Patient Insurance Verification Solution
Patient Eligibility Verification Portal
pVerify Premium
Create combinations of solutions in order to improve your patient cycle, collections, and efficiency.
One portal, all your solutions.
Solutions
- Advanced Eligibility
- Business Rule Engine
- Medicare MBI Lookup
- Insurance Discovery
- Inpatient SNF
- Patient Estimator
- Same or Similar
- Patient Payments
- ACO – Preventative Services
- Claim Status
- Recursive Medicare MA Verification
Build pVerify directly into your workflow
Patient Insurance Verification Solution
A Leading Insurance Verification Software that supports Multi-Specialty Medical Practices and Providers with specific verification needs, while showcasing the Largest List of Health Insurance Payers.
Why pVerify?
pVerify spent the last decade focusing on Provider needs, how to collect the most information for each specialty from over 1500 payers, and enhancing our systems to be the most user-friendly in the industry. In 2020, we moved to our Premium Portals and brought on solutions such as Patient Estimator, Patient Payments, Inpatient Skilled Nursing Facility, Same or Similar, and more.
It is our mission to stay on the tip of technology and continue to develop solutions that make our clients lives easier while improving their revenue and ROI.
Create your own Combination
pVerify’s provides the widest offering of combinations 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, then make one -click to Estimate and Payments, or add additional Solutions, such as Claim Status and Inpatient Skilled Nursing Facility.
Eligibility Solutions
- Advanced Eligibility
- Medicare Eligibility – Summary Dashboard
- First- Class Batch Eligibility
- API – Built in Eligibility
Full Revenue Cycle
- Verify Eligibility
- Patient Estimator
- Patient Payments
Medicare Solutions
- Medicare Eligibility – Summary Dashboard
- Same or Similar (L, A, E, B, & K codes)
- Inpatient Skilled Nursing Facility Details
- Medicare CMN (rentals)
More Solutions
First-Class Batch
Received and processed days before the appointment, pVerify provides a completed report in Excel format with all of your requested patient benefit information. With details at a deeper level, information is separated and highlighted individually for easier review and understanding. 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.
Self-Batch Eligibility
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 Specialist benefits to receive active status, standard benefit details such as HMO/PPO Payers, deductible and OOP remaining, and more. Viewed 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.
Integrations with EHR/Practice Management Software
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 Patient Insurance Verification Solution plus First-Class Batch Report for easy filtering and patient review. Examples of existing integrations: AdvancedMD, Allscripts, NextGen, Centricity, Raintree, and MORE!
APIs
pVerify offers extensive capabilities with our robust APIs, Widgets, Drop-IN UI and MORE. Add eligibility as a consumer facing solutions or automate on the billing end of your processes.
*Find the Developers Tab for more information
Connect to learn about the Premium Portal Solutions!
Eligibility PricingSubscription and Monthly Plans |
pVerify PremiumCustomized Advanced Eligibility |
First-Class BatchOutsourced Patient Verification |
API SolutionsRealtime API Connection |
|
Plans starting at
$250 per month |
Plans starting at
$400 per month |
Plans starting at
$250 per month |
|
Advanced EligibilityProprietary research into payers' eligibility response for maximum verification success |
YES | YES | YES |
Specialty SpecificIn-depth, specialty-focused, customized parsing of verified patient benefits |
YES | YES | YES |
All EDI Payer CoverageMedicare, Medicaids, and Commercial Payers (EDI) |
YES | YES | YES |
Instant Eligibility (Real-time)Real-time single patient verification |
YES | YES | YES |
Unlimited UsersUnlimited users with unique log-in details and passwords |
YES | YES | YES |
Unlimited Providers and LocationsUnlimited Provider NPIs for patient verification and unlimited locations to restrict patient details by location and users |
YES | YES | YES |
Business Rule EngineInsert of existing benefit knowledge into each Eligibility return |
YES | YES | YES |
Patient Batch UploadVerify patients in batches |
YES | YES | YES |
Self Service BatchesMedicare, Medicaid, and Specialist Benefits for Commercial Payers |
YES | YES | YES |
Add-on ProductsSupports the MBI Lookup, Insurance Discovery, Claims Status and MORE! |
YES | YES | Yes |
Integrate with EMR/PMCompatible with system integrations |
YES | YES | YES |
Outsourced Batch Patient ProcessingOutsource patient verification prior to their appointment |
YES | ||
Non-EDI Payer CoverageVerification of difficult and non-electronic payers |
YES | YES | |
| Request Pricing | Request Pricing | Request Pricing |
Eligibility Pricing
Subscription and Monthly Plans
pVerify Premium
Customized Advanced Eligibility with add-on Solutions
Plans starting at
$250 per month
Advanced Eligibility
Proprietary research into payers' eligibility response for maximum verification success
Focused per specialty
In-depth, specialty-focused, customized parsing of verified patient benefits
All EDI Payer Coverage
Medicare, Medicaids, and Commercial Payers (EDI)
Instant Eligibility (Real-time)
Real-time single patient verification
Unlimited Users
Unlimited users with unique log-in details and passwords
Unlimited Providers
Unlimited Providers NPIs for patient verification
Unlimited Locations
Unlimited locations to restrict patient details by location and users
Patient Upload Processing
Verify patients in batches
Self-Batch Eligibility
Medicare, Medicaid, and Specialist Benefits for Commercial Payers
Add-on Products
Supports the Estimator, Patient Payments, and MORE!
Unlimited Support
Phone, Email, and Ticket Support
Integrate with EMR/PM
Compatible with system integrations
First-Class Batch
Outsourced Patient Verification
Plans starting at
$400/ per month
Advanced Eligibility
Proprietary research into payers' eligibility response for maximum verification success
Focused per specialty
In-depth, specialty-focused, customized parsing of verified patient benefits
All EDI Payer Coverage
Medicare, Medicaids, and Commercial Payers (EDI)
Instant Eligibility (Real-time)
Real-time single patient verification
Unlimited Users
Unlimited users with unique log-in details and passwords
Unlimited Providers
Unlimited Providers NPIs for patient verification
Unlimited Locations
Unlimited locations to restrict patient details by location and users
Patient Upload Processing
Verify patients in batches
Self-Batch Eligibility
Medicare, Medicaid, and Specialist Benefits for Commercial Payers
Add-on Products
Supports the Estimator, Patient Payments, and MORE!
Unlimited Support
Phone, Email, and Ticket Support
Integrate with EMR/PM
Compatible with system integrations
Automated/Outsourced Batch Report Processing
Outsource patient verification prior to their appointment
Non-EDI Payer Coverage
Verification of difficult and non-electronic payers
Learn more with a custom DEMO or Free Trial of our Health Insurance Eligibility Verification Solutions
Meet with a pVerify Representative to assess your current work flow and unique requests to determine the best combination of pVerify’s Patient Insurance Verification Solution for your needs.
Complete List of pVerify Premium Solutions
Advanced Eligibility
Patient Insurance Verification Solution
Advanced Eligibility
pVerify’s All Payer Advanced Eligibility Solution in real-time, Batch Reporting, and API Development
Medicare Eligibility
Patient Insurance Verification Solution
Medicare Eligibility
An expert in all things Medicare, pVerify provides Medicare patient Verification in our Medicare Eligibility – Summary Dashboard, Unlimited Self-Batch Eligibility, First-Class Batch Solution, and API Connections
First-Class Batch Reports
Outsource patient verification to pVerify with detailed DOS Batch Patient Verification with customized and complete Excel Reports
Claim Status
pVerify’s Claim Status provides a quick glance at a patient’s claims to determine most recent status
Patient Estimator
pVerify Patient Estimates gives you quick and easy cost estimates for patient responsibility
Patient Payments
Collect payment during appointment with contactless QR code, card-on-file, and customized card-on-file payment plans
Same or Similar
pVerify’s Same or Similar provides a patient’s complete 5-year Claim History for L, A, E, B, & K Codes
Inpatient SNF
pVerify Inpatient SNF Solution provides details on current SNF and Hospice stays, as close as 72 hours after admission
Medicare CMN
pVerify provides details on payable Certificates of Medical Necessity (CMNs) for specific Medicare beneficiaries and, for specific Healthcare Common Procedure Coding System (HCPCS) codes
MBI Lookup
Find a Medicare patient’s MBI ID with their name, DOB, and SSN/HICN.
Medicare Preventive Services (ACO)
Find a Medicare patient’s Eligibility dates for preventive services like Annual Wellness Exam (AWV) and 54 HCPCs codes
Healthcare APIs
The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.
