Medical Practices and Healthcare Systems

Build Eligibility directly into your website

Streamlining enhanced Eligibility Endpoints with over 50 years combined knowledge of parsing and coding Medical Benefit Data to provide front-end patient insurance eligibility and benefit verification processes which will improve the patient collections and reduce back-office denials. pVerify offers extensive capabilities with our robust APIs, Widgets, Drop-In UI and MORE. Add Eligibility as a consumer-facing solution or automate on the billing end of your processes.

With hands-on and responsive API Support, pVerify assists with designing your API workflow, acts as a hand-on guide throughout development, and remains a go-to expert post-development.

Automate First Class Batches with write-back note

As an Authorized Integrator with established PMs like AdvancedMD and Allscripts, we go lengths beyond the basic eligibility typically provided with today’s software. pVerify provides Advanced Eligibility coupled with our First-Class Batch Reports to automate patient verification and provide helpful tools to enhance patient review prior to their appointment.

pVerify’s Integrations automate patient extraction for a specific DOS to verify in advance, and return the benefits directly into the integrated system (most often as a patient note). In addition to the inserted data, pVerify offers the First-Class Batch Excel Report for easy filtering and patient review.  Examples of existing integrations: AdvancedMD, Allscripts, NextGen, Centricity, Raintree, and MORE!

*Integrations vary; highly customized eligibility details provided. Minimum plan of $250 per month required.

Outsource 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.

*Add instant single patient verification at no extra cost. Supports EHR/Practice Management integration, pVerify extraction of appointment file, and other automations. Minimum plan of $400 per month required.

The traditional Portal with add-on solutions

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. With Self-Batch Eligibility and our First-Class Batch Reports, verifying large numbers of patients is no longer an issue. Get all the results you need in one place, simple make one-click to estimate and to collect payments, or add additional Solutions such as Claim Status and InPatient Skilled Nursing Facility.

*As pVerify’s main portal, Premium clients always have unlimited users, locations, and NPIs. Each Solution is priced separately. No long-term contracts.

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, scan patients and make actionable decisions without toggling pages. Combine pVerify’s Medicare Eligibility Summary Dashboard with Self-Batch Eligibility to redesign and improve your workflow.

*Included with Premium at no extra cost. Open a patient’s record for more detailed review. One-click redirect buttons with form-autofill for Same or Similar, Inpatient SNF, and Medicare CMN.

Run your own batches in real-time

pVerify now offers a Self-Batch Eligibility Feature for all Premium clients. Created for most basic verification needs, confirm active status for all EDI payers and/or for Professional (Physician) Visit – Office to receive active status, standard benefit details such as HMO/PPO Payers, deductible and OOP remaining ,and more. Viewable in a similar color-coded file, Self-Batch Eligibility is for clients that want to verify patient in-mass but do not require a custom report with enhanced details reporting.

*Included with Premium Portal at no extra cost. Reports full details on Medicare and Medicaid batches – Medicare batches contain extra features.  Insurance Discovery for Medicaids supported. Commercial (EID) payer patients are verified for the Specialist service type only. Batches are processed by user in real-time.