Claims Solutions
MSP Navigator

Navigate an ever-changing Medicare regulatory landscape, proactively handle Medicare compliance, and ensure accurate and timely Section 111 reporting submissions.

Overcome major hurdles in Section 111 reporting

Section 111 reporting is challenging, requiring adherence to strict policies on reported data accuracy and consistency. With civil money penalties now finalized and focused on timely reporting, MSP Navigator’s comprehensive review and reporting capabilities ensure full compliance to help you easily avoid hefty fines.

Eliminate costly civil money penalties with efficient, full-service reporting

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

Prepare your Section 111 submissions in less time

Boost productivity with expert consultation and data-driven insights that ensure swift and accurate submissions to the Centers for Medicare & Medicaid Services (CMS).

Trust in data integrity

Ensure accuracy, completeness, and compliance with rigorous data validation before submitting. Receive expert insight with our optional Section 111 Compliance Audit service.

Streamline your workflow with ease

Integrate wcPrism data via MSP Navigator for seamless reporting. Manage claims holistically with CP Link for automated conditional payments.

Stay ahead of regulatory changes

Avoid disruptions to your workflow with automatic updates that ensure your reporting and compliance mechanisms are always up to date.

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

Report on all claims in a timely manner with 99.9% accuracy using MSP Navigator’s smart and easy reporting features—harnessing data from nearly 5,000 RREs and 200 million queried claimants.

Speak with an expert

Simplify oversight and management of your Section 111 data

MSP Analyzer provides a real-time analytics dashboard of your Section 111 reporting program, helping you to report claims efficiently, accurately, and with confidence. MSP Analyzer is available with your MSP Navigator subscription.

Simplify oversight and management of your Section 111 data

Features and capabilities

Access advanced analytical and automation capabilities to streamline your Section 111 reporting.

Address compliance issues with a holistic approach

Enhance the conditional payment process by automatically obtaining any existing liens and analyzing and negotiating as appropriate through CP Link.

Validate your data and correct errors quickly

Ensure the quality of claims data with monthly queries, automatic data validation, and single-entry error correction. Obtain PAID Act and Unsolicited Response File information.

 Easy automation and integration into your workflow

Seamlessly integrate MSP Navigator into existing claim systems, including Guidewire ClaimCenter and Duck Creek, with easy implementation. Minimize technical lift and improve efficiency by streamlining workflows with real-time feedback on compliance.

Analytic insights go beyond simple data reporting

Manage claims and ensure proactive compliance with advanced analytics that offer valuable insight and guidance.

Obtain all essential reporting data

Address gaps in required claimant info instantly with Missing Data SmartSearch. Ensure claim completeness and compliance effortlessly with automated public records search.

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Medicare 2024
Watch List Report

Gain essential insights that will help you shape your strategy and stay compliant in 2024.

Download the report

Medicare 2024
Watch List Report

Related resources

 Learn more about MSP Navigator’s smart and user-friendly approach to Section 111 reporting.

Brochure

MMSEA Section 111 Compliance Audit

Gain expert insight and receive a full evaluation of your compliance program with our optional auditing service. Our audit identifies compliance gaps, mitigates fines, and enhances overall efficiency.

Download the brochure

Webinar

Section 111 Cause and Effect

Leverage Section 111 reporting solutions to improve your Medicare compliance strategy. Learn how to minimize exposure, handle Treasury actions effectively, and harness the potential of the PAID Act to avert "double damages.”

View the webinar on demand

Report

Section 111 Reporting: Cause and effect

Discover the influence of mandatory reporting on recovery efforts, along with strategies to streamline your compliance reporting process and avoid potential pitfalls.

Download the report

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Automate your Section 111 reporting

Manage compliance effortlessly with expert consultation, ensuring error-free CMS submissions without interrupting adjuster workflow.

Learn about MSP Navigator

Do more with the Verisk ecosystem

MSP Navigator is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.

Similing Worker At Computer Wearing Headset

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

Address Medicare compliance obligations to reduce risk

Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.

Learn about Medicare Compliance and Reporting solutions

Conquer complex workers' compensation claims challenges

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

Learn about Workers' Comp State Reporting

Master workers' compensation data compliance reporting for insurers

Streamline and simplify workers' comp regulatory reporting with a single daily data feed. Insurers save time and improve accuracy with our suite of compliance reporting solutions.

Learn about wcPrism

Capture workers' comp data efficiently for states

Collect FROI/SROI and gather accurate workers’ comp claims medical data to set fee schedules, identify fraud, and control costs. States can initiate EDI reporting with wcCapture or move to new IAIABC release standards.

Learn about wcCapture

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Identify severity faster with predictive analytics

Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.

Learn about wcNavigator

Doctor Wrapping Gauze Around Patient Ankle

Improve injury claims outcomes

Achieve consistent and accurate injury evaluations with data-driven insights for fast, fair, and cost-effective resolutions.

Learn about Liability Navigator

Overcome MSP compliance limitations

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

Learn about CP Link

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

Happy Medical Professionals Speaking In Circle

Build a cost-mitigation strategy

Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.

Learn about Provider Outreach Cost Mitigation

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

Pay only what you owe for Medicare conditional payments

Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to Medicare disputes.

Learn about Conditional Payment Dispute and Appeal Services

Protect yourself against excessive damages

Get a full analysis of liability claims to help settle complicated medical damages with objective review and recommendations, along with literature to support the findings.

Learn about Liability Nurse Review

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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Claims Solutions MSP Navigator

Overcome major hurdles in Section 111 reporting

Eliminate costly civil money penalties with efficient, full-service reporting

Prepare your Section 111 submissions in less time

Trust in data integrity

Streamline your workflow with ease

Stay ahead of regulatory changes

Meeting the MSP Challenge

Meeting the MSP Challenge

Simplify oversight and management of your Section 111 data

Simplify oversight and management of your Section 111 data

Features and capabilities

Address compliance issues with a holistic approach

Validate your data and correct errors quickly

Easy automation and integration into your workflow

Analytic insights go beyond simple data reporting

Obtain all essential reporting data

Medicare 2024 Watch List Report

Medicare 2024 Watch List Report

Related resources

MMSEA Section 111 Compliance Audit

Section 111 Cause and Effect

Section 111 Reporting: Cause and effect

Automate your Section 111 reporting

Do more with the Verisk ecosystem

Slash time and spend with AI-powered record review

Address Medicare compliance obligations to reduce risk

Conquer complex workers' compensation claims challenges

Master workers' compensation data compliance reporting for insurers

Capture workers' comp data efficiently for states

Identify severity faster with predictive analytics

Improve injury claims outcomes

Overcome MSP compliance limitations

Comply with Medicare's requirements with confidence

Build a cost-mitigation strategy

Make Amended Review work for you

Pay only what you owe for Medicare conditional payments

Protect yourself against excessive damages

Contact us to learn more

Chat now

Main toll-free:

Global toll-free:

Refer a file

Claims Solutions
MSP Navigator

 Easy automation and integration into your workflow

Medicare 2024
Watch List Report

Medicare 2024
Watch List Report

Automate your Section 111 reporting

Address Medicare compliance obligations to reduce risk