Claims Solutions

Provider Outreach Service

We can help you build an effective Medicare Set-Aside (MSA) cost-mitigation strategy to achieve more accurate and timely claims settlements, while taking crucial, but time-consuming tasks off the adjuster’s desk.

Evidence-based Medicare Set Aside amounts

Many insurers lack the resources and clinical/legal expertise to objectively analyze necessary medical treatments and obtain critical patient information. This can result in setting aside more funds than necessary, increasing long-term costs. Verisk can help you develop strategies to effectively reduce Medicare Set-Aside amounts. Our team of clinical and legal experts can guide you in obtaining the proper documentation for CMS approval and gather medical records, allowing your adjusters to focus on settling claims faster.

Reduce costs with MSA cost-mitigation strategies

We meticulously apply our industry-leading clinical and legal experience to each MSA assignment, helping you take a proactive and aggressive approach to treatment assessments.

Customized cost reduction strategies

Our team reviews and identifies cost drivers to recommend cost reduction strategies for every MSA service.

Expert guidance on documentation needed for CMS approval

Get missing medical records and clarified surgery recommendations to cut allocation. Our team proactively secures critical information needed for MSA reduction and CMS approval.

Medical record procurement

Obtaining updated medical records or clarifications from the claimant’s treating physician can play an integral role in reducing MSAs. Verisk takes this time-consuming task off the adjuster’s desk and gathers the necessary information to reduce MSA amounts at minimal cost.

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Meeting the MSP Challenge

MSP compliance presents a unique set of challenges. Discover how setting a strong upfront strategy can help you succeed.

Download the white paper

Meeting the MSP Challenge

In 2022, clients saved more than $75 million utilizing our cost mitigation solutions.

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Features and capabilities

Save adjuster time with our Record Acquisition service

Our team will contact treating providers on your behalf to obtain records, which our nurse specialists then review and analyze to provide your adjuster with a detailed analysis and action plan. Get the information you need for lower allocations and faster settlements.

Drive down MSA costs with a comprehensive treatment picture

Our cost mitigation team contacts the claimant’s medical provider(s) to obtain or clarify treatment information, recommended or referenced treatment options, and a more accurate view of the current treatment plan to uncover known MSA cost drivers.

In 2022, clients saved more than $75 million utilizing our cost mitigation solutions.

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Related resources

Access the latest resources, FAQs, and webinars in our resource center to learn more about our Provider Outreach services.

Brochure

Build your strategy

Learn more about building a cost mitigation strategy.

Download the brochure

Webinar

Get expert advice

Hear from our experts how you can mitigate costs with our Provider Outreach Services.

View the webinar on demand

Flyer

Improve MSA outcomes

Learn more about improving MSA settlement outcomes with a proactive approach

Download the flyer

Documentation

Get your questions answered

Get your questions answered about our Pre-MSA and Cost Mitigation Provider Outreach service

Download the report

Do more with the Verisk ecosystem

Our Provider Outreach Service is a part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.

Comply with Medicare's requirements with confidence

Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.

Learn about Medicare Set-Aside Allocation

Make Amended Review work for you

Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.

Learn about MSA Second Look

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Slash time and spend with AI-powered record review

Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.

Learn about Discovery Navigator

Overcome MSP compliance limitations

Reduce risk and achieve full MSP compliance by streamlining payment process.

Learn about CP Link

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Streamline Section 111 reporting

Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.

Learn about MSP Navigator

Conquer complex workers' compensation claims challenges

Streamline workers' comp data reporting and improve compliance with advanced analytics.

Learn about Workers' Comp State Reporting

Contact us to learn more

We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:

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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

Refer a file

We offer easy access via our online form but can accommodate e-mail, fax, mail, or arrange a pickup from your office. Contact your local sales representative or e-mail us at referrals@verisk.com.

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