California Medi-Cal and IPA Verification Solution
Verify California Medi-Cal and IPA Coverage
Real-time California Medi-Cal Managed Care, HMO, and IPA Coverage details for EDI payers | Manual verification of web-based IPA
pVerify’s California Medicaid (Medi-Cal) and IPA Verification Solution includes verifying the CA Medi-Cal Managed Care Plan, and HMO & Plan Sponsor to determine correct IPA Information. As the only solution that can continually confirm IPA coverage, we re-verify each month or prior to their next appointment and compare the current IPA to that which a provider has on file. Traditional clearinghouses and patient eligibility verification vendors may provide HMO details, but none will alert a provider that a patient has recently switched IPA coverage.
Available ONLY with pVerify’s Batch Report Solution!
Verify Medi-Cal Benefits | Detect HMO/Plan Sponsor and automatically Verify Coverage | Provide IPA Details
Additional IPA Benefit Verification avaialble in Batch Report Solution
Available with Individual Patient, API Development, and EMR/PM Integration, all provide accurate, realtime information.
Search Existing Patient Entries
Despite how you do the transactions (Instant, API, or Integrated), you can easily search and pull up prior transactions through our Search Page.
Monthly IPA Check
Verify a patient’s IPA monthly or right before their next appointment to ensure payment and that they have not changed IPAs
Learn more about pVerify’s
Batch Report Solution
pVerify’s unique Batch Report provide daily actionable benefit information in a color-coded, quality controlled, comprehensive Excel Report, including highlighting patients when a new IPA is discovered.