Raintree patient eligibility verification
A Real-time Raintree® Patient Verification Solution
pVerify’s built-in real-time verification automates patient insurance verification within Raintree® Software.
into your Raintree® Software
Raintree® offers pVerify Plug-in to automated insurance verification for individual patients, full DOS, or specific services. Custom triggers verify all patients immediately, for a specific date or a customized set of patients based on Provider, Appointment Type, Payer, or additional parameters. Raintree Eligibility users are able to view the patient updated benefits directly in each patient’s record.
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 part of the Raintree® Integration, pVerify inserts each patient’s verified benefits directly into their patient record, updating fields and notes. This allows staff to review the appointment schedule from their Raintree® account as well as directly in the pVerify Portal.
Learn how pVerify can automate your patient verification needs with Raintree Eligibility!
Features of pVerify’s Integration
- Specialty-Specific Customized Parsing of Patient Eligibility Benefits
- Automated Patient Verification based on customized triggers
- Updated patient benefits directly in their Raintree® record with updated fields and notes
- Issues Report to take action on patients unable to be verified due to incorrect insurance details
Raintree® Real-time Integrated Patient
Verification by pVerify®
pVerify is the only company to offer the 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 verifies patients in real-time, directly within Raintree® Software.
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.
pVerify captures co-pays 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.
pVerify updates patient benefits directly in their Raintree® record with updated fields and notes.
pVerify has the largest payer list comprised of EDI and Non-EDI Medical, Vision, and Dental Payers.
Issues Report to take action on patients unable to be verified due to incorrect insurance details.
Sample Raintree® Patient Verification
pVerify® is now an Authorized Integrator with Raintree®. We use robust Advanced Eligibility APIs to deliver unmatched Eligibility Verification & Benefits reporting. Unique to Raintree® is the ability to quickly show the following discrete data in each patient’s record.
After the automatic verification, a patient is directly in your Raintree® Portal. Identify Active Status, the Payer and HMO/PPO Plan, plus any exception notes. Exception notes are patients verified with spelling errors, typos, and incorrect information. If pVerify is able to verify a patient with these errors, we will identify the correct information in order to ensure that you are billing to the right payer and using correct Demographic details (clean claim) to avoid cost denials downstream.
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.
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.