Volume 21, No. 121 January 2009
With the exponential growth of the Internet
over the past decade, an immense amount of information is now readily available
to the public through relatively little effort.
Unlike a library, this information is accessible at virtually any time
without leaving one’s home or office.
The purpose of this article is to discuss ideas for using the Internet
in handling and defending workers’ compensation (or any other personal injury)
claims. In my practice, I often use the
Internet for three main purposes: 1) to obtain information on a claimant, 2) to
research various medical conditions encountered in claims, and 3) to obtain
background information on physicians.
Below is a discussion of each of its common uses and benefits for claims
handling.
1) Obtaining information
on claimants/plaintiffs
During
a deposition, we typically ask a claimant to list hobbies, daily activities
outside of work, and restrictions/limitations as a result of his/her work
injury. The most obvious reason these
questions are asked is to prepare for surveillance. However, it can also provide a starting point
for gaining additional evidence through an Internet search.
In a recent case, we had a claimant
with a back injury who admitted to playing golf as a hobby. However, because of the purported severity of
his back injury, he testified that he had been unable to play any golf since
his accident. Following the deposition, I
went to a website that keeps track of golf handicaps; as it turned out, the
claimant’s handicap (and the last time he played) was listed on this site. It even showed where he last played. Of course, the last time he played golf,
according to the site, was after the alleged accident. The website is located at: http://www.ghin.com.
Another claimant I deposed a few
years ago boasted that, before his debilitating neurological disorder, he
practiced Karate on a regular basis and was a black belt. It was clear from his testimony that he was still
very much into Karate and possibly practiced at a local studio. Since he lived in a relatively small city, I
reasoned that there could not be many Karate studios in the area. Consequently, after a relatively quick search
on “Yahoo,” I found a website for his Karate studio. The claimant was truthful in his claim of
being a black belt; in fact, his name was located prominently on the site,
suggesting he was very much active with the studio. Moreover, the studio’s website contained links
to other websites, including one that listed Karate tournaments, which
predictably noted a past tournament in which the claimant participated (after
his alleged work accident).
Other websites that show promise as
sources of useful information on claimants are the social networking sites such
as Facebook.com, Myspace.com, and Friendster.com. While I would like to claim credit for
stumbling upon these sites, this idea came from two of my colleagues at the
firm, Lindsey McCall and Dean Dellinger, who have successfully found claimants
on Facebook and Myspace. These social
networking sites allow a user to post a profile and pictures of themselves
(among other information). However, one
of the drawbacks to these sites is that the user can place restrictions on the
information accessible by the general public.
Generally speaking, Myspace tends to be more accessible inasmuch as it
has less restrictions than Facebook and Friendster.
A less sophisticated, yet still a
sometimes useful method of Internet search, involves simply typing in a
claimant’s name into one of the more popular search engines such as “Yahoo” and
“Google.” However, unless the claimant
has a relatively uncommon name, you will be sifting through a considerable
amount of useless information unless you can narrow your search. Nevertheless, I have successfully used this
method to obtain helpful information on a claimant.
For example, I learned from an
employer in a case that there was a rumor that their former employee/claimant
had been arrested as part of a local drug sting. Using Yahoo, I entered the claimant’s name
and the name of the local newspaper (in the town where the claimant lived) and
uncovered an article on the arrest, which had actually made the front page of
this small town paper. Subsequently, I
was able to obtain information on the arrest from the local courthouse. When we mediated the claim, this arrest (and
the accompanying article) caught the claimant (and her attorney) off guard and
provided significant leverage in ultimately settling this compensable claim,
even though the arrest by itself would not have been admissible at a
hearing.
Once the Internet data is obtained,
the question becomes how it can be effectively used in any given claim. One of the most obvious uses is that such
information can provide a starting point for surveillance. For example, with the golfing scenario above,
if the website indicates that the claimant is a regular golfer who plays around
a particular time at a certain course, this could potentially narrow the scope
of the surveillance. Similarly, if the
web information indicates an upcoming event that the claimant may attend, this
could also provide a foundation for surveillance. Consequently, the employer/insurer have a
greater opportunity of finding the claimant active with this added information,
as opposed to having an investigator wait outside his/her house, hoping for
some activity.
The Internet information can also
serve as potential impeachment evidence at a hearing. For example, we have used the information
obtained off the above-mentioned golf site to impeach a claimant who claimed
significant physical and psychological disability from a work accident.
2) Researching Medical Conditions
Prior to the advent of the Internet,
participants in the workers’ compensation system, whether adjusters or counsel,
had to rely upon searching medical dictionaries or treatises to understand
certain diagnoses, causes, symptoms, treatment, and prognoses. These resources, particularly treatises, were
often expensive and, more significantly, not written for laypeople. It also takes considerably more time to go
through a textbook, even for straightforward questions.
Currently, there are a host of
different websites that provide information on most medical conditions. Moreover, several of these websites are
designed for consumers, which means they are often free to use, easily
accessible, and more easily understood by those without a medical
background.
In claims handling, understanding a
diagnosis and its common causes is often critical in dealing with issues
ranging from causation to treatment. By
understanding a medical condition, it is possible to make informed decisions
regarding whether to accept a claim or approve certain treatment. Having a working knowledge of the condition
often assists in discussing the claim with the treating physician or in
preparing questionnaires to the doctor.
Simply put, while performing medical research on the Internet will not
make someone an expert, it will yield sufficient evidence to make more
intelligent claim decisions.
Since a large percentage of claims
involve orthopedic injuries, some useful websites I have found include: 1)
emedicine.com (which is affiliated with WebMd), 2) spine-health.com, and 3) orthopedics.about.com. Obviously, this is not intended to be an
exhaustive list, but reflects some of the more popular, comprehensive, and well
designed sites I have found through the course of claims handling. For
more sophisticated searches that include links to abstracts from medical
journals, ncbi.nlm.nih.gov/sites/entrez is an excellent site.
3) Researching
Information on Doctors
The
authorized treating physician can either assist in bringing closure to a case
or wreak havoc in a claim. Therefore, it
is well-advised to research a doctor’s background prior to including him/her on
a panel or agreeing to a change in physician with opposing counsel. Once again, this is an example in which the
consumer has several tools at his/her disposal for researching a
physician. By far, the most useful site
I have discovered for obtaining background information on a doctor is the
Composite State Board of Medical Examiner’s site, at medicalboard.georgia.gov. On this site, there is a link entitled “Look
up a licensed provider.” This site is
excellent for several reasons. First, it
provides a thumbnail sketch of a physician’s qualifications, such as where he/she
went to medical school, residency, and practice area. It also indicates whether the physician is
board certified in any specialty.
Second, it also indicates whether the Board of Medical Examiners has
disciplined the physician under the section entitled “Public Board
Orders.” In a recent case, I discovered
such a disciplinary order against a claimant’s IME physician, which provided
very useful impeachment evidence when I deposed the doctor.
Third, the site offers other useful
information such as whether the doctor’s license is current, hospital
privileges, medical malpractice settlement amounts, and other languages the
physician speaks. It should be
emphasized that a majority of the information on the site, with the notable
exception of the public board orders, is self-reported by the physician; in
other words, the physician is the source of the information, so it is well
advised to verify the data. For example,
it is possible to verify a physician’s board certification at the following
website: www.abms.org. Another excellent
site to cross-reference is the one maintained by the American Medical
Association at: webapps.ama-assn.org/doctorfinder/.
Conclusion: Exercising Caution with
Internet Information
Being familiar with the Internet and
the information available to the general public will often assist in effective
claim handling. However, there are
certain important caveats to its use.
First, while the information obtained may provide useful impeachment
evidence, the evidence must obviously conform to the standards of admissibility
under the Civil Practice Act, which would encompass an entire article onto
itself. Second, information obtained off
of the Internet needs to be examined for completeness and accuracy, which is
part and parcel of why it must adhere to the standards of admissibility. For example, the on-line encyclopedia known
as wikipedia.org is touted as the “free encyclopedia that anyone can edit”;
this presumes that the “editor” knows his/her information and thus, supplied
correct data. Third, as a practical
matter, it is well advised to refrain from contacting a claimant through the
Internet (which is possible through such social networking sights like Myspace
and Facebook), particularly if the employee is represented. By keeping these caveats in mind, astute use
of the Internet can provide positive results in a claim.