CHCS SERVICES INC

Technology-enabled TPA for senior market LTC and Medicare Supplement insurance administration

Core Administration Established PE-Backed (Teleo Capital Management, 2022)

Overview

CHCS Services is a technology-enabled third-party administrator (TPA) specializing in senior market insurance administration, with a core focus on long-term care (LTC) and Medicare Supplement (MedSup) insurance plans. Founded in 1989 and headquartered in Pensacola, Florida, the company has served as one of the nation's leading full-service senior market solutions providers for over three decades, working with insurance carriers, state retirement plans, and reinsurers that require specialized administrative capabilities for complex senior health insurance products.

In March 2022, Teleo Capital Management acquired CHCS Services from Capgemini America, Inc., positioning the company for continued growth in the senior care administration market. Under Teleo's ownership, the Wellcove division was established to house the company's senior care technology capabilities, and in October 2023 Wellcove acquired AssuriCare, a Waltham, Massachusetts-based provider of electronic visit verification (EVV) and nurse assessment software. This acquisition extended CHCS's reach into home care coordination and clinical workflow integration.

CHCS Services processes hundreds of millions of dollars in care value annually, supporting tens of thousands of providers and caregivers through its Wellcove/AssuriCare platform.

Products & Services

Claims Administration

Full-service claims management and processing for long-term care and Medicare Supplement insurance plans, including policy administration for state retirement systems and reinsurance administration support.

Key Features

Long-term care claims management and adjudication
Medicare Supplement plan administration
Policy administration for state retirement plans
Reinsurance administration support

Target Users: Insurance carriers, state retirement systems, reinsurers

Claims Automation Technology

Proprietary technology platform for automating LTC and MedSup claims workflows, reducing manual processing and improving accuracy for complex senior health insurance products.

Key Features

Automated claims adjudication for LTC and MedSup
Provider network management system
Integration with carrier core systems

Target Users: Insurance carriers managing LTC or MedSup books of business

Wellcove -- Senior Care Technology Division

Wellcove by CHCS Services is a specialized administrator of senior market and eldercare programs, delivering EVV and care management technology through its AssuriCare platform.

Key Features

Electronic visit verification (EVV) for home care agencies
Nurse assessment software and services
Home care coordination and care management
Integration with long-term care insurance administration workflows

Target Users: Long-term care insurance carriers, home care agencies

At a Glance

Founded: 1989
Headquarters: Pensacola, Florida, USA
Employees: 1000+
Funding: PE-Backed (Teleo Capital Management, 2022)

Category & Focus

Category: Core Administration
Subcategories: TPA Administration Long-Term Care Medicare Supplement Claims Management
Insurance Verticals: Health Life & Annuity
Target Customers: Carriers, Reinsurers, TPAs

Customers

Insurance carriers (national and regional) offering LTC and Medicare Supplement products
State retirement systems requiring specialized TPA services
Reinsurers with ceded LTC exposure