Life Transitions is a patient advocate service established in 1986 to assist patients and their families with all aspects of medical and long-term care expense, claims management and reimbursement. Since our founding, we have been adapting our areas of expertise and services to reflect our client’s needs.
We’re independent. Since we don’t sell anything, our goal is always to get the best results for you.
Here’s a list of our services:
- Managing medical bills and claims and creating a computerized record to track claims and payments
- Reconciling provider balances to ensure accuracy and determine correct patient liability
- Preparing and filing claims for reimbursement when providers will not file
- Disputing questionable reimbursements and denials and filing appeals
- Filing long-term care insurance claims for nursing home, assisted living and home care services
- Counseling you on how to best utilize your health and long-term care insurance benefits
- Educate, analyze, and advise you on maximizing your Social Security benefits
- Assisting with Medicare strategies, selections, and enrollments
- Reviewing health insurance options, including ACA, COBRA and group insurance plans
- Consulting on long-term care insurance
- Assisting with Medicaid enrollment and renewal process
- Providing independent health insurance reviews for small businesses
For more information or assistance call us at Life Transitions, (919) 942-7211, or email us using the link below.
Patient Advocacy
When you need someone to negotiate with insurance companies, hospitals, doctors, nursing homes and other providers, we ensure medical and long-term care claims are paid properly and your patient balances are correct.
Life Transitions prepares and files claims for reimbursement, provides year-end accounting of medical expenses, helps resolve disputed claims and files appeals on your behalf.
Here are the specific ways we can give you peace of mind. Plain and simple.
Consultations and Enrollments
We can consult with you about Health and Long-term Care insurance options, including Medicare, Medicare supplements, Part D drug plans, Affordable Care Act (ACA) plans, Medicaid, COBRA and group insurance plans.
Once you’ve had a chance to review your options, we can handle enrollment for you.
- Explaining Medicare insurance coverage options and assisting with Medicare enrollments
- Assisting with selecting and enrolling in Medicare supplements
- Performing Medicare Part D drug plan analysis and enrollments
- Exploring Affordable Care Act options, potential premium subsidies, cost share reductions, and assisting with enrollments
- Assisting employees and retirees with group insurance selection during open enrollment season
- Analyzing COBRA insurance options for individuals and families
Manage Medical Bills and Claims
Your medical bills and claims are managed with a computerized record to track claims and payments. Don’t worry yourself about this, when we can take care of it expertly and quickly.
- Reviewing of all current health plans covering the insured
- Preparing and filing claims for reimbursement when providers will not file
- Reconciling provider balances to ensure accuracy and determine correct patient liability
- Disputing questionable reimbursements and denials, and filing appeals
- Providing year-end accounting of medical expenses for income tax purposes
- Counseling patients on how to best utilize their insurance benefits
Long-term Care Insurance
If you’re receiving services in a Nursing Home, Assisted Living Facility, Adult Day Facility or at Home, we can file Long-Term Care insurance claims.
- Reviewing policies and counseling patients and their families regarding their policy benefits and the terms and conditions necessary to be eligible to receive benefits for covered services
- Appealing disputed claims and denials
- Initiating claims, preparing claim forms, following up insurance requests for medical records
- Filing recurring claims at regular intervals
- Examining explanations of benefits to ensure correct reimbursement
- Discussing options when you’re seeking long-term insurance