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.
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!
NextGen Compatible Eligibility Interface
Automate patient verification with write-back note
pVerify’s Nextgen Eligibility Verification interface automates 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.) Our unique blend of machine and human-enabled AI, and the ability to use business logic and manual means of obtaining information from traditional and more difficult payers. With 1150+ payers, pVerify provides specialty-specific details for Medical, Dental, and Vision Payers. Filter with ease and identify specific benefit details. In addition to the inserted data pVerify offers the First Class Batch Excel Report for easy filtering and patient review.
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 an interface
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
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.
Effortless and automatic, pVerify’s NextGen compatible interface pulls appointment data directly for a specific DOS, Provider, or Appointment Type.
Verified daily, weekly, or monthly, pVerify manages the difficult payers (Non-EDI) through human-enabled AI, machine learning, and manual effort.
The patients pulled for the DOS verification can be broken down by provider, appointment type, or service, ensuring only the patients that need to be verified will be pulled.
pVerify capture’s copays and co-insurance for multiple services in one verification plus unique details, in addition to the deductible and OOP remaining.
Unique benefits, such as Routine Visit details for Ophthalmology and Surgical details based on the location of the procedure, can be added.
The color-coded and highlighted Excel file helps identify and flag specific patients: High Deductible, Medicare Risk, HMO Detection, and others, per request.
Each patient in the Excel file is linked to their full patient record within the pVerify Premium Portal for additional patient benefit review.
pVerify inserts each patient’s verified benefits directly into their patient record in the form of a quicknote.
pVerify has the largest payer list comprised of EDI and Non-EDI Medical, Vision, and Dental Payers.
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.
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 Eligibility, Claim Status, & DME Solutions.