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Benefit Investigation Services

Let's Not Have Our Seniors
Wait for Their Medications

We complete benefit investigations for any Doctor, any medication, at any pharmacy — free for patients, affordable for providers. Same-day results. Prior authorization requirements included.

Onsite HIPAA Compliance Officer
Free for Patients
24-Hour Results
Any Medication
Any Insurance
Same-Day $60

Licensed, Insured & BBB Registered

True USA Senior Concierge is a fully licensed and insured business. The Better Business Bureau (BBB) is America's leading nonprofit organization for business trust and accountability — and as a new business, we recently registered with the BBB to demonstrate our commitment to ethical, transparent service. Our registration, licenses, insurance certificates, HIPAA policies, and BAA documentation are all available upon request.

Credential inquiries: [email protected]

What Is a Benefit Investigation?

A benefit investigation (BIR) is a professional inquiry made to your insurance carrier on your behalf — to find out exactly what your plan covers before you fill a prescription or begin treatment. It removes the guesswork and prevents costly surprises at the pharmacy counter.

Common Reasons Patients Request a Benefit Investigation:

💊

Is my medication covered?

Your doctor prescribed a new medication and you want to know if your insurance plan covers it — and at what tier — before you pick it up.

💰

What will I owe at the pharmacy?

You want to know your exact out-of-pocket cost, copay, or coinsurance for a specific drug under your current plan.

📋

Have I met my deductible?

You're unsure how much of your annual deductible has been met and whether your medication costs will apply toward it.

🔒

Does my drug require prior authorization?

Some medications require your doctor to get pre-approval from your insurer before coverage kicks in. We find out exactly what's needed.

🏥

Which pharmacy should I use?

Your plan may have preferred or specialty pharmacies that offer lower costs. We identify them so you save money.

🔄

Are there step therapy requirements?

Some insurers require you to try a cheaper drug first. We uncover these requirements so your doctor can plan accordingly.

How It Works — Simple as 1-2-3

  1. 1

    The patient (or their representative) completes a free consent form on the Patient tab below — no payment, no insurance card needed from the patient.

  2. 2

    The patient's doctor or healthcare provider completes their intake form on the Providers tab, signs a Business Associate Agreement (BAA), and submits a $35 fee to initiate the investigation.

  3. 3

    True USA Senior Concierge contacts the insurance carrier directly and delivers a full benefit summary — including coverage status, cost-sharing, prior authorization requirements, and preferred pharmacies — to the provider's office within 24–72 hours.

This service is always free to patients. The $35 fee is paid by the healthcare provider or business requesting the investigation — never by the patient.

Free for Patients

Patient consent is always free. No payment, no insurance info, no clinical data collected from patients on this form.

Privacy Protected

We do not collect SSNs, banking details, or household income. Only the minimum information needed to serve you.

Provider-Driven

Clinical details, insurance info, and medication data are handled exclusively by your healthcare provider on their secure form.

Privacy Notice

True USA Senior Concierge does not ask for or collect Social Security Numbers, banking details, or household income on this website. This consent form collects only your name and authorization to allow us to assist your healthcare provider in exploring your benefit coverage.

About Payments on This Website

Benefit investigation requests are free to patients. No payment is collected on this consent form. Any payments processed on this website are exclusively for separate, optional concierge services — such as personal assistance, errand support, and lifestyle management — which are entirely distinct from benefit investigation. All concierge service payments made through this website are processed securely using industry-standard encryption. True USA Senior Concierge LLC does not store your payment card information.

How to Complete Your Patient Consent — Step by Step

This form is free for patients. You are simply giving True USA Senior Concierge permission to work with your healthcare provider to investigate your insurance benefits. No payment is ever collected from patients.

Prefer not to sign electronically?

Download the HIPAA Patient Authorization form, print, sign, and return it to us — upload it below or email to [email protected].

HIPAA Auth Form (PDF)
  1. 1

    Select who is completing this form

    Choose "I am the Patient" if you are filling this out yourself, or "I am a Legal Representative (LAR)" if you are completing it on behalf of a loved one.

  2. 2

    Enter patient information

    Provide the patient's full legal name, date of birth, and address. This is used only to identify the correct patient record with the insurance carrier — no Social Security Number or banking information is collected.

  3. 3

    Review and check all consent boxes

    Read each consent statement carefully and check all four boxes to authorize True USA Senior Concierge to conduct the benefit investigation on your behalf.

  4. 4

    Sign electronically and submit

    Type your full name as your electronic signature and click Submit. You will receive a confirmation on screen. Your doctor's office will then complete their portion on the Providers tab.

  5. 5

    Ask your doctor to complete their form

    After you submit, please notify your doctor's office to visit the Providers tab on this page and complete the HCP intake form. The investigation begins once your provider submits their form and the $35 fee.

Who Is Completing This Form?

Select whether you are the patient or a legally authorized representative (LAR) completing this on the patient's behalf.

Patient Information

Required for all benefit investigation requests. This information identifies the patient whose coverage is being investigated.

The full legal name of the patient whose benefit investigation is being requested.

Required to verify patient identity with insurance carriers.

Patient's current residential address.

Optional — used only to send a copy of this consent if requested.

HIPAA Authorization & Consent

HIPAA Authorization for Benefit Investigation — 45 CFR §164.508

I, the undersigned patient or Legally Authorized Representative, hereby authorize True USA Senior Concierge LLC to use and disclose my protected health information (PHI) solely for the purpose of conducting a benefit investigation on my behalf.

Information to be used or disclosed: Name, date of birth, address, insurance information, medication information, and any other information necessary to conduct a benefit investigation.

Who may receive this information: Healthcare providers, insurance carriers, pharmacy benefit managers, specialty pharmacies, and senior service agencies — solely as needed to investigate, evaluate, and verify benefit coverage.

Purpose: To determine insurance coverage, prior authorization requirements, preferred specialty pharmacies, and available patient assistance programs.

Expiration: This authorization expires one (1) year from the date of signature, or upon written revocation sent to [email protected].

Right to Revoke: You have the right to revoke this authorization at any time by submitting a written request to [email protected]. Revocation does not apply to actions already taken in reliance on this authorization.

Voluntary: Signing this authorization is voluntary. You will not be denied treatment for refusing to sign. However, True USA Senior Concierge LLC cannot conduct a benefit investigation without this authorization.

Re-disclosure: Information disclosed pursuant to this authorization may be subject to re-disclosure by the recipient and may no longer be protected by the HIPAA Privacy Rule.

Prefer to Sign on Paper Instead?

For Patients Who Prefer a Wet Signature

If you would rather print, sign, and return the HIPAA Patient Authorization form instead of signing electronically above, download it here. Once signed, upload it using the box below or email it to [email protected].

⚠️ If you upload a signed paper form, you do not need to complete the electronic signature section above — but you must still check the consent boxes.

Download HIPAA Auth Form

Print · Sign · Upload or Email

Complete all fields including patient name, date of birth, insurance information, and a dated handwritten signature. Your doctor does not need to sign this form — it is the patient portion only.

Upload Signed HIPAA Authorization (Paper)

Upload your completed, signed paper HIPAA authorization form. PDF, JPG, or PNG accepted. Max 10 MB.

Electronic Signature

By typing your full legal name below, you are providing your electronic signature — legally equivalent to a handwritten signature under UETA/ESIGN.

This serves as your legally binding electronic signature.

Submission Checklist

  • !
    Patient's full legal name provided
  • !
    Patient date of birth provided
  • !
    Patient address provided
  • !
    Identity & legal authority attested
  • !
    HIPAA authorization for benefit investigation given
  • !
    Right to revoke acknowledged
  • !
    Electronic communications consent given
  • !
    Electronic signature provided

Transmitted securely. Protected under HIPAA. This service is free to patients. Questions? [email protected]

Safety, Privacy & Service Notice

Safety is our priority. All True USA Senior Concierge services — including in-person concierge visits — are recorded and monitored for the safety and protection of our clients and staff, unless personally requested otherwise by the client in writing. We are fully insured and background-checked. Your safety, dignity, and privacy are always protected. True USA Senior Concierge LLC holds all required federal and state licensing and operates under applicable federal and state law. EIN: 42-4197373.

Why True USA Senior Concierge?

We are proud to work with every medication at every pharmacy — no exceptions, no limitations.

Every Medication

Specialty, brand, generic, biosimilar — we handle it all.

Every Pharmacy

Retail, specialty, mail-order — any pharmacy your patient prefers.

Fast Results

Standard requests completed within 24–72 hours. Same-day expedited available for $60 per BIR.

Transparent Pricing

Standard BIR: $35. Same-day expedited: $60. Specialty cases: $45–$55. Volume contracts available for high-volume practices.

PA Requirements

Prior authorization requirements and preferred specialty pharmacies included in every result.

All Sales Final

We will complete every request. If we cannot, a full refund is issued — no questions asked.

Questions Before You Start?

Our team is here to help. Email us and we will respond quickly.

[email protected]