company.
