Proactive Section 111 Audit Strengthens Compliance

Sanderson Firm recently undertook a proactive and in-depth audit of all reporting data across our overall book of business for all Section 111 Mandatory Insurer (S111) Reporting clients to identify areas of potential non-compliance and thus possible exposure to Civil Money Penalties (CMPs), and in order to provide clear insight to clients regarding the current state of their data. This initiative underscores our commitment to collaborative, compliance-driven Section 111 reporting services.

While Sanderson Firm provides monthly reports highlighting validation errors, we recognize many critical aspects of Section 111 reporting may be often overlooked. Our comprehensive review revealed several common issues, including:

• Misclassification of Liability claims as No-Fault claims

• Delayed / missed reporting of ORM and TPOC

• Incorrect ORM indicators based on plan type or coverage

• Missing No-Fault components required for claim resolution

• Improper use of "Stop Processing" or "Delete" Input Action Types

• Failure to correct validation errors from response files and monthly reports, impeding timely reporting

When Sanderson Firm proactively identifies issues like this, we actively partner with our clients to implement informed, effective, and sustained solutions to help ensure ongoing compliance.

Client Feedback Received as a Result of the Proactive Audit:

“I appreciate your assistance identifying the claims you mentioned in some of the categories as I want to be extra diligent to avoid penalties…Thank you. Great info, we will work with it and let you know any questions we may have.”