Neosurance™ determines eligibility of a disability claim and can be configured according to the eligibility rules of each state. Neosurance™ checks if the claimant or employer has been paying into the program, the claimant meets the minimum gross contribution requirements, and the claimant is disabled by contacting the medical provider to confirm medical condition. The medical provider can respond to inquiries via the online portal and that information is used in the eligibility determination process.

Neosurance™ calculates weekly benefit amount, maximum benefit amount, effective dates, and claim balance. Neosurance™ also manages eligibility issues through efficient workflow management and pre-established application wizard processes that effectively lead staff through eligibility and claim determinations.

Neosurance™ gathers eligibility and employment information from claimants throughout the payment certification process and processes payment requests based on claimant answers. Staff can enter certifications on behalf of claimants and manually make past weeks open to certify.

Neosurance™ issues payments to eligible claimants via debit cards, direct deposit or paper checks.

Neosurance™ provides efficient and highly intuitive workflow technology that pushes the most critical adjudication/appeal cases, in terms of timeliness and agency priority, to the appropriate adjudicator or judge. Application wizards guide staff through a series of steps to accurately make a decision and pre-populates determination letters/appeal decisions based on the specific decision rational selected by the adjudicator/judge.

Using individual wage records from employers or third-party administrators (TPAs), Neosurance™ validates employer tax or claimant contribution and automatically calculates the amount due based on the state’s legislation, regulations and policies. This reduces the agency, employer, and TPA’s workload by eliminating the need to reconcile summary and detail wage information resulting in improved data quality.

Neosurance™ provides offline audit functionality that integrates with tax elements of the Neosurance solution, all while maintaining a high level of security. This functionality allows states to meet state auditing requirements and includes features to select random and targeted audits. Field audit updates and synchronizes an employer’s business information with the information stored in Neosurance™. Field audit staff are able to interface with a central repository of data, providing much needed data integrity and consistency.

Offer your claimants a modern and free way to access their accounts via a downloadable application. With MOBIAS™, claimants can access their account information, claims information, view their payment history, and more! Learn more about this convenient and easy to use app.

The Neosurance™ software interface was designed in compliance with the accessibility standards established by the Americans with Disabilities Act. Neosurance™ also provides multi-lingual support: screens, buttons, commands, and more can be translated into multiple languages to support both internal and external users.

Our integrated contact management module consolidates information from multiple sources (e.g., document imaging, phone system, Neosurance™, etc.) into a 360-degree view of the respective contact. This provides staff with a solid foundation of knowledge and understanding that greatly improves customer service and reduces processing errors. Neosurance™ also automates service requests by routing customer information requests to appropriate workflow queues for staff attention.

Sagitec’s preeminent self-service portals allow employers and TPAs to manage their accounts based on user-level and role-based security. Employers can submit wages and payments, view their account balance, and designate multiple users and/or TPAs. TPAs can submit wages and payments (individual or bulk) and can manage multiple employer clients with a single sign-on.

Neosurance™ helps reduce call center volumes and improve customer service by enabling claimants to access their information through a secure self-service portal. Claimants are able to update their personal data, view account information, view payment history, review claim information, respond to agency requests based on their specific cases, and if necessary, sign and upload supporting documentation.

Neosurance™ allows medical providers to register for an account and add authorized representatives. Medical providers can view their patient claims, submit DI claim certifications, supplementary certification for medical extension, upload additional requested information, respond to inquiries, and view claim certification history through their online portal.

Provides a holistic, 360-degree view of claimants, employers, and agents on a single screen in both the Neosurance™ solution and employer/claimant web portals. Dashboards link summary information, display personalized screens based on user preferences, and enables users to navigate to multiple areas of the system with a single click.

Place the power of data analysis at users’ fingertips with ad hoc reporting capabilities. Retrieve custom data sets, using a simple GUI interface, and export them instantly to Microsoft Excel from any ‘lookup’ screen in the system.

Our KNOWTION™ Enterprise Knowledge Solution allows staff to quickly archive, search, and retrieve organization documents (e.g., policies, procedures, meeting minutes) directly from the Neosurance™ application. KNOWTION™ is a powerful tool that effectively and efficiently bridges the knowledge gap that exists in organizations today.

Collect fact finding from both the employer and claimant during the initial and continued claims process. The solution includes an intelligent questionnaire framework that can be easily customized to collect the necessary information to make eligibility decisions. This feature significantly reduces issue backlog by providing real-time information for decision making.