pVerify offers a full customizable eligibility and benefits solution integrated with CareCloud. Custom specifications pull all patients for a specific date or a customized set of patients based on Provider, Appointment Type, Payer, or additional parameters. Verified days in advance or as desired, users are able to view the patient benefits directly in the patient’s notes and in the completed First-Class Batch Report.

Experts in patient insurance verification, pVerify is able to capture copays and co-insurance for multiple services in one verification. Additionally, they can go further by providing additional information unique to each industry, such as Routine Visit details for Ophthalmology, visits remaining out of allotted for Physical Therapy, and Surgical details based on the location of the procedure.

As the only company to provide traditional patient verification for EDI payers plus human-enabled AI verification of more difficult Non-EDI Payers, they have the largest payer list in the industry. Featuring Medical, Vision, and now Dental Payers, pVerify can verify every patient on your schedule.

Add your verification specialist’s expert knowledge into pVerify’s Business Rule Engine, to be returned automatically on verified patient benefits.

Business Rules is pVerify’s unique way of taking a client’s bible of proprietary knowledge, the binder and post-it notes of information gathered over the years by experienced verification specialists and inserting that knowledge to be cycled through and reported on qualifying patient benefits. Based off of a Payer, Group Name/Number, Member ID, Plan Name/Number or Policy ID.

As part of the pVerify Integration, each patient’s verified benefits are inserted directly into their patient record. This allows staff to review the patient’s benefits in their appointment schedule and on pVerify’s custom Batch Report, as well as directly in the pVerify Portal.

pVerify’s signature solution, First-Class Batch Reports take patient verification to the next level. pVerify provides a completed report in Excel format with all of your requested patient benefit information. Color-coded font and highlighted rows help identify and flag specific patients: High Deductible, Medicare Risk, HMO Detection, and others, per request. Each patient is linked to their full patient record, within the pVerify Premium Portal, for additional patient benefit review.