CP Resolutions, LLC

What CP Resolutions, LLC does

CP Resolutions, LLC is a privately held professional services firm headquartered in Centennial, Colorado that specializes in medical lien resolution, Medicare compliance support, and future medical cost projection services for injury claims. The company serves small and mid-size casualty insurance carriers throughout the United States, alongside plaintiff attorneys handling personal injury and casualty claims. Service lines include resolution of liens across Traditional Medicare, Medicare Advantage, Medicaid, Tricare, VA, ERISA, and private payers; Medicare Set-Aside allocations (WCMSA, LMSA, Zero-Dollar MSA); medical cost projections and life care plans for catastrophic injuries; and Medicare Section 111 reporting services. CP Resolutions operates as an authorized full-service reseller of APP Tech's MIR Express Medicare Section 111 software, with three integration tiers (no-integration, loose, full) into clients' claim management systems, and delivers HIPAA-, HITECH-, and SOC 2 Type 2-compliant services.

Name

CP Resolutions, LLC

Legal name

CP Resolutions LLC

Website

https://cpresolutions.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

CP Resolutions, LLC is a Centennial, Colorado-based professional services firm that provides medical lien resolution, Medicare Set-Aside allocations, and Medicare Section 111 reporting support to small and mid-size U.S. casualty insurers and plaintiff attorneys.

Ownership category

akta.pro rank

Product category

Medicare Compliance and Medical Lien Resolution Services

NAICS

Claims Adjusting (524291), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Medigap Claims Processing & Coordination of Benefits (COB) (HLAEADAG)

akta.pro secondary industry

Medigap Fraud, Waste & Abuse (FWA) & Payment Integrity (HLAEADAI)

Keywords

• Medical lien resolution
• Medicare compliance services
• Medicare set-aside arrangements
• Medical cost projections
• Section 111 reporting

Headquarters

HQ city

Centennial

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Others

Revenue model

1. Lien Resolution Services: Flat fee lien resolution services for all types of medical liens including Traditional Medicare, Medicare Advantage Plans, Medicare Part D, Medicaid, Tricare, VA, ERISA, and other private liens. Same low flat fee for every lien type.
2. Medicare Set-Aside (MSA) Services: Creation of MSA reports including Workers' Comp MSA (WCMSA), Liability MSA (LMSA), and Zero-Dollar MSA. Services include CMS submission for approval. Expedite service available for small additional fee.
3. Medical Cost Projections: Written reports created by certified medical professionals estimating future medical costs including both Medicare-covered and non-Medicare covered medical costs for the remainder of claimant's life.
4. Medicare Reporting Software Licenses: MIR Express software licenses sold competitively through CP Resolutions as full-service reseller. Various implementation options including no integration, loose integration, and full integration with client Claim Management Systems.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

CP Resolutions provides end-to-end medical lien resolution services for casualty and personal injury claims, covering Traditional Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, VA, ERISA, and other private liens, all at a flat fee per lien. The company also produces Medicare Set-Aside allocations (WCMSA, LMSA, Zero-Dollar MSA) and Medical Cost Projections for future medicals, and resells MIR Express Medicare Section 111 reporting software with implementation, integration, and managed-services support.

Product overview

CP Resolutions offers a comprehensive suite of medical lien resolution and Medicare compliance services for insurance companies and plaintiff attorneys. The core offerings include lien resolution services for all medical lien types (Traditional Medicare, Medicare Advantage, Medicaid, Military, ERISA, and private liens), Medicare Set-Aside arrangements and Medical Cost Projections for future medicals planning, and MIR Express Medicare Section 111 reporting software. The company operates as both a service provider and authorized reseller of APP Tech's MIR Express software, which can integrate with clients' existing claim management systems. Additional services include training programs, often for CE credits. All services are delivered with a focus on integrating into adjusters' daily workflows.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Lien Resolution Services Comprehensive medical lien resolution covering Traditional Medicare (Parts A/B), Medicare Advantage Plans, Medicare Part D, Medicaid (all U.S. jurisdictions), Tricare, VA, ERISA, and other private medical liens, including investigation, negotiation, reduction to lowest legally permitted amounts, and closure documentation. Target customers are casualty insurers handling injury claims and plaintiff attorneys handling personal injury settlements.
• Medicare Set-Aside Arrangements (MSA) Creation of Medicare Set-Aside allocation reports including Workers' Comp MSA (WCMSA), Liability MSA (LMSA), and Zero-Dollar MSA, with optional CMS submission for WCMSA approval and an expedite option for additional fee. Used by claims professionals handling workers' compensation and liability settlements to protect Medicare's interest and avoid civil monetary penalties.
• Medical Cost Projections Written reports produced by certified medical professionals estimating future medical costs, both Medicare-covered and non-Medicare-covered, for the remainder of a claimant's life after settlement. Used for settlement negotiation, reserve setting, and Medicare Set-Aside allocation decisions in casualty and personal injury claims.
• MIR Express Medicare Section 111 Reporting Software Official full-service reseller offering for APP Tech's MIR Express Medicare Section 111 Query and Reporting software with three integration tiers (No Integration, Loose Integration, Full Integration) with client claim management systems. Used by insurance carriers and other RREs for CMS mandatory Medicare reporting via monthly bulk queries and quarterly Section 111 submissions.
• Medicare Section 111 Reporting Services Medicare mandatory reporting service performing monthly bulk queries and quarterly Section 111 reporting on behalf of clients using MIR Express, with optional full integration into the client's claim management system for embedded notifications. Provided by CP Resolutions' IT staff alongside installation, implementation, integration, operation, and ongoing support.
• Medicare Compliance Training Training programs on Medical Cost Projections, Medical Lien Resolution, and broader Medicare Compliance topics, often approved for CE credits in most U.S. jurisdictions. Delivered to claims professionals, insurance carrier staff, and plaintiff attorneys.

Quantifiable outcome

• MSA turnaround time typically 1 week or less
• +1 more outcomes

Named customers2 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• APP TechcoreTechnology or IntegrationCP Resolutions is an official full-service reseller of APP Tech's MIR Express Medicare Section 111 Query and Reporting software. MIR Express is one of the most implemented and used Medicare Section 111 reporting software in the industry. CP Resolutions IT team are experts in installation, implementation, integration, operation and support of MIR Express. Both CP Resolutions and APP Tech are fully HIPAA compliant and perform annual SOC 2, Type 2 data security audits. CP Resolutions offers various implementation options including no integration, loose integration, and full integration with client claim management systems.

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Re-Solutions (Optum): Re-Solutions, part of Optum/UnitedHealth Group, offers Medicare Secondary Payer services including lien resolution and MSA allocation for liability, no-fault, and workers' compensation claims. It is a much larger incumbent competitor with national scale.
• ISO Claims Partners (Verisk): ISO Claims Partners, part of Verisk, offers Medicare Secondary Payer compliance, lien resolution, and MSA services to insurance carriers. It is a much larger incumbent competitor with broader analytics and data assets that overlap directly with CP Resolutions' core service lines.
• Mitchell International (Enlyte): Mitchell/Enlyte provides claims management technology and services for property and casualty insurers, including medical bill review and Medicare compliance tools. It is a broader incumbent with overlapping technology and service offerings to CP Resolutions' carrier customers.
• CorVel Corporation: CorVel is a large, publicly traded provider of workers' compensation and liability claims management, including medical bill review, MSA, and case management services. It competes more broadly than CP Resolutions but overlaps on lien and MSA-related services.

Direct peers

• Allsup: Allsup provides Medicare compliance services including lien resolution, Medicare Set-Aside coordination, and claims support to insurance carriers, employers, and individuals. Its Medicare and insurance-services practice is highly comparable to CP Resolutions' offering set.
• Priority Care Solutions: Priority Care Solutions provides medical cost containment services including Medicare/Medicaid lien resolution, MSA allocation, and bill review for workers' compensation and casualty insurers. It competes with CP Resolutions for the same small and mid-size carrier segment.
• MEDVAL: MEDVAL provides Medicare Set-Aside allocation, medical cost projection, and lien resolution services to insurers, attorneys, and self-insureds. It is one of the most direct competitors to CP Resolutions in the WCMSA, LMSA, and Medicare lien resolution niche.
• The Lien Resolution Group: The Lien Resolution Group specializes in resolving Medicare, Medicaid, and other medical liens for casualty insurance claims, with services directly comparable to CP Resolutions' lien resolution offerings for the same customer base.
• Synergy Settlement Services: Synergy Settlement Services provides structured settlements and Medicare Set-Aside allocation services to plaintiff attorneys and insurers. It is comparable to CP Resolutions on the MSA and future medicals side of the business, sharing customer segments.

Others

• APP Tech: APP Tech is the developer of MIR Express Medicare Section 111 reporting software and a technology partner of CP Resolutions (CP Resolutions is its full-service reseller). Not a direct competitor, but a critical ecosystem partner whose product roadmap directly affects CP Resolutions.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/cp-resolutions

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CP Resolutions, LLC