Claims History & Compliance Tracking: Reduce Errors & Accelerate Payments
Claims history is more than just data—it’s the key to reducing billing disputes, preventing duplicate claims, and ensuring compliance with federal and commercial payer policies. With pVerify’s extensive payer network and real-time insights, providers can streamline reimbursements and maximize revenue.
Designed for Accuracy. Built for Efficiency.
Prevent Incorrect Billing for Post-Acute Care
Billing compliance for skilled nursing facilities (SNF) is complex. pVerify provides real-time claims history tracking to prevent reimbursement delays and ensure Medicare providers receive proper payments. With access to currently admitted SNF and hospital patient data within 72 hours, providers can improve claims accuracy and avoid costly errors.
Avoid Duplicate Claim Submissions
Duplicate claims lead to denials, payment delays, and unnecessary resubmissions. pVerify’s Same or Similar History APIs eliminate multi-portal logins and manual entry errors by integrating directly with patient management and distributor inventory systems—ensuring seamless claim submission and tracking.
Get Real-Time Updates on Claim Progress
Staying updated on claim status shouldn’t require guesswork. pVerify’s electronic claim inquiry tools automatically track submitted claims, processing updates, financial data, and billing exceptions—allowing teams to reduce follow-up time, prioritize outstanding claims, and accelerate reimbursement.
Reap the Benefits.
Turn Historical Data Into Historical Revenue.
Reduce Billing Disputes
Access More Accurate Claims
Billing disputes drain time and revenue. pVerify delivers real-time, accurate claims tracking, allowing providers to identify discrepancies before submission, minimize denials, and reduce revenue loss.
Eliminate Redundancy
Stop Costly Claim Duplications
Submitting duplicate claims wastes time and increases denials. pVerify’s Same or Similar History checks ensure that providers avoid redundant submissions, streamline approvals, and improve reimbursement efficiency.
Enhance Compliance
Gain Comprehensive Payer Insights
Navigating compliance with Medicare, Medicaid, and commercial payers can be overwhelming. pVerify provides real-time claims verification and audit-ready documentation, reducing risk while improving payer relationships and reimbursement accuracy.
Maximizing Revenue:
How pVerify Helped a Senior Living Company Save $3.9 Million
A company operating thriving senior living communities for over 25 years sought to become the one of the best healthcare companies in their area. They wanted to optimize efficiency and revenue, but with outpatient clinics and skilled nursing facility (SNF) services, their insurance eligibility verification needs were complex.
Leveraging pVerify tailored insurance verification, eligibility solutions, and support, our customer significantly improved bad debt, identifying missed prior authorizations and incorrect payer builds to save a client-estimated $3.9 million in revenue. They also saw significantly increased batch processing capability, growing from 6,300 to 30,000 monthly transactions.
As the company expands, we continue to partner in new ways—whether attending internal informational fairs, leading virtual training for new staff, or providing guidance on integrations for other tools and platforms. Most recently, we’ve integrated with their new AI ticketing bot for incoming patient referrals, and we are also testing our SNF history feature to give teams information on a patient’s past hospice care and verification frequency.
“[pVerify] knows exactly what we need and if we need to modify it, whether we want a payer or specific display, they’re right there to do it. They just grow with us.”