Nextgen Eligibility Verification

NextGen Compatible Interface with pVerify’s Patient Verification

pVerify’s First-Class Batch Eligibility Verification Solution automates patient verification with a NextGen® compatible interface, with no manual effort.

Integrate Eligibility and Patient Insurance Verification

Add pVerify

to your NextGen Software

pVerify offers a NextGen Eligibility Verification compatible interface with pVerify’s Eligibility to outsource patient verification for full DOS or specific services. 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 advanced, users are able to view the patient benefits in a completed Excel file and directly in the patient’s appointment notes.

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.

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.

As part of the pVerify Integration, each patient’s verified benefits are inserted directly into their patient record in the form of a quicknote. 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.

Learn how pVerify can automate your patient verification needs!

Features of pVerify’s Interface

  • Specialty-Specific Customized Parsing of Patient Eligibility Benefits
  • Automated Patient Verification based on customized specifications
  • Completed Batch Excel Report for each DOS, provided days in advance
  • Write-back notes inserted in the patient’s record of verification results
  • Actionable Issues Report of patients unable to be verified due to incorrect insurance details

NextGen® Interface with pVerify’s First-Class Batch Eligibility Verification

pVerify is the only company to offer a combination of EDI-based eligibility, human-enabled AI, machine learning, and manual, live operator-assisted processing to return all the relevant information complete and contextual.

Nextgen Eligibility Verification

Nextgen Eligibility Verification

Learn more with a custom DEMO or Free Trial

Meet with a pVerify Representative to assess your current NextGen Eligibility Verification​ workflow and unique requests to determine the best combination of pVerify’s Batch Eligibility Solutions for your needs.

Featured Clients

pVerify works with clients in some of the largest Medical Practices, IPAs/MSOs, and Medical Billing companies. We have a very strong presence in Primary Care, Therapy (speech, occupational & physical), Orthopedics, Sleep Centers, and Imaging Centers.

NextGen and NextGen logo are trademarks of NXGN Management, LLC

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.

Advanced Eligibility

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.

Patient Estimator

Estimate patient financial responsibility powered by Eligibility results and your unique fee schedules for quick and easy cost estimates.

Healthcare APIs

The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.