Healthcare Eligibility Solutions
A Complete list of our Solutions
Most Solutions are available via realtime Premium Portal, Batch upload and reports, and EMR and API Integrations
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.
Medicare Eligibility
An expert in all things Medicare, pVerify provides Medicare patient Verification in our Medicare Eligibility - Summary Dashboard, Unlimited Self Batch Verification, First Class Batch Solution, and API Connections.
Batch Verification
Automate verification to pVerify with our First-Class Batch Solution to verify patients and review on a color-coded and highlighted Excel report. Self-Batch Eligibility is available at no extra cost.
Insurance Discovery
Prevent A/R by detecting existing insurance for self-pay and unconfirmed coverage with a patient’s name and date of birth. Discover over 50% of unknown Health Insurance coverage.
Business Rules Engine
Take the knowledge from your senior verification specialists and build it into each patient result – allowing all staff to share historic knowledge without constantly memorizing existing materials.
MBI Lookup
Find a patient’s new MBI ID with their Name, DOB, and SSN/old HICN.
Claim Status
pVerify’s Claim Status allows users to check the current status from the payer to discover the claim was accepted, or denied, and review the Status Codes to determine if action is required.
Patient Estimator
Estimate patient financial responsibility powered by Eligibility results and your unique fee schedules for quick and easy cost estimates.
Patient Payments
Collect payment during appointment with contactless QR code, card-on-file and customized card-on-file payment plans with no contract commitment.
Same or Similar
pVerify’s Same or Similar allows users to review a patient’s 5-year Claim History in near real-time with interpretation flags for easy and actionable decisions.
Inpatient SNF
pVerify Inpatient SNF Solution provides details on current SNF and Hospice stays, as close as 72 hours after admission, including the provider's NPI.
Medicare CMN
pVerify’s Medicare CMN allows users to review a patient’s CMN history for approved certificates along with the initial and last claim date, to see what rentals have been approved.