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.
Simplify workers’ compensation reporting with the EDI Reporting Map
Managing numerous compliance reporting obligations can be overwhelming, especially when working through technical challenges in EDI states. If you struggle to keep up with each jurisdiction's specifications, we have a tool that can help.
Simplify workers’ compensation reporting with the EDI Reporting Map
Take workers’ comp data reporting and analysis to the next level
Learn about our leading-edge technology, experience, and expertise across the workers’ compensation regulatory experience for all EDI states and DCOs.
Take workers’ comp data reporting and analysis to the next level
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
Related resources
Stay in the know about important industry trends and innovative solutions.
Case study
Turn untapped workers' comp data into actionable insights
Liberty Mutual achieves improvement in EDI compliance with wcAnalyzer™
Brochure
Workers' compensation reporting and analysis solutions
Learn about our robust workers’ compensation solutions suite for reporting, capturing, and analyzing injury claim data
Webinar
WCIO 2023: Stay Compliant with the Latest Developments
Learn about the significant changes the Workers Compensation Insurance Organization (WCIO) and the International Association of Industrial Accident Boards & Commissions (IAIABC) are undergoing in 2023
Webinar
wcPrism: Automate WC reporting for greater accuracy & acceptance rates
Verisk’s proprietary reporting tool, wcPrism, can streamline your WCIO reporting processes. Gain valuable insights to ensure your organization stays compliant and maximizes reporting accuracy and acceptance rates.
Do more with the Verisk ecosystem
WcPrism is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
Identify severity faster with predictive analytics
Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.
Address Medicare compliance obligations to reduce risk
Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.
Slash time and spend with AI-powered record review
Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.
Streamline Section 111 reporting
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
The world’s largest P&C claims database
Fast-track claims while improving fraud detection with access to data from more than 1.8 billion claims.
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