Nextech Patient Insurance Verification
Nextech Integrated Patient
pVerify automates patient verification within Nextech with no manual effort, from patient extraction and verification to benefit write-back.
Nextech Patient Insurance Verification
into your Nextech Software
pVerify offers a full customizable eligibility and benefits solution integrated with Nextech. Custom specifications pull all patients for a specific date or a customized set of patients based on Provider, Appointment Type, Payer, or additional parameters. Verified days in advance or as desired, users are able to view the patient benefits directly in the patient’s notes and in the completed First-Class Batch Report.
Experts in patient insurance verification, pVerify is able to capture copays and co-insurance for multiple services in one verification. Additionally, they can go further by providing additional information unique to each industry, such as Routine Visit details for Ophthalmology, visits remaining out of allotted for Physical Therapy, and Surgical details based on the location of the procedure.
As the only company to provide traditional patient verification for EDI payers plus human-enabled AI verification of more difficult Non-EDI Payers, they have the largest payer list in the industry. Featuring Medical, Vision, and now Dental Payers, pVerify can verify every patient on your schedule.
Add your verification specialist’s expert knowledge into pVerify’s Business Rule Engine, to be returned automatically on verified patient benefits.
Business Rules is pVerify’s unique way of taking a client’s bible of proprietary knowledge, the binder and post-it notes of information gathered over the years by experienced verification specialists and inserting that knowledge to be cycled through and reported on qualifying patient benefits. Based off of a Payer, Group Name/Number, Member ID, Plan Name/Number or Policy ID.
As part of the pVerify Integration, each patient’s verified benefits are inserted directly into their patient record. This allows staff to review the patient’s benefits in their appointment schedule and on pVerify’s custom Batch Report, as well as directly in the pVerify Portal.
pVerify’s signature solution, First-Class Batch Reports take patient verification to the next level. pVerify provides a completed report in Excel format with all of your requested patient benefit information. Color-coded font and highlighted rows help identify and flag specific patients: High Deductible, Medicare Risk, HMO Detection, and others, per request. Each patient is linked to their full patient record, within the pVerify Premium Portal, for additional patient benefit review.
Learn how to add Advanced Eligibility patient verification needs with pVerify’s Nextech Patient Insurance Verification!
Nextech Eligibility Integration
Automate patient verification with write-back note
pVerify’s integrations automate patient extraction for a specific DOS to verify in advance and returns the benefits directly into the integrated system (most often as a patient note.) This is done via our unique blend of machine- and human-enabled AI and ability to use business logic and manual means of obtaining information from traditional and more difficult payers.
First-Class Batch Report
Outsource your patient verification to pVerify
Received and processed days before the appointment, pVerify provides a completed report in Excel format with all of your requested patient benefit information. Color-coded font and highlighted rows help identify and flag specific patients: High Deductible, Medicare Risk, HMO Detection, and others, per request. Each patient is linked to their full patient record within the pVerify Premium Portal, for additional patient benefit review.
Benefits of using the pVerify Portal in addition to integrations
pVerify’s Premium Portal provides the widest offering of combination of services. It all begins with Advanced Eligibility and our intentional separation of details for easier review and understanding. You can then make one click to Estimate and Payments, or add additional Solutions, such as Claim Status and Inpatient Skilled Nursing Facility.
*As pVerify’s main portal, Premium clients always have unlimited users, locations, and NPIs. it is included with all Integrations.
Medicare – Summary Dashboard
The summary everyone needs
Enjoy pVerify’s new Medicare Eligibility Summary Dashboard to make easy and informed actions based on a quick-glance overhead view of a patient’s Part A, Part B, Home Health, Medicare Secondary Payer, HMO, Medicare Advantage Plan, Hospice Dates, and Deductible Remaining details. Labeled with a green check or a red exclamation, scan patients and make actionable decisions without toggling pages.
*Included with included with all Integrations at no extra cost
Verify – Estimate – Collect
Our automated, date-of-service patient insurance verification brings unprecedented efficiency to your front-office workflow. Coupled with our Patient Estimator and hands-free Patient Payment, our Solutions can significantly reduce patient debt and improve front-office collections.
Verify a patient ahead of time or during their procedure with pVerify’s All Payer Advanced Eligibility Solution in Instant, Batch, or API Eligibility, in real-time with accuracy down to the service received.
Estimate patient financial responsibility powered by Eligibility results and your unique fee schedules for quick and easy cost estimates.
The Industry service leader in Realtime Healthcare APIs for Advanced Eligibility, Claim Status, & DME Solutions.