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We are a medical malpractice payer that is making a payment based on claimant expenses only. Are claimant expenses reportable to the NPDB?

April 26, 2017based claimant expenses malpractice medical NPDB payer payment reportable

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We are a medical malpractice payer that is making a payment based on claimant expenses only. Are claimant expenses reportable to the NPDB?

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Claimant expenses, referred to in the NPDB Guidebook as loss adjustment expenses (LAEs), are payments made for expenses other than those in compensation of injuries, such as attorney’s fees, billable hours, expert witness fees, etc. Claimant expenses should be reported to the NPDB only if they are included in the medical malpractice payment. In this case, the expenses should be itemized in the description section of the Medical Malpractice Payment Report. If the claimant expenses are not included in the medical malpractice payment, or if a payment is only for claimant expenses, then they are not reportable to the NPDB. Please note: reporting requirements specify that the total amount of a medical malpractice payment and a description and amount of the judgment or settlement and any conditions, including terms of payment should be reported to the NPDB.