AdvancedMD Patient Benefits Verification Solutions

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

 

Automated 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.  

pVerify’s 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.)

These are few unique features of pVerify that separates it from traditional clearinghouses: 

Effortless, automatic outbound/inbound connection from AdvancedMD to pVerify, customized to your needs

Easy and automated verification of your entire appointment calendar

Full Batch Eligibility  Report customized for your specialty for each Date of Service

Clear and discrete display of eligibility information in AdvancedMD

Automatic recording of benefits in your system as a discrete patient note from verification

Best in Class Business Analysis,  Customer Support, and Human enabled AI with Business Rules 

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 AdvancedMD PM.  

Unique to Advanced MD is the ability to quickly show the following discrete data in each patient's custom tab: 

  • Specialty-Specific Co-pays, Deductibles, out-of-pocket remaining, prior auth requirements, and additional info based on your specialty 100% 100%
  • Exception Reporting: Highlighted discrepancies in patient demographics ( e.g. incorrect spelling of patient name or incorrect DOB)  100% 100%
  • Expert Medicare Reporting: Receive all relevant Medicare data to unique needs (e.g. Hospice Dates and NPI, Therapy Cap, HMO/MA Payer) 100% 100%
  • All Payer based verification combined with manual process to ensure 100% customization of our eligibility reports and 100% payer coverage 100% 100%

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

Eligibility to Collection Cycle 

pVerify now offers a complete cycle of eligibility and benefits for ALL patients scheduled for given date of service. Results are displayed in a unique color-coded, Microsoft Excel Spreadsheet format (see the screenshot above) as well as a direct write-back note into a respected patient’s record for integrated EMRs. pVerify’s 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 automated, date-of-service verification and color-coded highly actionable 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.

pVerify Draws Rave Reviews!

Valley Behavioral Health has partnered with pVerify utilizing their Eligibility Verification Custom Excel Batch tool since Nov 2018.  Our first impression of this company was that they were very professional, attentive and listened to our needs.  They took our request and within a couple weeks of our introduction, they effortlessly built us customized discrete eligibility data that has proven hands down to be a great ROI.  We have been extremely happy with their diligent and efficient business relationship and their quickness in responding to our needs.  We have no problem making recommendations to other agencies within the state of Utah looking for proven valuable eligibility data

Kathy McCall

Director of Revenue Cycle, Valley Behavioral Health

Utilizing pVerify’s automated verification service, we are able to validate our patient’s benefits thoroughly and consistently in advance of their visit…This allows us to identify issues relating to patient’s coverage and take corrective action before the patient being seen..I highly recommend pVerify eligibility solutions for any busy practice

Albert Castillo

CEO , Texas Eye Center

Since using pVerify, we have significantly reduced claim rejections, lowered administrative cost (by reducing the time it takes to verify eligibilities) and has improved our cash flow. pVerify has contributed immensely to our practice and I am so happy that we began using them. pVerify truly is an efficient and cost-effective tool designed to facilitate the eligibility verification process.

Beth Carvajal

Administrator, Pediatric Associates of NYC

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 so as to not only improve the patient collections but also to reduce back-office denials.It's HIPAA Complaint, SaaS offering includes robust set of REST APIs, fully-customizable Eligibility Portal and Mobile SDKs that have been powering mission-critical, front-end eligibility processes solutions for leading healthcare software companies as well as ambulatory practices in the healthcare sector.