Does CarePraxis administer insurance policies or pay claims? CarePraxis is not an insurer or TPA and does not make claim decisions or pay claims, but can assist with information needed for processing initial and ongoing claims.

What type of insurance claims are best suited to CarePraxis services? CarePraxis specializes in services that provide information for long-term care (LTC) insurance claims, including onsite assessments, telephonic assessments, care coordination, and other services directed at supporting claim decisions.

Who performs the onsite visits for CarePraxis? By contracting with an extensive network of experienced Registered Nurses and other licensed healthcare professionals, CarePraxis provides onsite assessments and other services to meet the needs in routine and special claim situations.

What type of assessment tools does CarePraxis use? Developed through years of nursing, eldercare, and insurance experience, our assessment tools have been tested in the field by leaders in the LTC insurance market.

Is cognitive testing used with CarePraxis assessments? CarePraxis utilizes the Folstein Mini-Mental State Examination (MMSE) and the Short Portable Mental Status Questionnaire (SPMSQ) as part of its onsite assessments, and will consider customizing cognitive testing.

Does CarePraxis provide patient care to an insured? Although not a direct care provider, CarePraxis can locate care resources across the country and can refer patients to quality care providers in its preferred provider network.

What are the benefits of care coordination through CarePraxis? CarePraxis provides in-depth reporting of care needs, available family resources, and care being provided at the onset of the claim and at acuity-based intervals to enhance the claim experience for the insured and cost-effectiveness for the payer.

Will CarePraxis provide telephonic services to gather claim information? In addition to care coordination, telephonic assessments, interviews with care providers, and requests for documentation can be provided as stand-alone services by CarePraxis to assist with your claims.

If investigative resources are needed for a claim, can CarePraxis help? CarePraxis is not an investigative services company, but can refer to its colleagues in the insurance market who provide licensed investigators.

How does CarePraxis compare with other vendors of LTC insurance services? The valuable hands-on experience of assisting LTC payers with a variety of claim situations has given CarePraxis the capabilities to provide quality services that are competitively priced.

Can CarePraxis assist with other types of insurance concerns? CarePraxis has the flexibility to design services for your specific needs, including alternative plans of care, fraud prevention, medical summaries, Medicare supplement, and care transition to other providers, and requests the privilege of assisting with your specific concerns.