Workers' Compensation Services
A consolidated approach to collecting and reporting all of your medical bill data to the state DCOs that require them. The wcPrism Medical Reporter provides carriers with a quick and efficient way to consolidate all medical bills into one data warehouse to manage compliance reporting for all state data collection organizations (DCOs).
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 noncompliance fines.
The wcPrism Detailed Claim Information (DCI) Reporter provides full automation for reporting a random sampling of claims with detailed data elements and values required by all data collection organizations (DCOs).
The wcPrism Unit Statistical Reporter is a transactional-based solution for aggregating, valuating, and submitting unit statistical reports (USRs) to all state data collection organizations that require them.
The wcPrism Injury Reporter is a fully automated, business rules engine for the determination and delivery of both first and subsequent reports of injury (FROI/SROI) to all mandatory and voluntary IAIABC EDI Release 1 and Release 3 states.
ISO's Query Commercial Classification Code (QC3) is an online lookup tool for underwriters, actuaries, and risk managers. With QC3, you can find the correct commercial classification code for workers' compensation or general liability in a specific jurisdiction or in reference to a North American Industry Classification System (NAICS) or Standard Industry Classification (SIC) code. Each search of the system displays a report that cross-references the related workers' compensation, general liability, NAICS, and SIC codes.
PAAS Classification Guides Accurate classification of risks is an indispensable part of the premium audit process. Risk classification is also essential to underwriting and rating. To help you classify general liability and workers' compensation risks, ISO's Premium Audit Advisory Service (PAAS ® ) has developed more than 40,000 classification guides....
The State Filing Handbook for Workers' Compensation is your online source of information about filing laws, regulations, and procedures for workers' compensation. For more than 25 years, insurers have relied on the State Filing Handbook for filing compliance details for most property/casualty lines. Now, ISO makes all that information available for workers' compensation. And the simple web interface gives you the latest information whenever you need it.
ISO Claims Partners Legal Zero is a set of services that can help you reduce the cost of individual Medicare Set-Asides (MSAs) to $0 in appropriate cases. To get the most favorable agreement with Medicare on an MSA, you need to consider both medical and legal issues involved in the underlying claim. Why should you allocate money for future medical treatment when you aren’t the primary payer? Why increase the cost of a settlement when you’re dealing with a denied or disputed claim? Why abandon state law defenses just because the case involves Medicare?
Pre-MSA Plus from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim — together with as assessment of the prescription medications involved. The service helps you determine if a settlement of the case is feasible under the current treatment plan. Pre-MSA Plus also uncovers treatment changes that could mitigate costs and lead to an improved outcome for the claim.
ISO Claims Partners is uniquely positioned to help you achieve compliance and cost savings. With the largest legal and medical team in the nation devoted exclusively to MSP compliance, we can help you address all MSP issues in your settlement agreement. Our services are here to help you develop case-specific strategies and solutions to minimize risk and liability.
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.