Compliance and Reporting

We offer a wide range of compliance and reporting services to help you make more informed decisions, plan strategically, and comply with federal and state requirements for a variety of areas. We serve as a statistical agent in all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico for many lines of property/casualty insurance and provide claims data as required to state fraud bureaus, fire marshals, or other entities on behalf of insurers.

We provide data to help you comply with regulators, AIPSO, the National Motor Vehicle Title Information System, loss payees and mortgagees, electronic automobile liability insurance reporting (ALIR), and the Office of Foreign Assets Control (OFAC).

Our comprehensive set of workers' compensation products and services help you in many areas, including fraud detection and mitigation, compliance reporting, claims management, cost containment, data management, protocol design and claims settlement consultation, and premium audit. We offer back-office processing support, advanced analytics, injury and policy reporting, data conversion, and proof of coverage. And our Medicare compliance and resolution services help you meet your obligations and comply with reporting and other requirements.

 

Products and Services

ISO Preferred Data Partnership ™ One byproduct of your business involves collecting risk data. What you do with that data, however, can make or break you. Incomplete or inaccurate reporting and noncompliance threaten your bottom line when you lose your grip on your own data. The ISO Preferred Data Partnership...
Non-Submit Allocation Reduce costs before settlement to gain advantage later Turn 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....
Medicare Set-Aside An advocacy-driven approach to Medicare Secondary Payer compliance The 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...
Protocol Design Service Developing a Medicare game plan Medicare Secondary Payer (MSP) compliance continues to present challenges for claims payers. You need a game plan from day one. Recognizing how to navigate the major MSP issues affecting claims should be an integral part of any effective claims-handling practice. The ISO...
MMSEA Section 111 Compliance Audit An MMSEA Section 111 Compliance Audit from ISO Claims Partners is a detailed review of your Section 111 reporting process. Such an audit can help you avoid penalties, improve your workflow, and reduce loss costs. Background Section 111 of the Medicare, Medicaid and SCHIP Extension...
wcPrism Policy Reporter Policy reporting and proof of coverage Maintain accuracy in reporting WCPOLS to individual DCOs and avoid noncompliance fines. By applying an array of cross-relational policy-level database edits, the wcPrism Policy Reporter helps you maintain accuracy in reporting policy information (WCPOLS) to individual data collection organizations and avoid...