Mandatory Insurer Reporting
The proactive and successful management of the federally regulated Section 111 reporting process has never been more important. With continually changing regulations, and the risk of significant fines for non-compliance, your organization needs a solution that provides insight into, and control of, your reporting and compliance activities.
Our web-based reporting solution, 111 Reporter, facilitates comprehensive and accurate reporting, simplifies the Mandatory Insurer Reporting process, and enables your compliance with Centers for Medicare & Medicaid Services (CMS) requirements while helping you avoid significant penalties of up to $1,000 per day/per claim.
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How it Works
With flexible options for providing your data, 111 Reporter can accommodate any size organization. Once received, your information is then parsed, mapped, and processed through our data validation engine, which verifies compliance with CMS reporting guidelines. We then perform the tasks necessary to accurately report required ORM and TPOC events in a timely manner. Errors are identified for correction and data is validated before submission to Medicare to facilitate a compliant submission process.
Fast and Intuitive Insights
Our state-of-the-art platform provides you with comprehensive, customizable reports that help reduce the risk of Section 111 non-compliance. Data analytics layered on top of the system create an opportunity for you to strategize and minimize your cost exposure for each claim.
111 Reporter offers:
| Visibility | Management | Control |
| Gain insight into your claims at-a-glance with your customized dashboard |
Track claim and query submissions with built-in reporting |
Review error reports and manage key dates for submissions |