Insured statusDate last insured to be confirmed
VERIFYProposed capability: These services are in development. Do not send claimant records, PHI, or identifiable case data through this website or by email inquiry. Any pilot requires a written scope, confidentiality terms, and an approved secure environment before case data is shared.
Insurance solutions · STD/LTD Claims Intelligence →
LTD & SSDI INTELLIGENCE
Better SSDI referrals begin with better disability intelligence.
Move beyond basic referral checklists. DIG is developing an approach that brings Social Security disability policy, medical evidence evaluation, and vocational analysis together to help LTD insurers, SSDI coordination vendors, and disability claims administrators identify viable SSDI referrals and prepare stronger case files.
REFERRAL READINESSILLUSTRATIVE
Medical evidenceRecent treating-source records incomplete
DEVELOPVocational questionPast-work demands need clarification
REVIEWIllustrative only. Screening findings support reviewers; they do not determine LTD eligibility or an SSA benefit award.
THE OPERATIONAL CHALLENGE
Not every LTD claim is ready for an SSDI referral.
Screening can miss material insured-status issues, listing requirements, vocational questions, and gaps in longitudinal medical evidence. Those missed details can create unnecessary referrals, repeated development, and avoidable delays.
DIG's proposed workflow is designed to flag those issues early, with specific findings a trained reviewer can verify.
BUILT AROUND SSA ADJUDICATION
Policy-aware analysis, not generic document summaries.
DIG's foundation is in disability determination, evidence assessment, policy interpretation, and quality review across the SSA lifecycle.
The goal: a clear, traceable assessment of what the file supports, what is missing, and what should happen next. SSA standards inform SSDI readiness only; private LTD plan terms remain separate and govern the LTD claim.
PROPOSED SERVICE MODULES
One intelligence layer. Six practical workflows.
Modular capabilities can be evaluated individually before any integration into an existing claims platform.
01 / TRIAGE
SSDI referral readiness
Screen key eligibility factors, available medical evidence, claimed onset, and potential insured-status or development obstacles.
02 / MEDICAL
Evidence gap detection
Compare documented findings with applicable SSA medical criteria, flag unsupported elements, and identify targeted follow-up needs.
03 / VOCATIONAL
Functional and vocational signals
Organize functional evidence and identify occupation-related issues that may warrant further professional evaluation.
04 / QUALITY
Cited case assessments
Produce reviewer-ready assessments referencing source evidence and applicable SSA policy for confirmation by qualified staff.
05 / OPERATIONS
Referral prioritization
Segment files by readiness, unresolved issues, and required next steps without treating a screening score as an adjudicative decision.
06 / REPORTING
Portfolio insights
Aggregate workflow trends, documentation completeness, and development bottlenecks, subject to available partner data.
WHAT PARTNERS RECEIVE
Usable findings, not another black-box score.
- 01Referral-readiness summary with stated limitations
- 02Identified eligibility and policy questions
- 03Evidence-linked medical and vocational observations
- 04Ranked evidence-development recommendations
- 05Human-review checkpoints and audit trail
ILLUSTRATIVE OUTPUT
Case action summary
- Referral status
- Further development recommended
- Issue identified
- Functional limitations are alleged, but recent supporting treatment evidence is incomplete.
- Suggested next action
- Obtain updated treating-source evidence addressing specific functional limitations and dates.
Illustrative only; not a real claim, medical conclusion, or prediction of an SSA decision.
LOW-RISK ENTRY
Begin with a measured historical-case pilot.
A pilot tests whether the proposed outputs are accurate and useful against cases whose outcomes are already known, before any operational commitment.
Select a bounded set of lawfully provided, appropriately de-identified historical cases.
Agree on screening questions, known outcomes, and reviewer standards.
Measure source accuracy, issue identification, review effort, and actionability.
Document results and determine whether operational integration is justified.
Written scope first
Pilot terms, confidentiality, permitted use, and an approved secure environment are agreed in writing before any case data is processed.
Human oversight
Qualified staff review every finding. Outputs are decision support, never insurer determinations, SSA decisions, or medical diagnoses.
No outcome guarantees
Results are measured against agreed criteria. DIG does not promise SSDI awards, referral volumes, or recoveries.
DATA HANDLINGAny access to sensitive claimant information requires an agreed security, privacy, permitted-use, and human-oversight framework before processing. No PHI is accepted through this website or email inquiry.
Evaluating evidence for a related question? See Claim Intelligence and Policy Intelligence.
A TARGETED DISCUSSION
See where SSDI intelligence could fit into your LTD workflow.
DIG is exploring structured pilot engagements with LTD insurers, SSDI coordination vendors, and disability claims administrators, tailored to your existing process and measurable operational questions.
Proposed services require scope, validation, and written agreement. DIG does not make insurer or SSA benefit determinations or medical diagnoses, or guarantee awards, offsets, savings, or outcomes. Please do not include claimant information in your inquiry.