Two levels of Insurance and Claims Advocacy services, a comprehensive program and a support program, are available.

Comprehensive Service

The Comprehensive Service is a hand-off to Healthcare Navigation to manage the burden and hassle of dealing with your health insurer, medical providers and medical paperwork.
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Wellness Support Service

The Wellness Support Service includes advocacy and planning services for those clients who do not require claims filing and reporting.
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  Comprehensive Service

• Maintain your personal information in our secure data base. We are the depository for your coverage, physician, pharmacy and other information.  We will execute releases necessary due to privacy regulations in order to represent you and family members;
   
• Conduct timely reviews to discuss your coverage information, medical history and anticipated future procedures in order to anticipate issues and help prevent problems with coverage; 
   
• Obtain and coordinate information among providers and insurers and their various subcontractors to assure coverage authorizations and to prevent denials of coverage and precertification penalties, particularly during serious or chornic illness or for hospital admissions;
  
  
• Respond to telephone inquiries regarding bills, claims, preauthorization or other general questions throughout the year; 
   
• Intervene as necessary to resolve any issues or problems on your behalf;
  
  
• Provide large, secure, postage paid envelopes for you to forward insurance statements, medical bills, and other correspondence;
  
  
• Review all materials, confirm accuracy, and follow-up on open items;
  
  
• File claims, as necessary, and generate appropriate reports;
  
  
• Provide access to evening, weekend and holiday after hours service.

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Support Service

• Maintain your personal information in our secure data base. We will be the depository for your coverage, physician, and pharmacy information so that we can assist you and family members;

• Conduct timely reviews to discuss your coverage information, medical history and anticipated future procedures;

• Respond to telephone inquiries regarding bills, claims, preauthorization or other general questions throughout the year;

• Secure releases necessary due to privacy regulations to represent you and intervene as necessary to resolve any issues or problems on your behalf;

• Provide access to evening, weekend and holiday after hours service. 

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