AdvancedMD Patient Benefits Verification Solutions

pVerify’s Automated Batch Eligibility Verification Solution for AdvancedMD® Users

 

Complete Patient Benefits in realtime within AdvancedMD with no manual effort!

 

AdvancedMD® integrated Batch Eligibility Verification by pVerify®

pVerify is the only company to offer combination of EDI based eligibility and manual, live-operator assisted process to return all the relevant information complete and contextual: guaranteed. These are few unique features of pVerify that separates it from traditional clearinghouses:

Blended Process ( EDI based verification combined with manual process) to ensure 100% customization of our eligibility reports to individual client’s needs (e.g. Medical Benefits as well as Vision Benefits including annual Visit restrictions, Routine Vision co-pay etc. PLUS ASC/Hospital Outpatient benefits) and 100% payer coverage (even those who do not support EDI based eligibility.)

 

Full parsing of key benefits Data

Specialty-Specific
Co-pays, Deductibles, out-of-pocket remaining, prior auth requirements, and MORE!

Outsourced Patient Verification

Automatically verify complete DOS within AdvancedMD with pVerify’s AI triggered task by pVerify’s API Connection

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Batch Excel Reports

Highly actionable DOS color-coded excel reports with fully verified patient benefit information for easy filtering

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Write-back into AdvancedMD

Results are displayed within AdvancedMD as a concise PATIENT NOTE and also displayed in dashboard view on pVerify Portal.

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Exception Reporting

Highlighted discrepancies in patient demographics ( e.g. incorrect spelling of patient name or incorrect DOB) 

Sample AdvancedMD® Patient Verification

pVerify® is now an Authorized Integrator with AdvancedMD®. We use AdvancedMD’s API to deliver unmatched batch Eligibility & Benefits reporting (customized to individual Specialty and Practice needs) by first collecting insurance information from upcoming appointments, processing the information in the pVerify Cloud to generate a custom eligibility report, and finally writing back the most important report items as discrete data in Advanced MD PM.   Unique to Advanced MD is the ability to quickly show discrete data in a custom tab on that patient (see screenshot).

AdvancedMD Custom Tab (left) showing Batch Status and Payer information and
Custom Tab (right) showing Copay, Coinsurance and other eligibility information.

Best-in-class Custom Eligibility Report

In addition, a complete snapshot of eligibility and benefits for ALL patients scheduled for given DOS are displayed in a unique color-coded, Microsoft Excel Spreadsheet format (see the screenshot below). pVerify’s AdvancedMD-integrated batch eligibility verification solution highlights eligibility and benefits specific to your specialty & procedures and is customized to your practice needs. It also ensures that you are billing to the right payer and using correct Demographic details (clean claim) to avoid cost denials downstream. Our highly actionable, color-coded Eligibility Summary Reports can bring unprecedented efficiency to your front-office workflow. Coupled with our patient estimator and “card-on-file” payment processing, our integrated service can significantly reduce patient bad debt and improve front-office collections.

AdvancedMD Eligibility Verification Solution