FeaturesInsurance & Payer
Billing

Insurance & Payer
Management

Manage every payer source for every resident in one place. Private pay, long-term care insurance, Medicaid waiver, and veteran benefits — all tracked, documented, and billing-ready.

4 Payer Types
All sources tracked
LTC Insurance
Claims managed
Medicaid
Waiver tracking active
Auto-Verified
Eligibility checks
Why Insurance & Payer

Every Payer Source. Organized & Tracked.

ALF residents have complex payer mixes. ALF Apps tracks every source, manages authorization limits, and keeps billing clean.

Multiple Payer Sources

Track private pay, long-term care insurance, Medicaid waiver, veteran benefits, and supplemental insurance for every resident. Multiple payers per resident fully supported.

Authorization Management

Track LTC insurance policy limits, daily benefit amounts, elimination periods, and remaining benefits. Authorization alerts fire before benefits are exhausted.

Eligibility & Verification

Verify Medicaid waiver eligibility and LTC insurance coverage directly from ALF Apps. Keep all insurance cards, policy documents, and authorization letters stored digitally.

See It In Action

Payer Management — Every Source. Every Resident.

app.alfapps.com/billing/insurance-payer
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Insurance & Payer
Settings
Select Resident:
Martha K. Babbitt — Room 130-A ▾
Primary Payer
Rental AL — Private Pay
Monthly: $3,200
Active
Secondary Insurance
BCBS Federal Blue
Policy: ZYX123456
Active
LTC Insurance
Not enrolled
N/A
Payer Details — M. Babbitt
PayerTypePolicy #CoverageEffectiveStatus
Rental AL — Private PayPrimaryN/A$3,200/moJan 6, 2025ActiveEdit
BCBS Federal BlueSupplementalZYX123456SecondaryJan 6, 2025ActiveEdit
Medicare Part BGovernment8MN4DY9WF63Outpatient onlyLifetimeActiveEdit
Facility Payer Mix — June 2026
48residents
Private Pay
65% · 31
LTC Insurance
18% · 9
Medicaid Waiver
12% · 6
Veterans Benefits
5% · 2
💳 Multi-Payer Support🛡 LTC Insurance🏛 Medicaid Waiver📊 Payer Mix Reports
Simple Workflow

From Admission to Ongoing Payer Management

01

Set Up Payers at Admission

During admission setup enter all payer sources — primary, secondary, and supplemental. Upload insurance cards and policy documents directly to the resident record.

02

Track Authorization Limits

For LTC insurance enter policy limits, daily benefit amounts, and elimination period dates. ALF Apps tracks remaining benefits and alerts staff before exhaustion.

03

Verify Eligibility

Run Medicaid waiver eligibility checks and LTC insurance verifications directly from ALF Apps. Keep all verification records stored with timestamps.

04

Monitor Payer Changes

Track payer transitions — private pay to Medicaid spend-down, LTC insurance benefit exhaustion, and new coverage additions. Billing updates automatically.

Everything in Insurance & Payer Management

Complete payer source tracking and insurance management for every ALF resident.

Private pay rate management
Long-term care insurance tracking
Medicaid waiver enrollment & tracking
Veterans benefits management
Medicare Part B tracking
Supplemental insurance documentation
Multiple payers per resident
LTC insurance policy limit tracking
Daily benefit amount monitoring
Elimination period date tracking
Benefit exhaustion alerts
Medicaid spend-down tracking
Insurance card digital storage
Authorization letter storage
Facility payer mix reports
Payer transition documentation
Payer Profile
R. Johnson
Room 112-B · 3 active payer sources
💳Primary: Private Pay
$2,800/mo
🛡LTC Insurance: Bankers Life
Policy: BL-445892
Daily benefit: $150/day
Remaining: 847 days
⚠ Exhaustion est: Mar 2029
🏛Secondary: Medicare Part B
ID: 4QT7WX2KP19
Active
Last verified: Jun 1, 2026
✓ All payers verified
Get Started

See Insurance & Payer Management in Action

Watch how ALF Apps tracks every payer source, manages LTC insurance benefits, and keeps your billing clean.