Section 111 Reporting

Accurate Medicare reporting lets insurers comply with ease

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.

Verisk Acquires Franco Signor

 

Our new acquisition enables ISO Claims Partners to offer the most comprehensive suite of fully integrated Medicare compliance solutions and the nation’s top Medicare experts all under one roof.

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What is the relationship between Section 111 reporting and conditional payment recovery efforts?

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Section 111 reporting and Medicare’s conditional payment recovery activities are directly related. This makes it important for insurers to know what the downstream effects of providing CMS with data and information to mitigate risk while maintaining compliance. Download our report, Section 111 Reporting: Cause and Effect, to learn about how mandatory reporting directly impacts recovery efforts.

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99.9% of Section 111 claims reported with ZERO errors.*

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MSP Navigator

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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Section 111 Audit

We can provide your claims team with a comprehensive report on your Section 111 compliance. We’ll identify any problems in your current process and provide detailed recommendations to improve.

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Social Security Disability Insurance Verification (SSDI)

Assistance with obtaining the necessary authorization forms to request claimant SSDI information and contacting the local Social Security Administration Office and obtain the claimant’s Medicare and Social Security Disability status.

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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.

For more Verisk claims solutions, check out:

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.

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.

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.

Meet property/casualty compliance requirements accurately

Compliance Solutions

Meet property/casualty compliance requirements accurately

Insurers need to comply with various regulatory requirements during the claims process to avoid fines and minimize costs. ISO ClaimSearch® compliance solutions help your claims team save time, achieve accurate reporting, and increase efficiency.

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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 2019 data of 5,000+ RREs and over 200 million claimants queried.