Our Custom Eligibility Excel Batch Report

Most Comprehensive Insurance Verification Report available for Medical and Vision Insurance Providers

pVerify’s Eligibility Verified Complete Batch Excel Reports

pVerify is the leader in custom batch eligibility reporting, with our unique blend of machine and human-enabled AI, and ability to use business logic and manual means of obtaining information from payers that are typically not linked. With over 1150 payers, we have two-fold more payers than the competition. This is a huge time and cost saver for large practices that can easily glance at one place for all of their daily appointments, filter with ease, and identify specific benefit details.

 

Features of pVerify Patient Insurance Verification: Batch Reporting Solution

  • Specific and customized, discrete benefits such as copay for your practice. For example: Specialist office copay or In-office Sx copay
  • Over 1150 payers, highest payer list in the industry
  • Non-EDI payers, meaning we can get payers others won’t touch
  • Human and machine AI means every verified batch will have a person involved to apply payer-specific logic and conditions (for example this payer requires preauth, that one has surgical copay same as specialist)

How to get started?

During your initial demo we will discuss customization, integration vs portal options, and gather details to run a sample batch.

Specialty Specific

COB plus specifics, such as In-office Surgery copay and prior auth details

Human-enabled AI

Payer-specific logic and conditions, based on individual requirements

Vision Payers

Manual website login including PDF of benefits

Outsource Verification

Complete verification of entire DOS days in advance

Medi-Cal IPA Details

HMO, MCO, Plan Sponsor and IPA verification

Automate through API

Remove all human involvement by automating daily Batch Verification

A Walkthrough of the Batch Eligibility Verification Process

Part One – DOS Patient Records to be verified

A Batch can be initiated by manual upload of an excel of the patient records, by automated file transfer through integration with EMR/PM System, or by automatic trigger within EMR/PM or established API connection. 
The file requires basic information: Patient Name, DOB, Subscriber ID, Payer, Provider Name, and Provider NPI. Additional columns can be included for front/back-office filtering, such as Appt. Type, Appt. Time, DOS, EMR/PM Patient ID, Location, etc. 

Part Two – Download complete report the next morning

In next step, simply login to your pVerify Account the next morning and download the completed excel file. 
Part Three – Write back to your PM system (optional)
Lastly, sending data back to your EMR/PM, relies on approved methodologies (from the software vendor) for writing data into your Practice Management or another system.  In most cases, we are successfully leveraging the vendors API to write back data as a note in the patient folder.

pVerify is now providing Self Service Batching to Verify Medicare and State Medicaids!

Process the batches yourself, in realtime, as often as desired.  Speak to your pVerify Representative at add Self Service Medicare/Medicaid Batching to you current account or 

Schedule a Demo below!

Valley Behavioral Health has partnered with pVerify utilizing their Eligibility Verification Custom Excel Batch tool since Nov 2018.  Our first impression of this company was that they were very professional, attentive and listened to our needs.  They took our request and within a couple weeks of our introduction, they effortlessly built us customized discrete eligibility data that has proven hands down to be a great ROI.  We have been extremely happy with their diligent and efficient business relationship and their quickness in responding to our needs.  We have no problem making recommendations to other agencies within the state of Utah looking for proven valuable eligibility data.

Kathy McCall

Director of Revenue Cycle, Valley Behavioral Health