End-to-End TPA Services
LTC Now Streamlines Long Term Care Administration
LTC Now:
Your Single Source of Truth
Wellcove’s LTC Now platform leverages cutting-edge automation to streamline the long term care (LTC) claims process, cutting down on follow-ups and delivering faster, more accurate results.
More Control. Less Fuss.
Deliver on Commitments to Premium Paying Members
NOW
to ensure accurate & timely payment automation.
Deploy Accurate,
Timely Re-Rates
NOW
with cost-effective automation for enhanced efficiency.
Make Critical Decisions From Relevant Data
NOW
by leveraging technology to minimize risk.
We’re Different from Traditional LTC Administration
Traditional LTC Administration is Stuck in the Status Quo:
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Risk Mitigation
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Just Reducing Claim Leakage
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Improving Customer Service
LTC Now is Future-Minded:
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Utilization of Data to Improve Outcomes
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Automation to Boost Turn-Around Times
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Eliminating the Need for Customers to Babysit Their Claim Process
Other Areas of Expertise
Medicare
Supplement
Supplemental
Health
Administrative Services
Wellcove is a pioneer in the long term care industry and also provides Medicare Supplement and Supplemental health administrative services. We prioritize our clients by offering:
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Digital versions of invoices, plans of care, and eligibility information
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Rules-driven claims payment automation
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Consent and identity management via a web-based portal
Care Management
Our care management services help our clients make informed care decisions and balance ancillary services, resulting in policy exposure reduction. We offer:
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Benefit determination and verification
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Care plan development to ensure cost-effective, appropriate care
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Referral services, including specialists and potential community-based resources
Risk Evaluation
We help claimants by ensuring a smoother and more transparent underwriting process, tailored to their unique health profiles. We provide:
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Customized interviews ensure claimants’ health details are accurately captured
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Face-to-face assessments provide personalized evaluations by trained nurses
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Detailed risk assessments help identify the right coverage and care for each claimant
Claims Administration
We firmly believe that Long Term Care, Medicare Supplement, and Supplemental Health claims management success is directly related to quick and accurate payment. We offer:
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Digitized eligibility data, including plan of care
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Rules-driven claims payment automation
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Quick updates and alerts regarding claim eligibility, payments, and EOBs via mobile app or portal
Care Visit Oversight
We offer electronic visit verification to help the loved ones of those receiving home care feel more at ease. Through an easy-to-use web portal, claimants and their families can:
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Review claims
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See increases and decreases in care needs in real time
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Receive digital documentation of services rendered
Care Visit Oversight Boosts Efficiency by 40-50%
Facility Itemization and Verification
Our facility services have been proven to increase administrative efficiencies by 50-100%, ensuring you can focus more on your clients and members.
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Supports auto-population and auto-adjudication
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Invoices transmitted electronically via API or SFTP
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Reduces overpayments
Benefit Eligibility Assessments
Our assessment services are available onsite, virtually, or telephonic and operate in all 50 states as well as internationally.
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100% of assessments are quality checked by an LCHP experienced in long term care
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Personalized and group training from experienced team members
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Dashboards that track inventory and agent metrics
Get in Touch
Let’s discuss how Wellcove can help you decrease costs and control risks with LTC Now.