Frank_Fairchok

Frank Fairchok

CEO and Owner, NGHP Solutions LLC

Frank Fairchok is Vice President of Medicare Compliance Reporting and Development for Optum Settlement Solutions. He has nine years of experience in MMSEA Section 111 reporting and Medicare Secondary Payer compliance. In his expanded role, Frank helps formulate strategic direction and drive new product and technology-driven solutions for our

clients. Frank previously managed MedicareConnect℠, Optum’s proprietary platform for Non-Group Health Plan reporting requirements mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007. With almost thirty years of experiencing crossing over the financial, telecommunication and workers’ compensation industries, Frank has a deep background in contract administration, order management, billing, revenue recognition and data management. He has worked for global multinational companies such as AT&T, Orange, and now the UnitedHealth Group family of companies at Optum. Frank knows the work his team performs for Optum clients in the area of Section 111 reporting plays a critical role in the Medicare Secondary Payer processes. He realizes the data must reflect an accurate picture to not only protect Medicare’s interest in the claim, but also to protect his clients from absorbing costs beyond their legal responsibility. Frank appreciates having a team of people handling the day-to-day operation of MedicareConnect with dedication, tenacity and, very importantly, a deep understanding of this area of Medicare compliance. He is also grateful that his team has been with the MedicareConnect program since the go-live of reporting to Medicare in 2011—or earlier. In a world of call routing and inconsistent customer service, our clients have the comfort of hearing the same voices and knowing they are in great hands when they need to contact us. Frank has a Bachelor of Applied Science in Technology Management from St. Petersburg College and resides in Tampa, FL.


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