Medical Provider and Practices
Insurance Verification Software
Automate and outsource your patient verification directly to pVerify within your EHR/PM or Appointment Scheduling Software
Let pVerify design your hybrid solutions to improve every part of your patient cycle
pVerify’s Advanced Eligibility with our Patient Insurance Verification Software can be combined with the First-Class Batch Solution, real-time Premium Portal Access, EHR/PM integration, as well as combined with appointment scheduling via API Connections. Speak with a pVerify Representative to envision the best combination of services to improve your workflow.
Example Combinations:
- Build Eligibility and Estimator into your website for patient-facing solutions
- EHR write-back Integration plus First-Class Batch Reports
- Outsource verification with First-Class Batch Reports plus Premium Portal real-time verification and patient review
- White-label the Premium Portal for company use of Eligibility, Estimator, and Patient Payments
Examples:
- Build Eligibility and Estimator into your website for patient-facing solutions
- EHR write-back Integration plus First-Class Batch Reports
- Outsource verification with First-Class Batch Reports plus Premium Portal real-time verification and patient review
- White-label the Premium Portal for company use of Eligibility, Estimator, and Patient Payments
Valley Behavioral Health has partnered with pVerify utilizing their Eligibility Verification Custom Excel Batch tool since Nov 2018. Our first impression of this company was that they were very professional, attentive, and listened to our needs. They took our request and within a couple of weeks of our introduction, they effortlessly built us customized discrete eligibility data that has proven hands down to be a great ROI. We have been extremely happy with their diligent and efficient business relationship and their quickness in responding to our needs. We have no problem making recommendations to other agencies within the state of Utah looking for proven valuable eligibility data.
Complex needs simplified with pVerify’s Solutions.
A Leading Insurance Verification Software that support Multi-Specialty Medical Practices and Providers with specific verification needs while showcasing the largest list of Health Insurance Payers.
Experts in Eligibility
Verification of patient benefits is an ever changing landscape. Determining coverage prior to DOS is the best way to accept patients, collect copayment and co-insurance, and submit claims correctly. Beyond the traditional needs like copay and deductible remaining: understanding if prior authorization is need, if surgical co-insurance varies by the location of the procedure, and if a patient is currently in the Hospital can result in denials and chasing of payment.
Largest Payer List
With the largest Payer list for Medical Insurance Verifications, pVerify is the only company to go beyond the traditional EDI payers to provide the eligibility benefits from the smaller and time-consuming non-EDI Payers. pVerify works with over 1350+ payers to compile the largest eligibility list of Medical, Dental, and Vision Payers in the industry.
First-Class Batch Reports
pVerify is the leader in custom batch eligibility reporting with our unique blend of machine and human-enabled AI and ability to use business logic and manual means of obtaining information. Outsourcing patient verification is a huge time and cost saver for Medical Practices and Hospitals that can easily glance at one place for all of their daily appointments, filter with ease, and identify specific benefit details.
Patient Estimator
The Patient Estimator Solution is uniquely positioned in the market to create patient estimates based on their verified benefits and your fee schedules. The leveraging the specialty-based Eligibility results and tying into our Patient Payments offering allows a full cycle from eligibility – to estimate – to payment, within minutes.
Estimator Features:
- Powered in two parts:
- Eligibility results
- Your unique fee schedules
- Run directly after verification with one-click and patient autofill
- Print estimator in PDF format for patient to view and sign
- Built directly into your website with the Estimator Widget
Patient Payments
pVerify’s card-on-file Patient Payment Solution allows users to create Payment Plans on-the-fly to automate recurring payment with Easy Enrollment and no contacts. Begin accepting contactless payment, compatible with any device with web access.
Claim Status Alerts
Take action after a quick glance at a patient’s Claim History, including Procedure Codes, Charge Amounts, and Status Codes for up to a 12-month history. Physicians, Providers, Revenue Cycle Managers, Billing Companies, and Accounting Staff can now check the current status of what the payer has on file as of that day to ensure it was accepted or denied and review the Status Codes to determine if action is required.
Claim Status Examples:
- Effective Date
- Charge Amount
- Remittance Date
- Payment Amount
- Status Code
- Category Code
- Status Description
- Category Description
Connect to learn how to automate pVerify’s Patient Insurance Verification Software directly into your workflow
Learn more with a custom DEMO or Free Trial
Meet with a pVerify Representative to assess your current work flow and unique requests to determine the best combination of pVerify’s Insurance Verification Software Solutions for your needs.
Featured Clients
pVerify works with clients in some of the largest Medical Practices, IPAs/MSOs, and Medical Billing companies. We have a very strong presence in Primary Care, Therapy (speech, occupational & physical), Orthopedics, Sleep Centers, and Imaging Centers.
Oklahoma
Texas
New York
California
California
Louisiana
Oklahoma
Maine
California
North Carolina
Texas
California
Oklahoma
California
Oklahoma
California
New Jersey
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 with pVerify’s All Payer Advanced Eligibility Solution in Instant, Batch, or API Eligibility, in real-time with accuracy down to the service received.
Patient Estimator
Estimate patient financial responsibility powered by Eligibility results and your unique fee schedules for quick and easy cost estimates.
Healthcare APIs
The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.
