Claims Solutions

CP Link

Expedite your Medicare conditional payments and enhance your healthcare compliance program with CP Link^®,a fully automated solution that maximizes efficiency and cost savings.

Identifying Medicare conditional payment claims early in the claims cycle

Traditional, ad-hoc approaches to managing Medicare conditional payments can lead to missed cost mitigation opportunities and delays. CP Link addresses these issues by leveraging Section 111 data to identify conditional payments earlier in the claims process. By automating compliance handling, CP Link accelerates recovery, reduces costs, and enhances your compliance program’s effectiveness.

CP Link elevates your healthcare compliance program

Enhance program efficiencies and streamline Medicare recovery claims by leveraging Section 111 data for a more integrated and efficient process. This unique service automatically identifies compliance issues, ensuring timely handling of Medicare conditional payments and shortening a claim's lifecycle.

Proactive compliance strategy

CP Link utilizes Section 111 reporting data to proactively initiate the conditional payment process early in the claims cycle.

Save time and resources

Free up your adjuster resources by eliminating individual referrals for service.

Mitigate costs and boost your bottom line

Prevent further exposure and successfully dispute payments with reductions 98% of the time.

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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.

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Meeting the MSP Challenge

CP Link has yielded more than $26 million and our conditional payment program savings totaled more than $350 million in reduced Medicare recovery claims between 2020 and 2022.

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Address Medicare Advantage Plan and Part D recovery claims

Proactively manage MAPs and Part D recovery claims with CP Link’s PAID Act add-on, which utilizes the latest enhancements to CMS’s query process.

Address Medicare Advantage Plan and Part D recovery claims

CP Link's programmatic approach not only helps reduce the time it takes to resolve a claim by up to 65 days, but by automating the process, it also reduces the amount of time adjusters have to spend working on the claim by an average 1.5 hours per claim.

See how it works

Features and capabilities

Integrate and automate

Streamline addressing conditional payments with seamless integration of existing Section 111 reporting with your conditional payment resolution program.

Streamline compliance management

By integrating your Section 111 reporting data as part of the conditional payment recovery process, we can help you stay consistent with what you report to Medicare and how you address conditional payments claims.

Manage time and resources

Accelerate claim resolutions and free up your adjuster’s schedule with instant identification of claims appropriate for conditional payments and elimination of individual referrals for services.

Mitigate costs

Boost your bottom line and prevent further exposure with automatic payment disputes that successfully result in reductions 98% of the time, with 65% of those disputes resulting in a zero-dollar payment.

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Related resources

Learn more about how to improve your MSP compliance processes.

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Only pay what you owe

Gain a strong advocate in Medicare disputes to eliminate risk and exposure.

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Meeting treasury claims and offsets

We have vast experience in dealing with Treasury claims and offsets. In addition, our G2G program can help you identify Treasury claims through a holistic compliance approach, achieving an average savings of 86% on Treasury requests.

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Navigate the complex world of MAPs

Let our experts continually monitor legal precedent in Medicare Advantage Plan cases to provide the most strategic path for your business.

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Stay ahead of changing Medicaid regulations

Protect your bottom line while staying compliant with Medicaid recovery changes. Automated compliance options are also available for Medi-Cal in California.

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Do more with the Verisk ecosystem

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

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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

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

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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

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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

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

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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 conditional payment disputes.

Learn about Conditional Payment Dispute and Appeal Services

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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