(Image source: S1 Medical homepage.)
S1 Medical (Chadds Ford, Pa.), an independent cost containment and medical management firm that provides niche programs to the casualty market, has deployed Sapiens ClaimsGo for Workers’ Compensation. The first major program being supported by the joint S1 Medical-Sapiens’ (Holon, Israel) solution is Broward County Public Schools, the sixth-largest school district in North America, according to a vendor statement. The vendor describes Sapiens ClaimsGo (formerly StoneRiver CompSuite Claims) as a full‐featured solution developed for specialized and quick administration of workers’ compensation policies and claims, offered in a hosted environment.
S1 Medical reportst that it chose the Sapiens solution for its end-to-end claims capabilities, particularly the ability to integrate with data reporting & managed care systems. S1 anticipates improved productivity through joint/cooperative usage of ClaimsGo, more effective automation, and resulting in better claims processing across their customer’s claims management program.
“Due to the nature of our business, S1 Medical brought a third-party to the traditional two-party relationship between a claims system and its customer,” comments Matt Pitts, managing partner, S1 Medical. “The third-party brought its own user preferences, required training sessions and logistical requirements. Sapiens team members executed what was an on-time delivery of a complicated set-up. The availability, flexibility and open communication displayed by the Sapiens team facilitated collaboration, as well as a sense of confidence among both S1 and its customer.”
“Organizations have different needs when looking for a workers’ compensation solution, depending on their unique markets and competitive landscapes,” comments Roni Al-Dor, president and CEO, Sapiens. “Sapiens offers a range of workers’ compensation solutions to help firms find the best fit. We are pleased to welcome S1 Medical into the Sapiens family of customers and we look forward to continuing to work closely with them.”
ClaimsGo’s intake of First Report of Injury (FROI) expedites entry into the claims processing lifecycle, and its processing architecture provides easy displays of what’s important at a glance, according to Sapiens. Comprehensive data-capture guarantees compliance with regulatory reporting. Payment request processing includes multiple options and enables financial integrity.