Enterprise depth. Without the enterprise pain.
Regional and national carriers writing property & casualty need enterprise-grade depth - Section 111 reporting, WCIS filing, policy integration, high-volume intake, financial audit - with less configuration overhead and a shorter path to first go-live.
Carrier requirements are non-negotiable: Medicare Section 111 reporting has to work, state-jurisdiction filings (WCIS, TX DWC, FL DFS) have to submit on schedule, and the policy/billing side has to feed claims cleanly. MSOFT ships all of that as core, not as a professional-services engagement.
What carriers need first
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Section 111 Medicare reporting
CMS Section 111 mandatory-insurer reporting with quarterly submission, response parsing, and error re-drive workflows.
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CA WCIS reporting
Full CA WCIS packet generation with DWC business rules baked in. JetFile (beta) handles the CA JET envelope for electronic filings.
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Policy + billing integration
Claim intake from policy feeds via SFTP or API. Demographics, coverage, effective dates flow in on FNOL, no re-keying.
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High-volume bill review
IntelliReview handles the medical bill side at scale - CMS-1500, UB-04, NCPDP - with async PPO orchestration and audit-traceable pricing.
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OSHA + 1099 tracking
OSHA 300, 300A, and 301 report generation. W-9 and 1099 tracked end-to-end for every vendor payment.
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Recovery + reinsurance
Subrogation, second injury fund recovery, and per-claim reinsurance recoverable tracking. Recoveries reconcile back to the originating payment.
Same depth as the majors. Weeks, not quarters, to go live.
Enterprise claims platforms are known for six-to-twelve-month configuration engagements. MSOFT's per-customer configuration lives in the app, not in a proprietary DSL - most of what a carrier needs to change is editable in-app on day one. First go-live is measured in weeks.