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11th Circuit rules Medicare Advantage downstream entities can sue for double damages under MSP’s PCA provision
The 11th Circuit has ruled “downstream entities”, which Medicare Advantage Plans contract with to help provide benefits, can sue primary plans for “double damages.”
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The future of claims: Delivering at the moment of truth
The future of claims is about elevating the customer experience, and insurers that aggressively pursue digital enablement today will be primed to excel tomorrow.
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From real-time fraud detection to remote claim assessments – how lockdown has changed priorities for insurers and policyholders alike
Digital technology has become critical to provide core claims services during lockdown. Verisk is at the forefront in this field with a full range of claims solutions.
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U.S. Department of Justice and plaintiff law firm reached a settlement to resolve a Medicare conditional payment claim
The DOJ’s Attorney’s Office for the Middle District of Pennsylvania has settled a Medicare conditional payment claim with the plaintiff law firm.
Read articleDecision support to improve settlements
Improve negotiation strategies and settlement decisions with an analytics solution that quickly compares open claims to your company’s historical settlement data and provides guidance on settlement amounts and likely length of time to settle.
Leverage the power of legal analytics
Track and analyze case law for your claims
Track and analyze case law on specific coverage issues with an easy, automated solution that scores complex coverage issues, provides insights on differing treatment of issues by jurisdiction, and helps you evaluate your level of exposure.
Insights to guide litigation strategy
Enhance your legal strategy with insights from the Premonition litigation database. The solution determines the likelihood of success in every case by analyzing attorney performance by case type, venue, judge, as well as record versus opposing counsel.
Get the edge in high-stakes claims litigation
Learn how the right data and insights can help you stack the odds in your favor when it comes to claims litigation.
Get lien details faster for APD total-loss claims
Automatically verify current lienholder information and obtain payoff data to speed the vehicle total-loss settlement process, reduce loss adjustment expenses, and improve customer satisfaction.
Improve equipment loss settlements
Get detailed heavy equipment analysis and value estimates to guide settlement discussions and minimize adjuster workload for equipment losses.