Medicare conditional payment claims services
Insurers face significant liability and potential lawsuits for double damages by failing to reimburse Medicare's conditional payments. The rising number of Treasury claims and offsets highlights the need for proactive compliance. As an industry leader in Medicare compliance, we offer tailored lien solutions that ensure adherence to CMS requirements while maximizing savings across all lines of business.
A unique approach towards conditional payment claims
Our advocacy-driven approach to Medicare recovery claims helps you take control of the process to mitigate risk and reduce costs.
Advocacy and experience
Let our team help you navigate the tricky and nuanced Medicare recovery process to address and resolve conditional payment claims with confidence.
Reduce exposure and dispute unwarranted claims
Our lien services team has vast industry knowledge and experience in challenging CMS when appropriate to help you reduce exposure. We’re ready to dispute inappropriate and unrelated claims.
Proven results and savings
Our team advocates on your behalf to consistently deliver savings, minimizing risk and helping you settle more claims.
Feature and capabilities
Identify potential exposure
Let our team request and obtain Medicare’s claimed conditional payment amount.
Analyze Medicare’s conditional payment claim
Our team analyzes Medicare’s reimbursement claims to determine if filing a dispute is appropriate.
Dispute inappropriate or unrelated claims (when applicable)
We will dispute any date or service that is unrelated to the underlying claim or would otherwise not be owed by the insurance carrier.
Provide payment instructions (when applicable)
Upon resolution, we will provide detailed payment instructions for any dates of service for which reimbursement is owed, helping you resolve Medicare’s claim.
Related resources
Learn about our unique approach to the conditional payment process that’s unparalleled in service, precision, and value.
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Only pay what you owe
Gain a strong advocate in Medicare disputes to eliminate risk and exposure.
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Meeting treasury claims and offsets
We have vast experience in dealing with Treasury claims and offsets. In addition, our G2G program can help you identify Treasury claims through a holistic compliance approach, achieving an average savings of 86% on Treasury requests.
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Navigate the complex world of MAPs
Let our experts continually monitor legal precedent in Medicare Advantage Plan cases to provide the most strategic path for your business.
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Stay ahead of changing Medicaid regulations
Protect your bottom line while staying compliant with Medicaid recovery changes. Automated compliance options are also available for Medi-Cal in California
Do more with the Verisk ecosystem
Our Conditional Payment Dispute and Appeal Services are part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
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Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
Overcome MSP compliance limitations
Reduce risk and achieve full MSP compliance by streamlining payment process.
Contact us to learn more
We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:
Chat now
Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.
Main toll-free:
1-800-888-4476
Global toll-free:
International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489
Refer a file
We offer easy access via our online form but can accommodate e-mail, fax, mail, or arrange a pickup from your office. Contact your local sales representative or e-mail us at referrals@verisk.com.