Assessment Services & Facility Verification
Better Information Before Benefit and Payment Decisions
See How the Services WorkInformation Your Team Can Use
Benefit eligibility and payment review depend on different kinds of information. Wellcove keeps those needs separate. Assessment services document a policyholder's functional and care needs for eligibility review. Facility verification organizes billing detail and supporting documentation before payment review. Digital workflows keep the information structured and accessible throughout the process.
Two Distinct Services
Assessment and facility verification answer different questions in the administration process. Each service has its own workflow, while technology supports consistent capture and review of the information each team needs.
Assessment Services
Understand the Policyholder’s Needs
Clinical assessments document functional and care needs to support benefit eligibility review.
Facility Verification
Review What Was Billed
Facility Itemization and Verification organizes facility billing detail and compares charges with supporting documentation before payment review.
Assessment Information You Can Trust
Wellcove provides in-home, virtual, and telephonic assessments for Long Term Care. Standardized processes and digital capture create a consistent record, and experienced healthcare professionals review every completed assessment before they are returned to our carrier partners.
Consistency You Can Count On
Assessments and nurse assessors are scored to help maintain quality across engagements.
Clinical Review Before Delivery
Experienced healthcare professionals review completed assessments for completeness and readability.
Flexible Assessment Options
In-home, virtual, and telephonic delivery allows the assessment approach to fit the needs of the case.
Digital Access and Oversight
Digital capture provides assessment records in a structured format, while dashboards provide access to case activity and completed assessments.
Assessment services are available across all 50 states, with international capabilities where needed.
Facility Itemization and Verification (FIV)
Facility invoices can require detailed interpretation before a payment decision is made. FIV standardizes billing information and compares charges with available documentation, giving administration teams a consistent digital record for review.
Structured invoice data can support automated review and exception routing. Teams can focus on charges that need additional review instead of manually reformatting facility billing information.
Itemized Charge Review
Reviews facility charges against documented services and available supporting information.
Documentation Validation
Compares billed charges with the documentation available for review.
Standardized Invoice Data
Organizes facility billing information into a consistent digital format across facilities and claim types.
Automated Review Support
Structured billing data can support rules-based review and route exceptions for additional attention.
Discrepancy Identification
Helps teams identify charges that require additional review before payment.
Payment Review Record
Creates a consistent record of billed charges and supporting documentation for payment review.
Digital Workflows Behind the Services
Assessment records and facility billing data are electronically captured and ingested into actuarial and claims data models, creating a reliable foundation for analytics, financial projections, claims management, and operational insights. Wellcove combines automated processing with expert human oversight, enabling efficient handling of routine data workflows while ensuring clinical reviews and complex exceptions receive appropriate professional evaluation.
Other Services We Provide
Electronic Visit Verification (EVV)
A separate Wellcove service that verifies key details about home care visits and supports digital documentation for payment review.
Explore EVV
Policy, Billing, & Claims
Administration across policy servicing, billing, claims, and payment workflows.
Explore Policy, Billing, & Claims
Full-Service Digital TPA
End-to-end administration backed by experienced teams and digital workflows.
Explore Digital TPA Services
Data & Analytics
Structured operational data supports reporting and carrier analysis.
Explore Data & AnalyticsFrequently Asked Questions
Wellcove’s Facility Itemization and Verification (FIV) services standardize facility billing information and create a more consistent digital process for invoice review. FIV helps identify unusual billing activity, reduce overpayments, and support more efficient claims processing through structured data and automated workflows.
Wellcove provides in-home, virtual, and telephonic assessments that document a policyholder’s functional and care needs as well as cognitive status for benefit eligibility review. Every completed assessment is reviewed by Wellcove’s experienced healthcare professionals before delivery.
Yes. Wellcove provides assessment services across all 50 states, with international capabilities where needed.
Talk With Wellcove About Facility Verification & Assessments
Connect with Wellcove to discuss how facility verification or assessment services could fit into your current administration model.
Talk With Our Team