All-Payer Patient Insurance Verification

About Us

All-Payer Patient Insurance Verification Leader with Real-time, API, and Batch Solutions showcasing comprehensive Patient Eligibility and a suite of solutions for Medicare, Medicaid, Commercial, Dental, and Vision Payers.

All-payer Patient Insurance Verification

The Journey Started

pVerify® was founded in 2006 by a team of accomplished Healthcare Professionals with a singular focus: streamline the front-end patient insurance eligibility and benefit verification processes in order to not only improve patient collections but also reduce back-office denials.

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.

Our unique blended process allows us to delivery the most pertinent patient eligibility information across all  payers – even if the payer 270/271 report doesn’t include all of the required elements or even if the payer does not support EDI 270/271. Then, unlike other services, we provide verified patient benefits at a deeper level, with information separated and highlighted individually for easier review and understanding . For our First-Class Batch we present the results in a color-coded Microsoft Excel spread-sheet format so that a front-office, verification team, or billing staff can collect appropriate patient payments and spot inaccuracies relating to patient demographics or insurance information.

Supporting over 1350 payers across all 50 states and cover all types of payers, including Medicare, Medicaid, BCBS, Dental, Vision and Commercial.
Innovative and robust APIs deliver a hassle-free approach to integrating with existing practice management and hospital information systems. As a result, we deliver an industry-leading eligibility solution that significantly improves productivity of both the front-and the back-offices and leads to a rapid return on investment.
pVerify® is headquartered in Tustin, California.

In the industry of Eligibility vendors, pVerify shines with 15 years of historic medical verification knowledge and innovative technological capabilities to help world-class developers build comprehensive verification systems beyond the average 270/271. We understand unique responses from individual payers and guide from pre- to post-development, allowing for more information to be captured, parsed, and returned in every API Call and Premium Portal Verification.

Meet The Team

Jay Nitturkar

Founder and CEO

Dr. Robert Dejournett

COO and CTO

John Blosser

VP, Sales and Business Developement

Kailash Aragwal

Director of BPO Business Operations

Erika Eordogh

Director, API and Client Success

Jeff Ohmes

Director of Sales

Jessica ODaniel

Director, Marketing and Client Experience

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    Featured Clients

    Largest medical groups, IPAs/MSOs, and Medical Billing companies use pVerify’s Patient Insurance Verification Software. We have a very strong presence in Primary Care, Pediatric and Adult Therapies (speech, occupational & physical), Mental Health, Emergency Care, Ambulatory and Inpatient Surgery, orthopedics, sleep centers, imaging centers, and more!

    How Can We Help You?

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    All-Payer Patient Insurance Verification and MORE!

    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. Supported in Realtime, Batch, and API

    Advanced Eligibility

    Verify a patient ahead of time or during their procedure with pVerify’s All Payer Advanced Eligibility Solution in Instant, Batch, or API Eligibility, in real-time with accuracy down to the service received.

    Large Medical Provider Solutions

    Next-level Customization with Business Rule Knowledge Base and Expert Consulting Services

    Healthcare APIs

    The Industry service leader in Realtime Healthcare APIs for Advanced Eligibility, Claim Status, & DME Solutions.