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.

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