Integrate Eligibility and Patient Insurance Verification

Add pVerify’s Advanced Eligibility into your EHR, PM, or Software

Integrate Eligibility and Patient Insurance Verification
Add realtime patient verification into any system by integrating pVerify’s Advanced Eligibility. Integration options include Instant Verifications, First-Class Batch Processing, Real-time APIs, Business Rules Engine and the Patient Transparency Estimator.
Integrate Eligibility and Patient Insurance Verification

Integrate Eligibility

Verify – Estimate – Collect

In the sea of Eligibility vendors, pVerify shines with the 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 coding from pre- to post-development, allowing for more information to be captured, parsed, and returned in every API Call and verification.
pVerify Eligibility Integrations to automate patient verification for full DOS or unique patients and/or services. Verified days in advance or in real-time, users are able to view the patient benefits directly in their EHR and/or in a complete excel spreadsheet.
Experts in patient insurance verification, pVerify is able to capture copays and co-insurance for multiple services in one verification. Additionally, they can go further by providing additional information unique to each industry, such as Routine Visit details for Ophthalmology, visits remaining out of allotted for Physical Therapy, and Surgical details based on the location of the procedure.
Featuring Medical, Vision, and now Dental Payers, pVerify can verify every patient on your schedule. As the only company to provide traditional patient verification for EDI payers, plus human-enabled AI verification of more difficult Non-EDI Payers, we have the largest real-time payer list in the industry.
Take the knowledge from your senior verification specialists and build it into each patient result – allowing all staff to share historic knowledge without constantly memorizing existing materials. Can be based on Payer, Plan, Group, and MORE!
pVerify’s signature solution, First-Class Batch Reports take patient verification to the next level. pVerify provides a completed report in Excel format with all of your requested patient benefit information. 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.

Integrate Eligibility and Patient Insurance Verification

pVerify’s Patient Eligibility Notes are automatically inserted into each patient’s record directly into their EHR. This allows staff to review the patient’s benefits quickly and easily in their EHR, on pVerify’s custom Batch Report, as well as directly in the pVerify Portal.

EHR/EMRs utilize EDI 270/271 but do not parse the data, often leading to front-office staff confusion. By adding the pVerify AI based parsed data engine on top of the standard EDI 271 result with ANSI X12, pVerify is allowing traditional EMR vendors to utilize parsed data with minimal coding efforts, to return co-pay and other crucial benefit information that can be buried in the eligibility report.

pVerify’s integrations support SOAP APIs, RESTful APIs, 270/271, FHIR, HL7, Mirth Connect, Zapier, ZOHO, Callshaper, Widgets, Drop-in UIs and MORE. Salesforce integration coming winter 2021

Explore pVerify's Featured  Integrations

Click on the logo below to learn more about each featured integration. 

Connect with an Integration Specialist

pVerify can now integrate with any EHR, EMR, or Practice Management System with their robust collection of APIs.

Let’s schedule a call to review how our Advanced Eligibility can integrate seamlessly into your EHR/PM System

Verify – Estimate – Collect

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.