Signups for the ISO ClaimSearch® Medicaid Reporting Service have been brisk: 454 companies have enrolled in the program since its inception in November 2012. The ISO ClaimSearch Medicaid Reporting Service is free for all ISO ClaimSearch users.
ISO developed the ISO ClaimSearch Medicaid Reporting Service to help insurers respond to the Medicaid reporting and verification requirements in Rhode Island, which passed Article 11 as part of the Medical Assistance Intercept Act (Title 27, Chapter 57.1-1). Article 11 requires all insurers that write workers' compensation or liability policies in Rhode Island to participate in a data match program called the Medical Assistance Intercept System (MAIS). The act requires every domestic insurer, self-insurer, and workers' comp insurer to report its claims to one centralized database for data matching.
To create the ISO ClaimSearch Medicaid Reporting Service, ISO Claims Solutions participated in discussions with the Rhode Island Executive Office of Health and Human Services (EOHHS) and the insurance industry — represented by the American Insurance Association (AIA) and the Property Casualty Insurers Association of America (PCI).
Insurers that participate in the ISO service will comply with Rhode Island’s reporting requirements. When insurers sign up for the ISO ClaimSearch Medicaid Reporting Service, ISO begins reporting qualifying claims on their behalf by the next business day.