Verify Medicare Patients Eligibility, Same or Similar

Experts in Medicare Eligibility

pVerify’s Advanced Eligibility provides more information than ever before for Medicare. Find what you need to see, from Episode Dates to HMO, PPO, and Plan Sponsor Details. Process Batches on your own with our Self-Batch Eligibility, view results on our Medicare Eligibility Summary Dashboard, and check Same or Similar and Inpatient SNF Records with the click of a button. Every step of the process was built to save you time and prevent incorrect interpretations of details.

Same or Similar Simplified

As the first software to automate Same or Similar for all 4 jurisdictions, pVerify’s enhanced Solution allows users to review a patient’s 5 year Claim History in near real-time. Beyond the speed, volume capacity, and accuracy of our solution, pVerify’s interpretation flags take the guess work out of each check. Now staff can ready the results, easily conclude if a patient has received an item in a similar category as the HCPC in question, and take action.

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.

Batch Reports for all DME Solutions

With large quantities of patients or simply to save clicks while preventing human error, pVerify offers unlimited batching of all of its DME Solutions. Verify hundreds of patients in seconds and view the results in a color-coded Excel spreadsheet or on the Medicare Eligibility – Summary Dashboard. Run batches of Same or Similar and Inpatient SNF in minutes and review returned details in Excel-formatted reports. Designed to save time, prevent errors, and increase productivity, pVerify’s workflow for Durable Medical Suppliers improves existing workflows and guarantees a better ROI than any other eligibility vendor.

User Role Management

In addition to unlimited batches, pVerify also offers unlimited users (with unique usernames and passwords) and User Role Management to control what each user can do, see, and use within the account. Control your users’ capability as much or as little as desired. Assign and hide NPIs, limit transactions, and pull reports to keep an eye on individual productivity.

White-label your pVerify Account

Remove pVerify’s logo and footprint from your pVerify Account with our white-label features. Add your logo to the portal and to all of the PDFs and Reports. Client Admins will have access, but Client Power Users and basic Client Users will only see your information.