Introducing Jorah Claims Solutions

Leading the Way in Medicare Secondary Payer Compliance

In today’s complex claims environment, navigating Medicare Secondary Payer (MSP) compliance is not just a regulatory obligation, it’s a critical component of risk management and financial stability. Jorah Claims Solutions is your strategic MSP compliance partner, dedicated to delivering leadership, innovation, and results across every phase of the claims lifecycle.

With deep expertise and cutting-edge technology, we provide a full suite of MSP services, helping clients mitigate exposure, avoid penalties, and stay ahead of regulatory change. Our commitment to excellence is what sets us apart—and what drives our clients’ success.

Comprehensive MSP Services That Deliver Results

1. Mandatory Insurer Reporting Solutions (Section 111 Reporting)

Timely and accurate Section 111 reporting is not optional – it’s required by federal law, and failure to comply can result in significant penalties. Jorah Claims Solutions offers robust Mandatory Insurer Reporting (MIR) Solutions that take the complexity out of compliance.

Our services include:

• End-to-end data management for Ongoing Responsibility for Medicals (ORM) and Total Payment Obligation to Claimant (TPOC) reporting
• Custom reporting schedules tailored to your organization’s needs
• Real-time error correction and monitoring tools
• Expert support for query response management and data validation

We work directly with insurers, TPAs, and self-insured entities to ensure that reporting is not only compliant but efficient and integrated seamlessly into existing claims workflows.

2. Medicare Set-Aside (MSA) Solutions

When settling workers’ compensation or liability claims involving Medicare-eligible individuals, Medicare’s interest must be properly considered. Our Medicare Set-Aside (MSA) Solutions ensure compliance with CMS guidelines while protecting your bottom line.

Jorah’s MSA services include:

• MSA Allocation reports that are thorough, evidence-based, and CMS-ready
• CMS Submission services and negotiation support
• Non-Submit MSA solutions when appropriate and defensible
• Post-settlement professional administration through our partners to ensure funds are used in accordance with CMS rules

Whether you need support with a single MSA or a full-scale program strategy, Jorah ensures compliant, defensible, and cost-effective outcomes every time.

3. Conditional Payment & Lien Resolution Solutions

CMS can pursue recovery of payments made on behalf of Medicare beneficiaries, making conditional payment resolution a critical step in the claims closure process. Jorah Claims Solutions takes a proactive and aggressive approach to identifying, disputing, and resolving Medicare liens.

Our lien resolution services include:

• Identification and verification of conditional payments
• Dispute and appeal management to reduce or eliminate unnecessary demands
• Negotiation with CMS and other recovery contractors (e.g., BCRC, CRC)
• Final demand tracking and compliance monitoring

We work tirelessly to ensure our clients pay only what’s legally owed—no more, no less.

Why Choose Jorah Claims Solutions?

At Jorah, compliance is more than a service, it’s a partnership. Here’s what sets us apart:

• Proven Leadership: Our team brings decades of experience in insurance, claims, and federal healthcare compliance.
• Innovative Tools: We invest in proprietary technology to streamline reporting, documentation, and case management.
• Results-Driven Focus: Our success is measured by your savings, your compliance, and your peace of mind.

Partner with Confidence

Jorah Claims Solutions is proud to support carriers, self-insured employers, TPAs, and law firms with expert MSP compliance services. From reporting and allocation to resolution and administration, we help you manage risk, reduce costs, and close claims with confidence.

Discover how Jorah Claims Solutions can support your MSP compliance strategy, contact us to learn more.