Claims Management and Fraud Prevention

Our comprehensive suite of tools supports you at every step of the claims life cycle — from claims reporting and analysis through claims adjustment and investigations. Our tools, software, and analytics help you streamline your workflow, control costs, and fight fraud.

We created the industry’s premier claims reporting and management system, along with complementary databases, to help you quickly identify meritorious claims for processing. We offer a variety of tools to help detect and prevent fraud, including software that uses visual link-analysis technology to uncover suspicious patterns that would otherwise go undetected.

Our specialized tools help you streamline the subrogation process; manage complex bodily injury, workers' compensation, and comparative liability claims; and automate SIU case management. We even help you estimate repair costs for structural repairs and personal property.

We provide services and national databases to prevent cargo and heavy equipment theft and improve recovery rates. And our background checks and employee screening services help you mitigate risk, protect your assets, and remain compliant by maintaining rigorous hiring practices.

 
 
 

Products and Services

Non-Submit AllocationReduce costs before settlement to gain advantage laterTurn to an ISO Claims Partners Non-Submit Allocation for cases that don’t require Centers for Medicare and Medicaid Services (CMS) review. Non-Submit Allocation will help resolve the claim contingent on primary payer protocol, claimant concerns, jurisdictional considerations, and settlement type.With Non-Submit Allocation,…
Legal ZeroDisputed claims and Zero MSAs — advocacy mattersISO Claims Partners Legal Zero is a set of services that can help you reduce the cost of individual Medicare Set-Asides (MSAs) to $0 in appropriate cases.BackgroundTo get the most favorable agreement with Medicare on an MSA, you need to consider both…
Medicare Set-AsideAn advocacy-driven approach to Medicare Secondary Payer complianceThe Medicare Secondary Payer (MSP) statute charged the Centers for Medicare and Medicaid Services (CMS) with protecting Medicare’s “future interests,” and CMS identified Medicare Set-Asides (MSAs) as the preferred way to allocate payment for future treatment.In 2006, ISO Claims Partners developed an…
Pre-MSA PlusPre-MSA Plus from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim — together with as assessment of the prescription medications involved. The service helps you determine if a settlement of the case is feasible under the current treatment plan.…
Pre-MSAGetting ahead of the settlement curvePre-MSA from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim. The service helps you determine if a settlement of the case is feasible — and identify issues you can address before settlement to reduce the…
Settlement Consultation ServicesHelping you close claimsISO Claims Partners is dedicated to helping our clients settle claims. Our Settlement Consultation Services put our experience and expertise to work for you.BackgroundThe old adage “the best claim is a closed claim” rings true in most circumstances. Unfortunately, many claims stay open far too…