Verisk MSP Navigator Section 111 Reporting Solution (Claims)

Overview

The Insurer Challenge

Section 111 reporting is challenging, requiring adherence to strict policy guidelines and reported data accuracy and consistency, with the potential for costly penalties for late claim submissions.

Avoid Civil Monetary Penalties by implementing a simple, effective method to identify Medicare beneficiaries for timely and accurate reporting of ongoing responsibility for medical treatment, settlements, judgments, awards or other payments to the Centers for Medicare & Medicaid Services (CMS) as required by Section 111 of the Medicaid & Medicare SCHIP Extension Act of 2007.

Take control of your Section 111 reporting and streamline your compliance process with MSP Navigator.

MSP Navigator Section 111 Reporting

Verisk’s proprietary platform MSP Navigator is integrated with Duck Creek Claims and delivers real-time responses that guides users through prompt and accurate Section 111 reporting.

Report data with 99.9%* accuracy through smart and easy reporting features to streamline your workflow while boosting productivity.
 

Solution Benefits

• Ensures all data is captured and all Medicare Beneficiaries are Identified to facilitate accurate Section 111 Reporting.
• Validates claims data and edits reports automatically before file submission for first-time reporting accuracy.
• Features single-entry error correction and data entry into your claim system.
• Seamlessly integrates with CP Link, Verisk’s customized data-aggregation system that automates the conditional payment process.

Integration Benefits

• Seamless integration into Duck Creek Claims with instant feedback on any errors contained in the claim file.
• API – Real Time Data Exchange
• Prompts and alerts that guide users to ensure Section 111 compliance

• Highly customizable to meet insurers unique operational needs

Package Links

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Dependencies for Package

The following tools and packages are required for correct implementation of the package.