The Doctors Company has made it easier for you to obtain claims history reports by following our simplified process in your third-party portal. If you do not currently have a portal account, please call Member Services and sign up to benefit from all the portal’s time-saving advantages and features.
Below are answers to some of the most common questions that third parties ask during the credentialing process. If you still have a question that is not answered in our FAQs, we’re here to assist you. Just email memberservices@thedoctors.com, or call (800) 421-2368, and select option 1 for Member Services, and then option 2 for Certificates.
You can request a claims history report from The Doctors Company directly in your third-party portal through the following straightforward process:
- Log into your account, create a New Authorization Request, enter the details of The Doctors Company insured member, and attach the corresponding signed and dated Consent and Request to Release Information form.
- Check the status of your request(s) with a new display listing “Submitted” or “Completed,” rather than waiting to be contacted back by Member Services.
- If Member Services requires more details prior to fulfilling your request, they will communicate with you via the email address associated with your portal login.
If you do not already have an active portal account, please submit your Credentialing Request with the corresponding Consent and Request to Release Information form to memberservices@thedoctors.com. Online access will be activated automatically at the time of processing your request. Please note that online access will not be permitted using a generic email address. Portals are user-specific and require a personal email for enrollment.
You will receive an email stating you have new documents to view, with a link to the credentialing report in your new online portal.
Once your first request has been fulfilled via this method, you will then be able to submit future requests via the New Authorization Request link found in your portal.
With our new process for requesting claims history reports, you can now experience:
- Shorter turnaround times than the previous five-day period.
- Increased efficiency and automation while requesting, receiving, and viewing claims history reports, with less back-and-forth email and phone communication needed.
- Better tracking for multiple open/submitted pending requests and an easier method for tracking past requests you may need again.
Sign into your portal and click on the View Documents link. To view the desired credentialing report, review the policy number that is currently displayed. If it is not displaying the desired policy number, click the View Other Policies link to view a complete list.
Click the desired policy number from the list. Once the policy number has been selected, wait for the page to load.
Once the page has loaded, select the big blue “GO” button. Your desired policy number should now show as the policy number being viewed. Select the Credentialing Report checkbox to download the credentialing report as a PDF.
Please give us a call at (800) 421-2368 and select option 1 for Member Services for a password reset.
The status of your requests can be viewed in your online portal by selecting View Authorization Requests. A “Submitted” status means Member Services has received your request and will begin processing it in the order it was received. A “Completed” status means the requested claims history report is ready to view in the View Documents tab of your portal.
If your request has not been fulfilled within five business days, our Member Services Team is available from 8:00 AM–8:00 PM (PT) at (800) 421-2368, and select option 1 for Member Services, and then option 2 for certificates.
If your request is for one insured member of The Doctors Company, who has been covered by multiple policies with The Doctors Company:
- Create a New Authorization Request and fill in the insured member details.
- Click “Yes” to the question, “Are there additional policies with The Doctors Company to include?”
- List the additional policy numbers associated with the specific insured member.
If your request is for one policy issued by The Doctors Company, and multiple insured members of The Doctors Company share that policy:
- Create a New Authorization Request and fill in the First Named Insured member’s details.
- Click “No” to the question, “Are there additional policies with The Doctors Company to include?”
- A table will populate to add additional insured members to your request.
If you have multiple individual requests where the insured members of The Doctors Company have different policy numbers, start a New Authorization Request for each insured member of The Doctors Company that you need a claims history report for.
A policy number is required to create a New Authorization Request in the portal. We strongly recommend that you obtain policy information from the insured member prior to submitting your request.
Yes, within your written request, please verify the hospital’s name and full address. The policy or account number—along with the insured’s DOB, last four digits of their SSN, or their email address on file—must be verified. If verification cannot be provided, a release is acceptable as well.
If you receive the “Internal Server Error” message, simply refresh your page, or go back to The Doctors Company homepage and click “Sign In,” and the portal will automatically accept your new password.
Employees and locum tenens share limits of liability with a member, and we do not hold separate records regarding coverage or claims for employees or locum tenens who share limits with another member. With underwriter approval, we are able to generate an Employee or Locum Tenens Coverage Letter instead.
A standard consent to release form is acceptable. The member’s signature and a signed date is required. We accept wet and electronic signatures. The consent form must have appropriate verbiage such as “I authorize the release of my claims information.” A privileges list is not acceptable. If you are in need of a release form, please see the Consent to Release form.
Indemnification Letters are sent out at the time your hospital, clinic, or credentialing facility decides to use electronic signatures. If a dispute arises and any physician denies having authorized a request that is processed on the basis of an e-signature obtained through your system, by signing, you agree to defend and indemnify The Doctors Company against such claims.
To obtain a Certificate of Insurance, email your request to memberservices@thedoctors.com. In the email, please verify the insured member’s policy or account number, along with their DOB, SSN, or email address on file at The Doctors Company. Alternatively, you may submit a signed and dated Consent and Request to Release Information form. If certain information is not on file for our member, we may require a signed and dated release.
Questions regarding specific claim details will be handled through the Claims department. Please call (800) 421-2368 and select Option 3 to speak with a Claims representative.
Please submit your TDC Specialty credentialing requests to credentialing@tdcspecialty.com.
Please submit your HRA/HIC credentialing requests to HICClaimHistory@tdchra.com.
