I think treating the staff member is a reasonable thing to do. However, they have to realize that their record is subject to being viewed by other members of the staff including the nurse or MA doing vitals and testing as well as the billing staff. Making this clear to them is important to avoid potentially embarrassing situations. One issue which I had been seeing at a small practice I belonged to was the abuse of accidental insurance coverage. I worked in a practice where the Aflac agent had effectively shown the entire staff how to "supplement" there income by putting themselves on the schedule with incredible frequency for things like banging their hands on doorframes, "wrenching" their backs moving files and god forbid it started to snow during work hours. Everyone went "for a walk" and " slipped". Put themselves on the schedule. Walked out with Rx for NSAID and went right back to their duties. Aflac paid them a flat fee for their "injury". The office manager waived the co-pays for the other staff and a week later they came back for a follow up and another fee. All without missing a single hour of work or spending a single dollar for theri medical care. I can't swear that this happens in a lot of medical practices but I'd bet the farm that it does. I always wondered what my exposure was in these cases since i knew they claims were fake (they called themselves the Aflac hookers). I began to do very detailed notes detailing all the negative findings. I'd be curious if this happens elsewhere. I have to believe that intent if this coverage was to replace lost wages and or cover co-pays when medical care is sought for an injury. Or maybe I was just naive.