Medicare Secondary Payer Validation

Coverage Validation

Premium Restoration

Smart Medicare Secondary Payer validation with fast prioritization, flexible support, and timely CMS updates.

Getting Medicare Advantage premiums right starts with accurate Medicare Secondary Payer data, but eligibility information is often incomplete or out of date, leading plans to receive less than they should.

Claritev’s Medicare Secondary Payer Validation solution helps address gaps by quickly confirming Medicare Secondary Payer records, correcting errors, and recovering premium dollars left on the table.

With a tested, technology-enabled approach, we help plans restore millions in underpaid premiums while reducing the effort required from internal teams.

How Claritev’s Medicare Secondary Payer (MSP) platform can make a difference.

Built for Medicare Advantage payment integrity leaders and health plan analysts, our solution
can resolve primacy errors and streamline MSP validation and reconciliation.

Using a proprietary, HIPAA-compliant MSP platform, we can identify records that need further review, strengthen documentation, and submit validated updates to CMS on your behalf, which can help your plan get paid accurately and on time.

With Medicare Secondary Payer (MSP) validation, you can:

Improve the detection and identification of member primacy errors.

Empower accuracy through validated MSP records, corrected records, and restore premiums.

Capture complete validation information and request CMS corrections.

Protect future premiums and claim payments.

Create an electronic audit trail of each record for compliance and revenue tracking.

  • On-Demand Webinar: Beyond Recovery: Designing the Next Generation Payment Integrity Program

    Recoveries have long defined payment integrity success—but they only tell part of the story. This webinar challenges the traditional recovery-focused approach and introduces a…

    Read More
  • The No Surprises Act at a Crossroads: From Protection to Performance

    No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it’s time to shift from policy execution to system optimization. Explore how leaders…

    Read More
  • On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations

    CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…

    Read More
Pattern

Learn how Claritev can help maximize recoveries and prevent overpayments with data-driven solutions.