Risk Evaluation – Service Details
Underwriting Evaluation
Wellcove by CHCS Services is a leading outsourcing company for underwriting, risk evaluation, and underwriting support services. Our risk evaluation program has been created to provide the underwriter with comprehensive analytic tools to assess the insurability of an individual applying for coverage. Wellcove has developed a quantitative model for underwriting that has proven results for identifying health risks.
Customizable Phone History Interviews (PHI)
- Online ordering
- Online status reporting
- Ordering, status, and completions via secure file transfer
- Customized interviews to meet your program requirements
Our trained health care staff are experts in completing telephone interviews for prospective clients. Our standardized online tools provide the most comprehensive information pertaining to the applicant’s health, cognitive status and lifestyle activities. Telephonic interviews can be easily customized to meet your unique program requirements, and include decision tree algorithms to ensure the underwriter is provided with the appropriate level of detail regarding applicants.
Face to Face Assessments (FTF)
- Online ordering
- Online status reporting
- Ordering, status, and completions via secure file transfer
- Customized assessments to meet your program requirements
Wellcove has developed a broad database of registered professional nurses providing national coverage for face-to-face assessments. These nurses have successfully completed an intensive training program with a focus on evaluation and interpretation of appropriate risk indicators
APS Requests and Summarizations
- Online Ordering
- Online Status Reporting
- Customized summary templates to meet your program requirements
Wellcove offers a seamless solution to support your program requirements and will develop and electronically deliver customized APS summarization templates tailored to meet your needs.
Health Risk Assessments (HRA)
- Online Ordering
- Online Status Reporting
- Ordering, status, and completions via secure file transfer
- Customized assessments to meet your specific program requirements
Wellcove understands the importance of risk stratification across a health
plan’s membership and can evaluate in-depth medical conditions to identify high-risk individuals for appropriate clinical interventions. Our web-based application
enables us to customize a solution for your members.
Wellcove offers a seamless solution to support your program requirements and will develop and electronically deliver customized APS summarization templates tailored to meet your needs.