Medical Insurance Eligibility Verification

Medical Patient Insurance Eligibility Verification

Medical Eligibility Verification Solution
Complete Patient Eligibility Verification
Eligibility Verification Solution
Insurance Eligibility Verification

Medicare Eligibility Check For Providers
Medicare Eligibility Verification

Insurance Verification
Insurance Verification software
Office Insurance Verification
Verify Insurance coverage online
Verify Insurance Online

Patient Eligibility Verification Software
Medicare verify insurance
how to verify insurance
Eligibility verification system
verify Medicaid eligibility

 

 

Verify Health Insurance

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Verify Medical Insurance

 

Upcoming Webinar Schedule

Join us for a LIVE Webinar and reserve your seat for an Introductory or Training Webinar below

 

pVerify offers Introductory Webinars on pVerify’s most popular Solutions… join us today to learn more about pVerify! 

Introduction to pVerify with LIVE walkthrough

Welcome to pVerify, the leader in Advanced Eligibility. This webinar is an introduction to our Suite of Solutions including a LIVE walkthrough of our Eligibility, Business Rule Engine and Estimator Services.

The webinar occurs monthly on the first Thursday of the Month, at 12pm EST/9am PST

Reserve your seat

Introduction to the Patient Financial Responsibility Estimator

In this Introduction Webinar we will be covering the Patient Financial Responsibility Estimator and how it is powered by real-time Eligibility and Fee Schedules. Advanced Eligibility and Patient Payments will also have a brief review.

This webinar occurs on the second Tuesday of every month at 2pm EST/11am PST

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Introduction to the Batch Processing: First-Class Batch VS Self-Batch Eligibility

In this Introduction Webinar, we will be covering the value of Batch Eligibility Processing and take a deep dive into Self-Batch VS First-Class Batch.

This webinar occurs on the third Tuesday of every month at 2pm EST/ 11am PST

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pVerify’s Client Training Webinars are LIVE in-depth training sessions on pVerify’s Solutions. Guests must belong to an active LIVE or DEMO account in order to attend.

LIVE Training with a pVerify Key Account Manager

Welcome to pVerify, the leader in Advanced Eligibility. In order to empower our community with the knowledge of all of our solutions, we provide weekly group training for Clients and new users on active DEMO accounts

Training Webinars occur every Wednesday.

Advanced Eligibility and the Business Rules Engine

In this Product Training Webinar, we will be covering Advanced Eligibility and the Busines Rules Engine.

Learn why pVerify’s Eligibility is the most accurate and detailed eligibility available in the industry. We will cover Advanced Eligibility with examples of the unique level of benefits at a deeper level. 

Going a step further… with the 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.

This webinar occurs every Wednesday at 11am EST/8am PST

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Batch Processing: Self-Batch Eligibility and First-Class Batch

In this Training Webinar, we will be covering the value of Batch Eligibility Processing and take a deep dive into Self-Batch VS First-Class Batch.

This webinar occurs every Wednesday at 12pm EST/ 9am PST

Reserve your seat

Patient Financial Responsibility Estimator

In this Training Webinar, we will be covering the Patient Financial Responsibility Estimator and how it is powered by real-time Eligibility and Fee Schedules. Advanced Eligibility and Patient Payments will also have a brief review.

This webinar occurs every Wednesday at 1pm EST/10am PST

Reserve your seat

Create your own combination of pVerify’s Solutions below

  1. APIs built directly into website or software
  2. Integration with your EHR/PM
  3. First-Class Batch Reports
  4. Self-Batch Eligibility
  5. pVerify Premium Portal
Healthcare API

What's New in 2021

Patient Insurance Coverage Discovery

Available NOW →

Realtime Vision Eligibility

Available NOW →

Enhanced Patient Estimator

Available Now →

SOC 2 Certification

Coming Fall 2021 →

Automating Prior Authorization

Winter 2022 →

Advanced Eligibility Includes:

With the largest Medical Insurance Eligibility Verification Payer List in the industry, pVerify is the only company to go beyond the traditional EDI payers to provide the eligibility benefits from the smaller and time-consuming non-EDI Payers. We provide details at a deeper level, with information separated and highlighted individually for easier review and understanding.
A leader in real-time Complete Patient Eligibility Verification, pVerify’s Advanced Eligibility provides more information than ever before for Medicare. Find what you need to see, from Episode Dates to HMO, PPO, and Plan Sponsor Details. Process Batches on your own with our Self-Batches Eligibility, view results on our Medicare Eligibility Summary Dashboard, run Estimations, collect Co-pays, and view Same or Similar and Inpatient Skilled Nursing Facility records with the click of a button.
Medicaid patient verification is more complex on many levels. Be it the MCO, HMO, and Plan Sponsors, Medicaid simply supplies information differently than most other payers. Developed for this reason, pVerify First-Class Batch Reports can verify both levels, Medicaid and their MCO/HHO/Plan Sponsors, automatically and return benefits specific to what you are looking for. Additionally, Medicaid Insurance Discovery with Name/DOB and bi-monthly Active Status confirmation prevent future denials and allow for Retroactive Medicaid Claims.
The latest addition for the industry leader of Insurance Eligibility, pVerify has added Dental Payers to its Real-time Eligibility Verification Solutions. With requirements of a Dental NPI and Tax ID, pVerify users can now verify 150+ Dental payers in their secure Premium Portal. Dental is available via single patient verification, First-Class Batch Solution, and API Connection.
Update: As of September 2021 pVerify now offers real-time Vision Payer Verification in the Premium Portal and API Integration for VSP, Eyemed, March Vision, Premier, Davis, Spectera, and MORE!

Founded in 2006, pVerify’s first specialty of focus was Ophthalmology. Spending over a decade researching Vision benefits in our Medical Eligibility Verification Solution, pVerify added Non-EDI Vision Payers to their payer mix by enhancing their Non-EDI capabilities. Beyond the detailed vision benefits available with Advanced Eligibility, Material Coverage Details, PCP information, and Copay/Co-insurance details are available with the First-Class Batch Reports for VSP, Eyemed, Davis Vision and MORE!

Our unique blend of machine and human-enabled AI and ability to use business logic and manual means of obtaining information from traditional and more difficult payers. Beyond the detailed benefits available from EDI Payers, further details can be obtained through our Non-EDI Solutions, such as Material Coverage Details, PCP information, IPA Active Status, and benefits from payers not capable of EDI communication.
pVerify’s Insurance Discovery allows Hospitals and Providers to find a patient’s insurance coverage to collect potentially millions from insurance companies, allow prompt claim submission, increase patient payment collection, and drastically decrease Account Receivables.

Before providing service or afterward while prepping the claim, pVerify’s Insurance Discovery can detect up to 50% coverage for self-pays and incomplete patient files.

Business Rules is pVerify’s unique way of taking a client’s bible of proprietary knowledge, the binder and post-it notes of information gathered over the years by experienced verification specialists and inserting that knowledge to be cycled through and reported on qualifying patient benefits. Based off of a Payer, Group Name/Number, Member ID, Plan Name/Number or Policy ID.

Add your verification specialist’s expert knowledge into pVerify’s Business Rule Engine, to be returned automatically on verified patient benefits.

Patient Eligibility Verification Solutions

Schedule custom DEMO or Free Trial of pVerify’s Insurance Verification Solutions

Meet with a pVerify Representative to learn how to verify patient insurance, along with assessing your current verification work flow to determine the best combination of pVerify’s Medical Insurance Eligibility Verification Solutions for your needs.
Schedule Now

Healthcare APIs

The Industry service leader in Eligibility, Estimation, & Real-time Healthcare APIs

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