Insurers need to comply with various regulatory requirements during the claims process to avoid fines and minimize costs. ClaimSearch® compliance solutions help your claims team save time, achieve accurate reporting, and increase efficiency.
Claims teams can simplify compliance reporting significantly through our solutions and services. Reporting claims to ClaimSearch can help satisfy various reporting requirements without extra work from your staff. When authorized we report claims to regulatory agencies on your behalf and automatically checks your claims against various federal and state databases for matches and criminal watch lists. Services include:
Screens and matches claims for participants against child support obligors for the CSLN program
Completes reporting and matching of claims on behalf of participants for authorized states, through Medicaid Recovery Network (MRN) where required
Reports required information to NMVTIS on your behalf. Learn more about NMVTIS reporting.
Monitors claims for individuals on the OFAC watch list
Screens and matches claims for participants against child support obligors for the OCSE program
Meet Section 111 reporting requirements within ClaimSearch or choose additional reporting options with the MSP Navigator solution.
Provides a summary of an individual’s claims history for authorized representatives
Mandatory Statutory Reporting for ClaimSearch® Participating Organizations
Get insights and visual analysis for your Child Support Lien Network (CSLN), Office of Child Support Enforcement (OCSE), and Medicaid Recovery Network (MRN) matching claims. Dashboards allow you to:
ClaimSearch notifies adjusters if a claimant is Medicare-eligible and provides a quick link in the visualized platform to request Medicare Secondary Payer services from Claims Partners.
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.
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.
The Claims Partners team of legal 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.
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