Raintree Patient Benefits Verification Solutions

pVerify’s Specialty-Specific Eligibility & Patient Benefits Verification Solution for Raintree Users

 

Raintree® Integrated Eligibility Verification by pVerify®

pVerify is the only company to offer combination of EDI based eligibility and manual, live-operator assisted process to return all the relevant information complete and contextual, with Human enabled AI and built in Business Rules.  

Raintree’s integrated Eligibility Verification by pVerify® Unique Features

Effortless, automatic outbound/inbound connection from Raintree to pVerify, customized to your needs

Easy and automated verification of your entire appointment calendar

Clear and discrete display of eligibility information in Raintree

Automatic recording of benefits in your system as a discrete patient note from verification

Best in Class Business Analysis,  Customer Support, and Human enabled AI with Business Rules 

Raintree Patient Solutions – Verification by pVerify®

pVerify’s one-stop solution for complete verification of patient eligibility, determination of patient obligation, and facilitation of payment to stop the bleeding caused by unpaid post-visit patient balances, claim rejections due to patient eligibility errors, denials due to billing the wrong payer, staff expenses for verification and collection, or payer reimbursement issues. pVerify also allows users to expedite the claims process with integrated electronic claims checking, and real-time verification and eligibility functionality.

pVerify® is now an Authorized Integrator with Raintree®. We use our API connection to deliver unmatched batch Eligibility & Benefits reporting (customized to individual Specialty and Practice needs) by first collecting insurance information from upcoming appointments, processing the information in the pVerify Cloud and writing back the most important report items as discrete data in Raintree.  

Unique to Raintree is the ability to quickly show the following discrete data in each patient’s custom tab: 

  • Specialty-Specific Co-pays, Deductibles, out-of-pocket remaining, prior auth requirements, and additional info based on your specialty 100% 100%
  • Exception Reporting: Highlighted discrepancies in patient demographics ( e.g. incorrect spelling of patient name or incorrect DOB)  100% 100%
  • Expert Medicare Reporting: Receive all relevant Medicare data to unique needs (e.g. Hospice Dates and NPI, Therapy Cap, HMO/MA Payer) 100% 100%

pVerify’s Patient Note of Verified Benefits

pVerify is the only company to offer a combination of EDI based eligibility and benefits specific to your specialty & procedures and is customized to your practice needs. These are a few unique features of pVerify that separate it from traditional clearinghouses. Build right into the Raintree system, we present the most important items in each patient’s record including discrete values of critical eligibility information, (see screenshot below)

Eligibility to Collection Cycle 

pVerify now offers a complete cycle of eligibility and benefits for ALL patients scheduled for given date of service. Results are inserted write-back note into a respected patient’s record for integrated EMRs. pVerify’s integratedeligibility verification solution highlights eligibility and benefits specific to your specialty & procedures and is customized to your practice needs. It also ensures that you are billing to the right payer and using correct Demographic details (clean claim) to avoid cost denials downstream.

Our automated, date-of-service verification and color-coded highly actionable Eligibility Summary Notes can bring unprecedented efficiency to your front-office workflow. Coupled with our patient estimator and “card-on-file” payment processing, our integrated service can significantly reduce patient bad debt and improve front-office collections.