Member Services

Medicare Reporting Services

Due to the significant reporting requirements that exist and penalties that can be assessed for failing to comply with the Medicare Secondary Payer Act (MSP), PRISM has coordinated with ExamWorks to provide CMS (Center for Medicare/Medicaid Services) query and reporting services for both Medicare Reporting and Medicare Setasides. To coordinate these services with ExamWorks at PRISM preferred pricing, please contact Sean P.Roberts for MSA items involving Workers’ Compensation at 916-838-5420 and Amy Mitts at 678-222-5300 involving General Liability Claims. . If you have any question regarding MSP compliance or ExamWorks as a vendor, please contact Karin Valenzuela (formerly Wedworth) at 916.850.7300 for Worker’s Compensation questions and Terry M. Butrym at 916-850-7300 for General Liability questions.