Durable Medical Suppliers
Prevent denials, decrease write-offs, and improve cash flow with pVerify.
Ask us about our NEW pVerify powered Salesforce App for Medicare Eligibility and Same or Similar Lookup!
A game-changing combination for DMEs
pVerify leads the Durable Medical Equipment Supplier Industry with the most user-friendly portal, built-in interpretation flags for quick equipment issuing decisions, and continued enhancement.
From Eligibility to Medicare Claims History and Inpatient episode details, pVerify is an expert of all things Medicare.
At-a-glance Features
- Verify Eligibility with Medicare – Summary Display
- One click auto fill for Same or Similar and Inpatient SNF
- Interpretation flags for decisive and quick action
- Unlimited Batch, API endpoints, and single patient functions.
- Unlimited Locations, User Logins, and NPIs
- User Management to control what each user can see and do
Build pVerify directly into your workflow
Designed specifically for Durable Medical Suppliers
pVerify’s DME Solutions allow users to combine verification methods in order to verify in real-time and API, along with automated and batch solutions.
The DME Experts
Verification of patient benefits is an ever changing landscape and that includes the Equipment Suppliers world. Determining coverage and Medicare Claim History is the only way to ensure you will get paid. pVerify takes on the complex steps to streamline and relieve the stress and time commitment it takes to correctly qualify a patient before issuing their equipment. Our goal is to speed up each part of the patient cycle, with automation and accuracy, and highlight important details that can prevent denials and chasing of payment. Beyond confirming they are eligibility (confirming Medicare coverage and reviewing 5-year Claims History), pVerify as will alert you to if a patient is currently in the Hospital or Skilled Nursing Facility.
Create your own Combination
pVerify streamlines all of our DME Solutions into one, by combining Batch Reporting with APIs, unlimited user access within the real-time portal, and assists each client develop the workflow that improves their ROI.
We know Medicare
A leader in real-time insurance verification, pVerify’s Advanced Eligibility provides more information than ever before for Medicare. Find what you need to see 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. Process Batches on your own with our Self-Batch Eligibility, view results on our Medicare Eligibility Summary Dashboard, and view Same or Similar and Inpatient SNF Records with the click of a button.
Medicare Eligibility – Summary Dashboard
One Click Auto Fill
The human component in data entry has at least two guaranteed results – long processing times and typing mistakes. For these reasons, pVerify designed one click auto fill forms that link from Eligibility to Same or Similar, Inpatient SNF, and Medicare CMN within the Premium Portal. Once verified, never type the patient’s details again, simply single click a radio button to move to the patient’s info to the next screen and one more click to initiate the transaction.
Automate with APIs
Take it one step further and add pVerify directly into your own software or website. With multiple Robust APIs, pVerify provides a hand-on guide throughout development and remains a go-to expert post-development.
Same or Similar
In order for a supplier to be paid for issuing an item to a patient, that patient cannot have received that piece of equipment or one considered similar for a specific window of time. Therefore, each patient’s claim history must be reviewed prior to issuing any item.
pVerify’s Same or Similar goes beyond any other solution to take the guess work out of a very complex system by creating a “flag” to determine if the patient qualifies for a new item or if they have already received one similar. This interpretation flag saves suppliers a significant amount of time, and denials/losses, by interpreting the Claim History for the user.
The importance of Inpatient SNF
Medicare Eligibility | Same or Similar It is a known problem: discovering a patient was in the hospital after an item has been issued. Most likely a claim has already been filed and a denial is evident.
pVerify goes one step beyond traditional SNF Solutions by alerting companies if a patient is currently admitted into a Hospital, Rehabilitation Clinic, or Skilled Nursing Facility. Only pVerify can provide on-going stay details, including the Patient Status, Billing Type, and Billing NPI after 72 hours of their admission.
It is a known problem: discovering a patient was in the hospital after an item has been issued. Most likely a claim has already been filed and a denial is evident.
pVerify goes one step beyond traditional SNF Solutions by alerting companies if a patient is currently admitted into a Hospital, Rehabilitation Clinic, or Skilled Nursing Facility. Only pVerify can provide on-going stay details, including the Patient Status, Billing Type, and Billing NPI after 72 hours of their admission.
Medicare Eligibility | Same or Similar
Connect to build pVerify’s DME Solutions directly into your workflow!
Medicare – Summary Dashboard
The summary everyone needs
*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.
Self-Batch Eligibility
Run your own batches in real-time
pVerify now offers a Self-Batch Eligibility Feature for all Premium clients. Created for the 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-Service Batching 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 Medicaid supported. Commercial (EID) payer patients are verified for the Specialist service type only. Batches are processed by user in real-time.
APIs and Easy Endpoints
Build pVerify directly into your website
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. Automate the entire process by building Same or Similar and Inpatient Skilled Nursing Facility into your software.
*See the Developers Tab for more information
Same or Similar
The importance of Same or Similar
In order for a supplier to be paid for issuing an item to a patient, that patient cannot have received that piece of equipment or one considered similar for a specific window of time. Therefore, each patient’s claim history must be reviewed prior to issuing any item.
pVerify’s Same or Similar goes beyond any other solution to take the guess work out of a very complex system by creating a “flag” to determine if the patient qualifies for a new item or if they have already received one similar. This interpretation flag saves suppliers a significant amount of time and denials/losses, by interpreting the Claim History for the user.
In-patient Skilled Nursing Facility
The importance of Inpatient SNF
It is a known problem: discovering a patient was in the hospital after an item has been issued. Most likely a claim has already been filed and a denial is evident.
pVerify goes one step beyond traditional SNF Solutions by alerting companies if a patient is currently admitted into a Hospital, Rehabilitation Clinic, or Skilled Nursing Facility. Only pVerify can provide on-going stay details, including the Patient Status, Billing Type, and Billing NPI after 72 hours of their admission.
Medicare Eligibility | Same or Similar
Create your account and get started today!
Contact a pVerify Representative to learn about the different pricing tiers for Medicare Eligibility, Same or Similar and how to create your account.
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.
Inpatient SNF
pVerify Inpatient SNF Solution provides details on current SNF and Hospice stays, as close as 72 hours after admission, including the provider's NPI.
Same or Similar
pVerify’s Same or Similar allows users to review a patient’s 5-year Claim History in near real-time with interpretation flags for easy and actionable decisions.
Healthcare APIs
The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.
