Workers' Compensation

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 NAICS or SIC code.

PAAS classification guides provide detailed descriptions of all ISO general liability classifications and NCCI workers comp classifications.

The State Filing Handbook for Workers' Compensation is your online source of information about filing laws, regulations, and procedures for workers' compensation.

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.

Pre-MSA from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim. The service helps you determine if a settlement of the case is feasible—and identify issues you can address before settlement to reduce the MSA amount.

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.

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.

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.

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.

An MSA Clinical Review from ISO Claims Partners is an analysis of the pharmaceutical costs associated with a Medicare Set-Aside (MSA) case. The review defines — in collaboration with the treating physicians — the appropriate current and long-term pharmaceutical regimen, with a special focus on narcotics.

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.

The stakes are high when dealing with Medicare conditional payments. ISO Claims Partners is uniquely positioned to ensure proper compliance with CMS’s Medicare Secondary Payer (MSP) contractors for all lines of business while also delivering maximum cost and time savings.

With Section 111 reporting, you’re already sending Medicare all the data it needs to seek recovery on conditional payments. Now you can put that same data to work for you.

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.

wcNavigator is the only predictive model in the marketplace that offers ISO-aggregated industry data to supplement your own historical claims data, providing a more powerful solution that ensures your claims costs stay on course.