The underlying market problem is not that supplemental health lacks value. It is that too much of that value still depends on employee memory, product recall and a willingness to start a claims process at the exact moment life is most disruptive.
In plain language, medical claims integration (MCI) uses major medical claims activity to identify a possible claim on another workplace benefit, most often supplemental health products or a health and wellness benefit.
The point is simple: help employees recognize and act on value they may otherwise miss.
A connected-claims model
Securian’s Reclaim-powered model is designed to reduce guesswork, limit documentation burden and help employees use coverage they already chose, without asking them to manually start the process after a qualifying event.
The model follows five basic steps:
- Enroll: The employee elects supplemental health coverage during enrollment.
- Consent: The employee provides one-time HIPAA authorization for future claim events.
- Match: Medical claims data is matched to enrolled supplemental health coverage.
- Initiate: The employee is notified and the claim is started on their behalf.
- Pay: After review and approval, the benefit is paid with less documentation effort.
Our approach proves itself with these results: