Claims Solutions

wcPrism

Get a comprehensive suite of tools to streamline workers’ comp compliance reporting while saving time and improving reporting accuracy.

Workers’ comp compliance reporting is complex and ever-changing

Insurers must carefully format and accurately submit workers’ comp data to state jurisdictions and Data Collection Organizations (DCOs) in a timely manner. Requirements vary from state-to-state and from one DCO to another as new reporting requirements are released frequently. Inaccuracies in data reporting can lead to fines and penalties.

Use automation to improve workers comp reporting and mitigate fines

Insurers can take workers’ comp data reporting and analysis to the next level with wcPrism.

Easily report claims with a single data feed

Automates required claim reporting to the state jurisdictions and DCOs through a single comprehensive data feed.

Stay compliant with ever-changing requirements

Monitors workers’ comp data reporting requirement changes mandated by the industry and automatically triggers required outputs for all services according to industry reporting standards.

Improve accuracy with automatic validation

Prior to submission, wcPrism validates outputs for all services based on the same edits run by state jurisdictions and DCOs.

Easily transmit data for fraud detection and Section 111 reporting

Provides automated data transmission to ClaimSearch® for fraud detection and to MSP Navigator® for Section 111 Medicare reporting to CMS.

Get greater insights when you combine with wcAnalyzer

Leverage the wcAnalyzer dashboard to evaluate your EDI FROI/SROI reporting and compliance performance, identify areas of concern, and avoid potential fines.

Compliance challenges solved with wcAnalyzer

[As] more jurisdictions began requiring insurers to submit claims through EDI, the jurisdictions also became better equipped to monitor their compliance standards. However, carriers had no central tool for measuring our compliance internally by jurisdiction, time period, or any of those metrics needed to identify error drivers.

Liberty Mutual

Regulatory claims reporting manager

I was extremely impressed with how wcAnalyzer worked. In the past, we would need significant time to track down compliance issues. It was eye-opening to look at the wcAnalyzer dashboard, move the metrics around, and quickly find the issue. With wcAnalyzer, we were able to link the analytics to the injury report side of the business at a fraction of the cost and time.

Liberty Mutual

Manager of special projects for commercial insurance compliance

Take workers’ comp data reporting and analysis to the next level

Learn about our leading-edge technology, experience, and expertise across the workers’ compensation regulatory experience for all EDI states and DCOs.

Take workers’ comp data reporting and analysis to the next level

On average, the wcPrism and wcAnalyzer suite boosts the accuracy and timeliness of EDI claims to the 90th percentile.

Speak with an expert

Simplify workers’ compensation reporting with the EDI Reporting Map

Managing numerous compliance reporting obligations can be overwhelming, especially when working through technical challenges in EDI states. If you struggle to keep up with each jurisdiction's specifications, we have a tool that can help.

Access the EDI Reporting Map

Simplify workers’ compensation reporting with the EDI Reporting Map

Comprehensive set of modules available cover all your workers’ comp data reporting needs

Injury Reporter

Satisfy states’ electronic compliance requirements for first and subsequent reports of injury (FROI/SROI) with accuracy and confidence

Unit Statistical Reporter

Satisfy state data collection organization requirements for aggregation, valuation, and submission of unit statistical reports (USRs)

Detailed Claim Information (DCI) Reporter

Satisfy DCO requirements for reporting specific claims data elements and values for random samplings of indemnity claims

Policy Reporter

Maintain accuracy in reporting policy information (WCPOLS) to individual DCOs and avoid noncompliance fines

Medical Reporter

Consolidate all medical bills into one data warehouse to manage compliance reporting for all DCOs

Indemnity Data Call

Meets requirements for aggregation and valuation of indemnity claim data for the submission of the indemnity data call to the DCOs

Related resources

Stay in the know about important industry trends and innovative solutions.

Case study

Turn untapped workers' comp data into actionable insights

Liberty Mutual achieves improvement in EDI compliance with wcAnalyzer™

Download the report

Brochure

Workers' compensation reporting and analysis solutions

Learn about our robust workers’ compensation solutions suite for reporting, capturing, and analyzing injury claim data

Download the brochure

Webinar

WCIO 2023: Stay Compliant with the Latest Developments

Learn about the significant changes the Workers Compensation Insurance Organization (WCIO) and the International Association of Industrial Accident Boards & Commissions (IAIABC) are undergoing in 2023

View the webinar on demand

Webinar

wcPrism: Automate WC reporting for greater accuracy & acceptance rates

Verisk’s proprietary reporting tool, wcPrism, can streamline your WCIO reporting processes. Gain valuable insights to ensure your organization stays compliant and maximizes reporting accuracy and acceptance rates.

View the webinar on demand

Do more with the Verisk ecosystem

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

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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

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

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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

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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

The world’s largest P&C claims database

Fast-track claims while improving fraud detection with access to data from more than 1.8 billion claims.

Learn about ClaimSearch

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.

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1-800-888-4476

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International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489

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wcPrism

Workers’ comp compliance reporting is complex and ever-changing

Use automation to improve workers comp reporting and mitigate fines

Easily report claims with a single data feed

Stay compliant with ever-changing requirements

Improve accuracy with automatic validation

Easily transmit data for fraud detection and Section 111 reporting

Get greater insights when you combine with wcAnalyzer

Compliance challenges solved with wcAnalyzer

Take workers’ comp data reporting and analysis to the next level

Take workers’ comp data reporting and analysis to the next level

Simplify workers’ compensation reporting with the EDI Reporting Map

Simplify workers’ compensation reporting with the EDI Reporting Map

Comprehensive set of modules available cover all your workers’ comp data reporting needs

Injury Reporter

Unit Statistical Reporter

Detailed Claim Information (DCI) Reporter

Policy Reporter

Medical Reporter

Indemnity Data Call

Related resources

Turn untapped workers' comp data into actionable insights

Workers' compensation reporting and analysis solutions

WCIO 2023: Stay Compliant with the Latest Developments

wcPrism: Automate WC reporting for greater accuracy & acceptance rates

Do more with the Verisk ecosystem

Identify severity faster with predictive analytics

Address Medicare compliance obligations to reduce risk

Slash time and spend with AI-powered record review

Streamline Section 111 reporting

The world’s largest P&C claims database

Contact us to learn more

Chat now

Main toll-free:

Global toll-free:

Refer a file

Address Medicare compliance obligations to reduce risk