Medicare Secondary Payer compliance, from referral through resolution.
Sparx Compliance handles the Medicare side of personal injury settlements: Medicare Set-Asides and future medical cost projections, conditional payment and lien resolution, Section 111 reporting, auditing and consulting, and MSP legal opinions. Every report is prepared by credentialed clinical professionals and built to withstand scrutiny.
What sets us apart is how we work, not just what we produce. We offer hands-on, dedicated service on every file, direct access to the experts actually doing the work, proactive communication about what the records do and don't support, and a genuine partnership from referral through resolution.
Part of that comes from the Sparx Record Engine, our proprietary platform built in-house, which organizes thousands of pages of medical records before a credentialed clinician begins their review. Reading the file, drawing the conclusions, and signing the report all remain the clinician's work.
Our clients sit across the personal injury settlement table: insurance carriers, defense counsel, plaintiff counsel, third-party administrators, lifecare planners, and structured settlement professionals. We shape each engagement to the file and the requesting party while keeping the methodology constant, so the work holds up under review.
The people behind the work.
Decades of experience across nursing, MSP compliance, and the legal side of settlement, including professionals involved in the evolution of the MSP program at CMS since the beginning.
Meet the team →AI that goes beyond productivity.
Grounded in WCMSA standards and CMS guidance, with supporting evidence retrieved before any response is generated, and every file reviewed by credentialed professionals before it goes out the door.
See the platform →Have a file to discuss? Send it our way.
Triage response within one business day.