Patient Eligibility Insurance Verification

Advanced Eligibility Verification Patient Insurance

Insurance Verification Eligibility Solution Eligibility Software Free Eligibility Search Patient Insurance Verification Software Medicare Eligibility Check Verify Patient insurance Best Eligibility Software Verify Eligibility verify medical insurance

Eligibility Insurance Verification Software

Eligibility Exemplified.

The Leader in All-Payer Patient Insurance Verification Software with Real-time, API and Batch Solutions with comprehensive Eligibility Verifications, Estimation and Patient Payment Collection.

Patient Eligibility Insurance Verification
Eligibility Insurance Verification Software

Eligibility Exemplified.

The Leader in All-Payer Patient Insurance Verification Software with Real-time, API and Batch Solutions with comprehensive Eligibility Verifications, Estimation and Patient Payment Collection for Medicare, Medicaid, Commercial, Dental and Vision Payers.

Industry Leaders choose pVerify’s Eligibility Verification Software

100+ Million Transactions

%

Reduction of Claim Rejection and Denials

%

Less Staff Time Spent on Eligibility

%

Complete Payer Coverage EDI and Non-EDI

Why Choose pVerify

pVerify tailors Eligibility Verification specifically to your practice and make it easy for you to see the details you need.  The addition of The Patient Estimator and Patient Payments complete the patient cycle, allowing for correct estimates of a patients financial responsibility and contactless payment collection.

Powered by its own APIs pVerify aimed it’s focus on studying over 1350 payer responses to compile unique eligibility settings for each. Championing the highest level of benefits parsing with consumable API endpoints, pVerify’s team of expert developers stride forward to refine and maximize benefit reporting.

Realtime Insurance Eligibility Verification

Why Choose pVerify

Patient Eligibility Verification

Eligibility Insurance Verification Software
Eligibility Verification
Insurance verification software
Medicare Eligibility check
Same or Similar
Verify eligibility
Patient Insurance Eligibility Verification
Patient Payment Collection
Realtime Insurance Eligibility Verification

Best Healthcare APIs

pVerify tailors Eligibility Verifications specifically to your practice and make it easy for you to see the details you need.  The addition of The Patient Estimator and Patient Payment Collections complete the patient cycle, allowing for correct estimates of a patients financial responsibility and contactless payment collection.

Powered by its own APIs pVerify aimed it’s focus on studying over 1350 payer responses to compile unique eligibility settings for each. Championing the highest level of benefits parsing with consumable API endpoints, pVerify’s team of expert developers strides forward to refine and maximize benefit reporting.

Medicare Eligibility check

Don’t just verify, pVerify!

Leading the Industry with the Best Healthcare APIs and Eligibility Verification Software, pVerify provides details at a deeper level, with 270/271, robust Eligibility APIs, First-Class Batch, and Realtime Patient Eligibility Insurance Verification.

pVerify® interfaces with EHR Leaders

Eligibility Insurance Verification Software

Patient Insurance Eligibility Verification

With the largest Medical Insurance Eligibility Verification Payer List in the industry, pVerify is the only company to go beyond the traditional EDI payers to provide the eligibility benefits from the smaller and time-consuming non-EDI Payers. We provide details at a deeper level, with information separated and highlighted individually for easier review and understanding.

Medicare MBI Lookup

Medicare MBI ID Lookup

CMS replaced the SSN-based HICN with a new, randomly generated Medicare Beneficiary Identifier and requires the MBI ID for all Eligibility Verification, Claim Submission, reopening requests, and prior authorization requests.

pVerify offers a new, scalable solution for obtaining the Medicare new ID, your patient’s MBI number, quickly and easily by submitting the patient data including SSN/HICN, DOB and Name.

Estimate Patient Copays

Medicare Advantage Recursive Medicare Solution

With Medicare Advantage Recursive Medicare Verification, pVerify will first verify a patient’s full Medicare Coverage (with Medicare MBI or SSN/HICN by including the Medicare MBI Lookup Feature). If a Medicare Advantage Payer is present pVerify will verify the Medicare Advantage Plan using human-enabled AI, machine learning, and our proprietary methods.

Collect patient payments

Patient Payments and Contactless Collection

Collect patient payment at check-in with contactless QR code, card-on-file, and customized payment plans. With competitive rates and no contracts, estimate patient financial responsibility and collect payment right in your pVerify portal.

Durable-Medical-equipment-suppliers-solutions

Medicare Claim History – 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, reduces denials and prevents revenue loss by interpreting the Claim History for the user.

pVerify vs Clearinghouse and Payer Sites

pVerify Eligibility

Cloud-based Portal, Batch, API or Integrated

  • All Payer Coverage
  • Multiple Service Types per Verification
  • Multiple APIs Available
  • Parsed Eligibility Benefits
  • First-Class Batch Reports
  • User-friendly Dashboard
  • Personalized API Support
  • Business Rules Engine (AI Powered)
  • Unlimited Providers and Users

Clearinghouse

Long-term Contract

  • Restricted Payer List | No non-EDI Payers
  • Limited to one Service Type per Verification
  • Complex Display | No Parsing of Key Data
  • Minimal Customer Support
  • Large Setup Fee
  • Long-term Contract

Free Payer Site

Manual Verification Only

  • Payer-Specific
  • Multiple Web Portals
  • Completely Manual
  • No Parsing of Key Data
  • Complex Displays
  • Minimal Customer Support
Patient Eligibility Insurance Verification

Only pVerify Provides this Set of Advantages within a single Patient Eligibility Insurance Verification Software Solution.

Patient Insurance Verification

  • Faster verification
  • Improved cash flow
  • Fewer denials
  • Less patient delinquency
  • Easy-to-see eligibility info
  • Reduced labor costs
  • Full report customization
  • Human checking for accuracy

Whats New

3 Ways Medical Practices Can Increase Revenue at the Front Desk

3 Ways Medical Practices Can Increase Revenue at the Front Desk

Most medical practices are looking for more ways to increase revenue and close the gaps in delayed payments. Added to all of the latest trends in financial management are new regulations and changes in patient payment dynamic. Understandably, many practice managers find the overload of information counterintuitive to making sound changes that will beneficially impact their bottom line.

read more