pVerify Eligibility Verification

100% payer coverage

pVerify is insurance verification software that provides medical eligibility verification, medicaid eligibility verification, medicare eligibility verification, insurance eligibility verification, and health insurance eligibility verification with a unique system to process and convert raw eligibility data provided by payers into actionable information, creating relevant specialty-specific information. Our advanced parsing technology, coupled with our expert manual intervention, ensures that all pertinent information is available across payers, including non-EDI payers.

pVerify’s patient insurance eligibility verification is guaranteed to be complete for payers large and small, with the greatest payer coverage in the industry. Benefit information is customized to your practice and procedures, facilitating prompt collections from patients and third-party payers. We can deliver insurance verification reports in 3 ways. How can you verify insurance online? Click the links to find out more!

pVerify ACO Patient Eligibility SolutionWe can delivery eligibility reports in 3 ways.  Click the links to find out more!

  1. Via our online portal
  2. Via a batch Excel spreadsheet
  3. Directly into your practice management system via an integration

Stop using payer sites and verification hotlines to check eligibility. Reduce labor costs and unreliable information. What’s free is, in fact, very expensive. Let us show you how a paid solution by pVerify can ultimately reduce cost.

Reduce Your Office Insurance Verification Tasks with pVerify

Your revenue collection depends upon how you process billing operations that include tasks such as office insurance verification. While your effort is to do the billing operations the right way, you end up depleting your staff’s time entirely on the process of insurance verification. Not just the time that your staff wastes in verifying eligibility, but also it is the monotony that your employees suffer from. Consequently, your hospital or medical practice slows down productivity and weaken the strategy to work coherently.

Fortunately, you can verify insurance coverage online and simplify the way your staff deals with billing operations. With the extensive features that pVerify offers, providers can export the required eligibility info as quickly as they want, reorganizing daily care operations to get maximum benefit.

Although many providers use EDI 270/271 to receive electronic eligibility data from payers, HIPAA does not mandate this data to be contextual or consistent across payers. While some payers do return specialty-specific benefits, few currently provide procedure-specific (CPT or HCPCS) benefits in EDI format. Yet many healthcare providers need this information and the only way to do it today is via phone, a process which can take up to 15 minutes (or $4 in labor cost) per verification!

Additionally, EDI 270/271 does not distinguish between in and out-of-network providers, a key piece of information in determining a patient’s financial obligation.

See our patient eligibility verification ROI calculator. Want to learn more about how our customers are leveraging pVerify? Download case study