We’re Better Together: AssuriCare Services Guide
With Wellcove by CHCS Services’ recent acquisition of AssuriCare, we now offer an exciting new suite of programs and tools. These programs provide LTC insurance carriers with the necessary information to make informed eligibility decisions, provide administrative efficiencies, decrease claims cycle times, and identify potential fraud, waste, and abuse to help extend the life an insured’s benefits.
Electronic Visit Verification (EVV)
- Provides claimants and families with “piece of mind” as AssuriCare oversees caregiver activity.
- Offers access to a web portal for claimants/authorized representatives to view current and historical claims information, 24/7.
- Electronically submits a standardized invoice ‘in good order’ to LTCIs via PDF and structured data.
- Enhances administrative efficiencies by 40% – 50%.
- Supports auto-population/adjudication.
- Identifies potential fraud, waste, and abuse.
Facility Itemization and Verification
Electronic, standardized invoices
Itemization Verification
Service itemization, making it easier to uncover fraud and abuse patterns
Web Portal
Web portal access for claimants and authorized representatives to view claims information anytime, anywhere
Monthly Service Audits
Monthly alerts to call out changes in care needs, leave of absence, recoveries, etc.
Standardized Processes
Process standardization which increases efficiencies by 50%
Benefit Assessments
Empowering informed benefit eligibility decisions through quality assessments.
Schedule in-person, virtual, and telephonic nurse assessments
Multi-tier clinical review processed by health professionals to ensure complete, accurate, and actionable information
All assessments are electronically submitted to carriers in both PDF and structured data formats.
Our secure web portal provides 24/7 access to case referrals, notes, and completed assessments