What data do insurance companies have access to?

Asked by: Price Mueller MD  |  Last update: April 27, 2025
Score: 4.6/5 (12 votes)

Here are seven of the most important customer data types in insurance:
  • Personal information. This includes a wide range of data points and is usually collected when a customer first applies for coverage. ...
  • Policy information. ...
  • Claims history. ...
  • Payment history. ...
  • Interaction history. ...
  • Signatures. ...
  • Agent information. ...
  • Attachments.

What information can insurance companies access?

The Power of Integrated Information Management for Insurance Companies. Insurance companies have records for just about everything — customer information and policy details, rates and underwriting procedures, marketing material, and licensing records. The list goes on, and on… and on.

What database do insurance companies use?

Where is my insurance history kept? This claims information service is traditionally called the “Index System” (or “Index Database”) and is used by most insurance companies to secure the claims history of every claimant.

Can insurance companies see your history?

An insurance company does not have the right to your medical information unless you grant their request. In some cases, however, the insurance company might attempt to access your medical records through a subpoena or a court order. This allows them to bypass the need for your written permission.

Can an insurance company access client information without consent?

Insurers. Insurers cannot access your actual medical record without your authorization. But they do receive treatment codes from health care providers so they know how much to pay the provider and can determine your share of payment.

What Insurance Companies Know About You

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What client information is not confidential?

You will not have a duty of confidence if you are being used by a client to perpetrate a fraud, and, by analogy, any other crime. The common law has long recognised that information of this nature cannot be confidential.

How far back can an insurance company audit?

Insurers usually conduct audits before a policy ends or annually. Insurance providers can typically audit three years into the past, but this varies by state. A workers' comp insurance audit isn't something to be scared of, but it is something to be prepared for.

What are insurance companies not allowed to ask you?

If you're applying for health insurance, pregnancy status or plans to have children shouldn't come into the conversation. Under the Affordable Care Act (ACA), pregnancy is considered a pre-existing condition, and insurers cannot deny coverage or charge higher premiums due to it.

Can insurance companies see your bank statements?

Yes. A federal law, the Fair Credit Reporting Act (FCRA), states insurance companies have a “permissible purpose” to look at your credit information without your permission. Insurance companies must also comply with state insurance laws when using credit information in the underwriting and rating process.

Can insurance companies see if your license is suspended?

Can auto insurance companies see if your license is suspended? Yes. Like how they communicate with your insurer when you receive a speeding ticket, your department of motor vehicles (DMV) will electronically inform your insurance company of your license suspension.

What type of data do insurance companies collect?

Here are seven of the most important customer data types in insurance:
  • Personal information. This includes a wide range of data points and is usually collected when a customer first applies for coverage. ...
  • Policy information. ...
  • Claims history. ...
  • Payment history. ...
  • Interaction history. ...
  • Signatures. ...
  • Agent information. ...
  • Attachments.

Do insurance companies have a shared database?

Do auto and homeowners insurance companies share my information about claims? Yes. There are specialty consumer reporting agencies that collect and report information about the insurance claims you have made on your property and casualty insurance policies, such as your homeowners and auto policies.

Do insurance companies use LexisNexis?

Examples of LexisNexis customers include law enforcement agencies, federal homeland security departments, banking and financial services companies and insurance carriers, legal professionals, and state and local governments.

Can insurance companies see your social media?

Insurance companies are in the business of minimizing payouts. One of the ways they achieve this is by scrutinizing claimants' social media accounts to find information that could discredit their injury claims. They may look for posts, photos, or even comments that suggest you are not as injured as you claim to be.

How do insurance companies track you?

How can insurance companies know that you're a safe driver? Usually, they rely on the information they collect from special equipment they install in the vehicle. They're known as insurance trackers or telematics.

Is it illegal for insurance companies to check your credit?

California

Insurance companies in California don't use credit-based scores or your credit history for underwriting or rating auto policies, or setting rates for homeowners insurance. As a result, your credit won't impact your ability to get or renew a policy, or how much you pay in premiums.

What information do insurance companies have access to?

Insurance companies often request your medical information to assess claims and determine coverage. They may access various records, including treatment histories, diagnostic reports, and medication lists. Knowing which records are accessible helps protect your privacy and ensure your information is used appropriately.

Can companies look at your bank account?

Federal law does not prevent employers from asking about your financial information. But, the federal EEO laws do prohibit employers from illegally discriminating when using financial information to make employment decisions.

Can insurance companies see your tax returns?

Your tax records are private and you should not have to produce them. However, the insurance company is entitled to documentation to support your claim for lost wages.

What should I not tell my insurance company?

The insurance adjuster doesn't need to hear your entire life story. Sharing personal anecdotes or irrelevant experiences might even hurt your claim. Stick to the facts and avoid extra details about your family, job history, prior injuries, or unrelated accidents.

What do insurance companies fear the most?

It's simple: Insurance companies' legal teams hate having to go before juries. Naturally, it's up to juries to apply the law in a fair and even-handed manner. However, it never helps insurance companies to be seen as the villains who are trying to get one over on people in genuine need.

Who is the most trusted insurance company?

Best car insurance companies
  • Best for customer satisfaction: Erie Insurance.
  • Best for seniors: Nationwide.
  • Best for liability insurance: Auto-Owners.
  • Best for claims filing : State Farm.
  • Best for bundling: American Family.
  • Best for accident forgiveness: Progressive.
  • Best for military members and veterans: USAA.

What triggers an insurance audit?

Discrepancies or inconsistencies in the information reported to your insurance provider, such as discrepancies between payroll records and reported wages, can trigger an audit. Inaccurate or incomplete data raises red flags and may prompt further scrutiny from auditors.

When you get audited how many years do they look at?

Generally, the IRS can include returns filed within the last three years in an audit. If we identify a substantial error, we may add additional years. We usually don't go back more than the last six years. The IRS tries to audit tax returns as soon as possible after they are filed.

How far back can an insurance company recoup a payment?

California law allows health plans, their delegated groups and health insurers 365 days from the date of payment to request a refund, except in cases of fraud or misrepresentation.