AdvancedMD Eligibility Verification

AdvancedMD Patient Benefits Verification Solutions

pVerify’s Specialty-Specific Batch Eligibility & Patient Benefits Verification Solution for AdvancedMD® users

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:

1) Full parsing of key benefits Data such as specialty-Specific Co-pays, Deductibles, out-of-pocket remaining, pre-certification requirement etc. The results are displayed within AdvancedMD as a concise PATIENT NOTE and also displayed in dashboard view on pVerify Portal.
2) 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.)
3) Color-coded MS Excel-based Eligibility Summary Reports that are highly actionable (e.g. easily spot patients who might have switched to Medicare Advantage Plans…also provides name of the new Primary payer etc.)
4) ‘Exception Reporting’ to highlight discrepancies in patient demographics ( e.g. incorrect spelling of patient name or incorrect DOB) or insurance related information…using this information, our clients are able to increase ‘clean claims’ percentage.
5) Highest success rate for batch verification in the industry using recursive verification technology and utilizing manual workflow to work on ‘patient not found’ errors.


Sample AdvancedMD® Patient Verification

pVerify® is now an Authorized Integrator with AdvancedMD®. We use AdvacedMD’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 showing Batch Status and Payer information.



AdvancedMD Custom Tab 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