• ISO Claims Partners |

    Medicare compliance and claims services for property/casualy insurers, self-insured companies, and third-party administrators

  • True partnership. Real results.

    We partner with you to produce consistently exceptional results. % reasons we're able to deliver.  
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About ISO Claims Partners

ISO Claims Partners provides Medicare compliance and claims resolution services to many of the largest property/casualty insurance companies, as well as self-insured companies and third-party administrators. The services help our clients meet their obligations under state and federal laws — while also reducing claim costs, expediting settlements, and improving efficiency.

We provide tools to help you with:

  • Medicare conditional payments
  • Section 111 reporting
  • Medicare Set-Asides

We also provide protocol design and settlement consultation services to help your organization resolve claims quickly and efficiently.

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ISO Claims Partners
400 Riverpark Drive, Suite 400
North Reading, MA 01864
Phone: 1-866-630-2772
E-mail:
CPinfo@iso.com

Products and services to help with:

Predictive Analytics

WC Navigator
Workers compensation claims departments have long struggled to contain excessive costs. By identifying potentially volatile claims early in the process, you can intervene and manage those claims proactively for the best possible outcomes. With new technological advances, you can benefit from breakthroughs that will identify the correct course of action for each claim right from the start.

Medicare Conditional Payments

CP Link
The most cost-effective and streamlined way to handle Medicare conditional payments

Conditional Payment Services
Investigation, consultation, and compliance services to help you challenge and reduce Medicare's demands for reimbursement of conditional payment claims

Section 111 Reporting

MSP Navigator
comprehensive Section 111 reporting tool with integrated conditional payment and Medicare Set Aside guidance 

MMSEA Section 111 Compliance Audit
A review of your Section 111 reporting process — to help you avoid penalties, improve workflow, and reduce loss costs

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Medicare Set-Asides

Pre-MSA
An analysis of the potential amount of the Medicare Set-Aside for a claim — to help you determine if settlement of the case is feasible

Pre-MSA Plus
An analysis of the potential amount of the Medicare Set-Aside for a claim, together with an assessment of the prescription medications involved — to help you determine if settlement of the case is feasible and proactively address the cost drivers

Medicare Set-Aside
A medical and legal approach to help you comply with Medicare requirements, regardless of the type and size of your settlement

Medical Cost Projection
A forecast of reasonable and likely future medical costs for an individual claim to help you set reserves and proactively plan for settlement

Legal Zero
Services — based on legal advocacy — to help you reduce the cost of Medicare Set-Asides to $0 in appropriate cases

Limited Allocation
A plan to cover the future medical costs when a beneficiary receives a settlement not meeting Medicare Set-Aside review guidelines

MSA Clinical Review
An analysis of the pharmaceutical costs associated with a Medicare Set-Aside

Management

Protocol Design Service
Help with designing your own procedures for complying with Section 111 reporting, conditional payments, and Medicare Set-Aside requirements

Settlement Consultation Services
A consultative approach to drive settlements quickly and cost-effectively