Members judge you on the bill.
Hi Neo’s patent-pending lock turns the estimate a member sees into a locked commitment the plan holds through adjudication.
No need to change your claims adjudication platform. The lock is designed to work with the one you have
Estimates inform. A lock holds
On planned, in-network care, a member can be quoted one out-of-pocket cost and billed another after the claim adjudicates. Each gap can start a chain of contacts: the pre-service call, the call back to double-check, the surprise-bill call, and sometimes an appeal.
Two capabilities. The lock leads.
Out-of-pocket enforcement. Out-of-pocket lock. The cost a member is given for planned care becomes a locked commitment the plan holds through adjudication, across the whole episode of care.
Configurable member navigation. Members see, before care, what a service will cost and which in-network providers offer the best value by cost and quality. You configure the messaging and alerts.
1. Quote
The member sees the cost before care.
2. Lock
That estimate becomes a locked commitment.
3. Hold
The plan holds it through adjudication.
How a lock plays out.
A member is scheduled for a knee replacement at an in-network hospital. Her cost is locked before care. Over the next weeks the facility and surgeon claims arrive, and the plan holds what was locked.
Start with your own data
Runs on your historical claims, by your analysts, with nothing leaving your environment. It sets your own baseline: where quoted and billed costs diverge on planned care, and what drives it. No integration. No member disruption.
