Claim

A formal written notification for monetary damages being sought from the health care provider or entity for an alleged injury. A claim may be made by a patient or by the patient's family, legal guardian, or attorney. Copies of all correspondence and any other available information related to receipt of a claim should be forwarded to the risk manager, medical malpractice insurer, or other designated party as soon as possible. The professional liability malpractice insurance policy generally defines what constitutes a claim that requires reporting. If resolution is not achieved and formal legal action is pursued in the judicial system, the claim then becomes a lawsuit.