Overview

ISO has developed the ISO ClaimSearch® Medicare Secondary Payer Reporting Service to help participants comply with mandatory claim reporting requirements of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173).

The legislation, effective July 1, 2009, affects every settlement that involves an insurance carrier and a Medicare-eligible claimant/plaintiff. The legislation requires reporting of bodily injury claims filed by Medicare-eligible claimants to the Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS).

ISO, in coordination with insurers and the insurance trade associations, worked with CMS to create the ISO ClaimSearch Medicare Secondary Payer Reporting Service. The service reports Medicare-eligible claimants to CMS on behalf of ISO ClaimSearch participating companies in conformance with the legislation.

The service includes a Medicare-eligibility query function, data collection and screening, automated claim file submissions, and processes for handling CMS acknowledgment and rejection notices.
The ISO ClaimSearch Medicare Secondary Payer Reporting Service helps you:

• save internal programming costs
• streamline workflow (as you are already reporting this data to ISO ClaimSearch)
• comply with the CMS regulations
• obtain Social Security numbers (SSN) and other public-records information you may need with our optional Append-DS service

• report all claims and CMS-required data fields, with our Pre-Query Extract File process that allows you to obtain all of your company’s injury claims in the ISO ClaimSearch database.

Find out more
For more information, e-mail the ISO ClaimSearch Electronic Reporting Office at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it  or call the ISO Customer Support Center at 1-800-888-4476.

We look forward to supporting your compliance with CMS rules.