Medicare Secondary Payer Reporting Service
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.
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We look forward to supporting your compliance with CMS rules.