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Section 111 Reporting

Efficiently manage Section 111 Reporting and strengthen compliance results

Section 111 regulations can drain valuable adjuster resources and reporting errors can be costly. Our robust CMS reporting solution and review services enable insurers to easily fulfill their compliance obligations, while laying the groundwork for a strong compliance program that mitigates future medicals’ exposure and helps reduce overall spend.

Available On Demand - Medicare 2024 Watch List Webinar

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Available On Demand - Medicare 2024 Watch List Webinar

Gain essential insights that will help you shape your strategy and stay compliant in 2024. Watch our highly anticipated annual webinar now on-demand.

Don’t risk the price of non-compliance

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When it comes to Section 111 reporting, the stakes are very high, with potential Section 111 civil money penalties of up to $1,000 per day (adjusted for inflation yearly), plus other possible liability including conditional payment “double damages” and Treasury actions.

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Nearly 100% of Section 111 claims reported to CMS through MSP Navigator® contain ZERO errors. Based on data from nearly 5,000 RREs and 200 million claimants queried.

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Get accurate, automated and expert-supported Section 111 reporting with MSP Navigator

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MSP Navigator® is a highly accurate Section 111 reporting solution supported by our team of legal and medical experts. The solution not only reports data but also provides CMS compliance analytics. Integration options are available for customers with ISO ClaimSearch® as well as API integrations with many of the leading claims systems.

  • Robust MSP management dashboard
  • Clear visibility into Section 111 reporting
  • Very high rate of acceptance by CMS
  • Intuitive and user-friendly
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Medicare instant eligibility check

An off-cycle Section 111 query to quickly determine an individual’s Medicare status and verify whether they are a Medicare beneficiary.

Section 111 Cause and Effect

Web Series Weather Analytics

Section 111 Cause and Effect

In this session, the panel examines how improper reporting can create unnecessary conditional payment exposure.

Missing data smart prompts

Trigger a public records search to identify pertinent and required claimant information, including social security number and date of birth. Reduce your claimants outreach efforts and ensure compliance on every file with this new feature.

For more Verisk claims solutions, check out:

Mitigate compliance costs of Medicare and Medicaid liens

Lien Services

Mitigate compliance costs of Medicare and Medicaid liens

Our 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.

Achieve full compliance for future medical allocations while managing expenses

Medicare Future Allocations

Achieve full compliance for future medical allocations while managing expenses

Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. We have a range of services to help you comply and expertly manage expenses.

Empowering insurers to comply fully with Medicare

Medicare Compliance Reporting

Empowering insurers to comply fully with Medicare

Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why our team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.

Complex claims and compliance costs insurers

Workers Comp Claims

Complex claims and compliance costs insurers

Workers’ compensation insurers are challenged with managing complex claims, rising claim severity, and stringent reporting obligations. And with many experienced claims handlers nearing retirement, the challenges become even more daunting.

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Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

  • Chat Now

    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489
    When calling from the UK, please dial 00 800 4897 7489

*based on 2021 data from nearly 5,000+ RREs and 200 million claimants’ queried.

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