1. Medicare Secondary Payer Compliance Services Welcome to Allsup’s Mandatory Insurer Reporting Services website

2. Mandatory Insurer Reporting Services The website uses 128-bit encryption, Secure Socket Layer technology After registering, you create your own password Password protected secure website

3. Mandatory Insurer Reporting Services The Reporting Menu helps you manage your records Categories assist in easy navigation RRE and Allsup Contact Information

4. Mandatory Insurer Reporting Services Function selections for Monthly Query Records Claim Data stored in easy to navigate tables Claim data loaded on a batch or single claim basis

5. Mandatory Insurer Reporting Services Function selections for Quarterly Submission Records Claim data stored in easy to navigate tables Tables direct RRE to claims with incomplete data prior to CMS submission Claim data stored as Reported/Processed Per CMS NGHP User Guide

6. Mandatory Insurer Reporting Services Add a new Monthly Query Record Required fields are flagged Notes/Special Instructions can be used as reminders for you

7. Mandatory Insurer Reporting Services Incomplete records are grouped for easy identification To update a record, click on “Select”

8. Mandatory Insurer Reporting Services Information is separated into tabs Tabs requiring data entry updates are flagged for easy recognition

9. Mandatory Insurer Reporting Services Monthly Query results COBC supplied information Quarterly Submission results

10. Mandatory Insurer Reporting Services The Allsup Solution Online Management of MIR Compliance Needs Two Data Entry Options (Batch & Web) Real Time Data Format Compliance Alerts Flexible RRE Hierarchy Access Manager and Claim Handler Level Reports 24 Hour Access to Data

11. Mandatory Insurer Reporting Services For more information, please contact: Rob Sokol (866) 202-9333 r.sokol@allsupinc.com © 2011 ALLSUP INC.