Integrate Eligibility and Patient Insurance Verification
Integrate Advanced Eligibility with pVerify
Integrate Eligibility and Patient Insurance Verification
Automate Patient Verification by integrating pVerify’s Advanced Eligibility including First-Class Batch, Real-time APIs, Business Rules Engine and EHR write-back.
Integrate Eligibility
into your EHR/EMR Software
In the sea of Eligibility vendors, pVerify shines with the historic medical verification knowledge and innovative technological capabilities to help world-class developers build comprehensive verification systems beyond the average 270/271. We understand unique responses from individual payers and guide coding from pre- to post-development, allowing for more information to be captured, parsed, and returned in every API Call and verification.
pVerify Eligibility Integrations to automate patient verification for full DOS or unique patients and/or services. Verified days in advance or in real-time, users are able to view the patient benefits directly in their EHR and/or in a complete excel spreadsheet.
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.
Featuring Medical, Vision, and now Dental Payers, pVerify can verify every patient on your schedule. As the only company to provide traditional patient verification for EDI payers, plus human-enabled AI verification of more difficult Non-EDI Payers, we have the largest real-time payer list in the industry.
Take the knowledge from your senior verification specialists and build it into each patient result – allowing all staff to share historic knowledge without constantly memorizing existing materials. Can be based on Payer, Plan, Group, and MORE!
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.
Integrate Eligibility and Patient Insurance Verification
pVerify’s Integration automatically inserts each patient’s verified benefits directly into their EHR. This allows staff to review the patient’s benefits quickly and easily in their EHR, on pVerify’s custom Batch Report, as well as directly in the pVerify Portal.
Don’t just verify, pVerify!
Leading the Industry with the Best Healthcare APIs and Realtime Insurance Eligibility Verification Software, pVerify provides details at a deeper level.
Walkthrough of one of pVerify’s Integrations
Some of pVerify’s Featured Integrations
Sample Integration
Integrate eligibility and automate patient verification with write-back note
pVerify’s Integrations automate patient verification and return the benefits directly into the integrated system. A unique blend of machine and human-enabled AI and the ability to use business logic and manual increases our means of obtaining information for traditional and more difficult payers. With 1500+ payers, pVerify provides specialty-specific details for Medical, Dental, and Vision Payers. Filter with ease and identify specific benefit details. In addition to the inserted data, pVerify offers the First-Class Batch Excel Report for easy filtering and patient review.
First-Class Batch Report
Entrust your patient verification to pVerify
Received and processed days before the appointment, 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.
Benefits of using the pVerify Portal in addition to integrations
pVerify’s Premium Portal provides the widest offering of combination of services. It all begins with Advanced Eligibility and our intentional separation of details for easier review and understanding. Simply make one click to run Estimate or collect Payments or add additional Solutions such as Claim Status and Inpatient Skilled Nursing Facility.
*With pVerify’s Premium Portal, clients always have unlimited users, locations, and NPIs. It is included with all Integrations.
Medicare – Summary Dashboard
The summary everyone needs
Enjoy pVerify’s new Medicare Eligibility Summary Dashboard to make easy and informed actions based on a quick-glance overhead view of a patient’s Part A, Part B, Home Health, Medicare Secondary Payer, HMO, Medicare Advantage Plan, Hospice Dates, and Deductible Remaining details. Labeled with a green check or a red exclamation point, scan patients and make actionable decisions without toggling pages.
*Included with all Integrations at no extra cost
Verify – Estimate – Collect
Our automated, date-of-service patient insurance verification brings unprecedented efficiency to your front-office workflow. Coupled with our Patient Estimator and hands-free Patient Payment, our Solutions can significantly reduce patient debt and improve front-office collections.
Advanced Eligibility
Verify a patient ahead of time or during their procedure in real-time with accuracy down to the service received.
Healthcare APIs
The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.