Self Insured Reporting is a healthcare claim reporting and analytics platform developed by Healthcare Reporting, designed to provide compliance, reporting, and cost containment solutions for Plan Sponsors, Brokers, Third Party Administrators (TPAs), Pharmacy Benefit Managers (PBMs), Captives, and the broader stop-loss insurance marketplace.
What services does Self Insured Reporting offer?
Self Insured Reporting delivers technology-driven solutions that help clients manage healthcare benefits compliance and claim reporting obligations. Their core offerings include:
- Claim reporting and analytics platform with robust financial and stop-loss reporting
- Full integration with stop-loss contracts for accurate and timely data
- Compliance services related to evolving regulations, including:
- Mental Health Parity analysis
- RxDC (Prescription Drug Data Collection) reporting
- Air Ambulance Reporting
- Gag Clause Attestation assistance
- Claim services to support fiduciary duties, such as:
- Dialysis cost containment
- Subrogation
- Stop-loss claim filing support
The platform is notable for its ability to aggregate and process data from over 100 different TPAs and 40+ PBMs, streamlining complex reporting tasks for clients.
How was Self Insured Reporting started?
Healthcare Reporting was founded in 2015 in Greenville, South Carolina, initially to address compliance requirements introduced by the Affordable Care Act. Recognizing growing administrative and regulatory burdens on their clients, the company launched Self Insured Reporting in 2017 after a decade of development. This technology-focused evolution allowed them to deliver integrated claim analytics and compliance support to a growing client base.
Who uses Self Insured Reporting?
Self Insured Reporting primarily serves organizations responsible for self-funded health plan management and compliance, including:
- Plan Sponsors
- Insurance Brokers
- Third Party Administrators (TPAs)
- Pharmacy Benefit Managers (PBMs)
- Captives
- Stop-loss carriers and stakeholders
Their solutions are designed to help these entities meet stringent reporting and fiduciary requirements enforced by regulations such as the Affordable Care Act and the Consolidated Appropriations Act (CAA).
What differentiates Self Insured Reporting?
Key differentiators include deep technical expertise in healthcare benefits, a strong focus on client service, and the ability to handle complex integrations across a wide range of TPAs and PBMs. Their platform addresses not only compliance and reporting, but also provides tools for financial oversight and fiduciary risk management.
Who leads Self Insured Reporting?
The founding and leadership team combines expertise in compliance, technology, and healthcare benefits, including:
- Mark Combs: CEO and Founder (LinkedIn)
- Trent Hiott: Vice-President & Co-Founder (LinkedIn)
- Jordan Smith: Chief Compliance Officer (LinkedIn)
- Sampath Narayanan: Chief Technology Officer (LinkedIn)
- Amanda Brock: ACA Reporting Practice Leader (LinkedIn)
- Lauren Wells: RxDC Drug Cost Reporting & Claims Analytics Practice Leader (LinkedIn)
- Ricky Hall: Claim Analytics & Reporting Practice Leader (LinkedIn)
- Brian Dunham: Marketing Manager (LinkedIn)
For more details on their history and leadership, visit their About page.
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