ISO Claims Partners

ISO Claims Partners helps insurers take control of claims, compliance, and costs

ISO Claims Partners provides a wide range of claims compliance solutions—from extensive MSP services to efficient EDI reporting—as well as proven predictive analytics that improve workers’ compensation and liability claims management.

Verisk Acquires Franco Signor

 

Our new acquisition enables ISO Claims Partners to offer the most comprehensive suite of fully integrated Medicare compliance solutions and the nation’s top Medicare experts all under one roof.

Read the press release 

Maintain full compliance and make better decisions

Improve claim outcomes through data, analytics, and advocacy

Product Navigator

Improve claim outcomes through data, analytics, and advocacy

With our support and insight, customers are achieving greater efficiencies, maintaining full compliance, and making better decisions. Check out the results for yourself!

Medicaid Recovery: Five things you need to know

Medicaid Recovery

Medicaid Recovery: Five things you need to know

Insurers have been meeting the challenges of Medicare Secondary Payer (MSP) compliance for a while, but increasingly the demands of the other M—Medicaid—also need attention. Read this detailed article to learn the full scope of advancements in Medicaid recovery, and learn what this means for your organization.

Put a Leash on Old Dog Claims

Capturing Runaway Claims

Put a Leash on Old Dog Claims

Are your old claims lying around the office or floating in the cloud, waiting to be closed? The longer these files stay open, the more involved they become, potentially leading to higher costs and putting a strain on resources. What can you do to resolve them?

Sifting Through Data, Panning for Gold

Ai Transforms Wc Claims

Sifting Through Data, Panning for Gold

Find out how to get the most from automation initiatives to reduce costs, manage medical treatment, improve outcomes, and improve return-to-work timelines.

Improve data accuracy to optimize claims outcomes

File Audits

Improve data accuracy to optimize claims outcomes

A predictive analytics model is only as good as the data it analyzes. And if that data is inaccurate, it can lead to inconsistent settlements, claim leakage, and higher costs. Learn about the most common barriers to effective data analytics and how to overcome them.

Millions of Dollars Saved
Clients saved more than $40 million in Medicare conditional payments in 2018

Manage claims compliance and reporting better

Manage Claims Icon

The complexities of claims compliance are daunting—and expensive. That’s why ISO Claims Partners offers a full range of holistic Medicare Secondary Payer (MSP) reporting and cost-containment solutions that save time and reduce spend. We also offer streamlined FROI/SROI and EDI reporting to empower insurers to meet the requirements of every state.

Empowering insurers to comply fully with Medicare

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CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)

CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).…

Read the article 
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The PAID Act is now law

In a major development on the Medicare Secondary Payer (MSP) compliance front, on December 11th, President Trump signed into law the Provide Accurate Information Directly…

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LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges

LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.

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The PAID Act is now law

On 12/11, the PAID Act became law. It requires CMS expand its Section 111 Query Process to identify whether a claimant is currently entitled to, or during the preceding…

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Exceptionally Accurate MSP Reporting
Less than 1 percent error rate on more than 700,000 claims submitted to CMS

Learn more about ISO Claims Partners solutions

Future Allocation Services

Achieve full compliance for future medical allocations while managing expenses

Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. ISO Claims Partners has a range of services to help you comply and expertly manage expenses.

Learn about Medicare Future Allocations 
Section 111 Reporting

Accurate Medicare reporting lets insurers comply with ease

Section 111 reporting requirements don’t have to weigh down your claims-handling staff. Our robust CMS reporting solution and review services enable insurers to easily fulfill their obligations to identify and report Medicare recipients in claims.

Learn about Section 111 Reporting 
Lien Services

Mitigate compliance costs of Medicare and Medicaid liens

The ISO Claims Partners team of lega and medical experts has developed a broad range of conditional payment services regarding the U.S. Department of Treasury, Medicare Advantage, and Medicaid to facilitate seamless, worry-free compliance while reducing costs.

Learn about Lien Services 
Liability Navigator

Improve general damages assessments, settlements, and liability

Evaluating general damages for injury claims, pinpointing liability, determining fair settlements, and finding subrogation are all vital to effectively managing claims and preserving insurers’ bottom lines. But carriers have been challenged to accomplish these goals while resolving claims as quickly as possible.

Learn about Liability Navigator® 
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Detect and manage high-severity workers’ comp claims through predictive analytics

Accurately determining workers’ compensation claim severity early is key to controlling claim costs. wcNavigator® uses predictive analytics to help adjusters and claims managers accurately identify claim severity as early as day one.

Learn about wcNavigator 
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Mastering data compliance reporting requirements for workers’ compensation

Workers’ compensation data compliance reporting is challenging; insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will help save time and improve reporting accuracy.

Learn about wcPrism® 
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Getting more from EDI reporting

The Electronic Data Interchange (EDI) workers’ compensation reporting process entails the transmission of a vast amount of information, including detailed first reports of injury (FROI) and subsequent reports of injury (SROI) claims and medical billing data. Verisk has a solution that can help states and insurers get more from their compliance efforts.

Learn about wcAnalyzer™ 
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Capturing workers’ compensation claims information with EDI

Workers’ compensation data compliance reporting is challenging. Insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will save time and improve reporting accuracy.

Learn about wcCapture™ 

Discover High-Complexity Workers’ Comp Claims
Predictive analytics found high-severity claims 40 days faster

For more Verisk claims services, check out:

Complex claims and compliance costs insurers

Workers Comp Claims

Complex claims and compliance costs insurers

Workers’ compensation insurers are challenged with managing complex claims, rising claim severity, and stringent reporting obligations. And with many experienced claims handlers nearing retirement, the challenges become even more daunting.

Empowering insurers to comply fully with Medicare

Medicare Compliance And Reporting

Empowering insurers to comply fully with Medicare

Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why the ISO Claims Partners team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.v

Fast-track meritorious claims while improving fraud detection

Iso Claimsearch

Fast-track meritorious claims while improving fraud detection

ISO ClaimSearch® is more than the world’s largest database of property/casualty claims—it’s also a robust claims intelligence platform. Its claims-matching technology is an essential first step in fraud detection, and the results can help facilitate fast-tracking. The platform also provides seamless access to integrated claims fraud-detection and investigative analysis tools.

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Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

  • Chat Now

    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489