pVerify Solutions

pVerify brings unprecedented verification and collection efficiency to medical front offices with advanced technology and expert manual intervention to provide 100% payer coverage (including non-EDI payers). We are the only company that guarantees parsing of all key benefits data such as co-pays and deductibles. The pVerify solution provides data in an easy-to-use dashboard as well as actionable, color-coded Excel spreadsheets.

pVerify offers 4 unique API Solutions – Eligibility, Same or Similar, Estimates and Claim Status – to fit all of your verification requirements.

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Eligibility

pVerify’s insurance eligibility verification is guaranteed to be complete for payers large and small, with the greatest payer coverage in the industry.

Same or Similar

pVerify Same or Similar quickly gives you access to Same/Similar checks across all 4 medicare jurisdictions, including L codes.

Estimates

pVerify Patient Estimates gives you quick and easy cost estimates for patients.

Claim Status

pVerify Claim Status quickly gives you access to patient claim status via manual entry, batch or API.

Eligibility API

 
The pVerify Eligibility API has seven different endpoints which help you to facilitate eligibility verification for over 1150 payers. The EligibilityInquiry endpoint is the main method used get an eligibility report for a specific subscriber / dependent. This requires customers to post a request, via REST to a designated URL address. Once a request is received by the service an immediate response is sent for each request posted

Watch the video below for a demo of the pVerify API.

Same or Similar API

 
pVerify Same or Similar quickly gives you access to Same/Similar checks across all 4 medicare jurisdictions, including L codes. Improving your billing operations with minimum same or similar denials is possible with quick and concise access to same or similar checks offered by pVerify’s efficient Same or Similar. Instead of spending hours on IVRs and Medicare portals, physicians and providers can get access to same or similar checks within a short span of time with pVerify’s features such as printable batch reports, interactive search options and more.
 

Patient Estimator

pVerify Patient Estimates gives you quick and easy cost estimates for patients. Benefits include full integration with eligibility, easy patient collections, printable batch reports and the ability to use medicare pricing and your own. The Patient Estimator Software Tool is uniquely positioned in the market to give you a quick and easy way to create patient estimates, leveraging the customized Eligiblity information from pVerify, and tying into our Patient Payments offering. This allows a full cycle from eligibility, to estimate, to payment, within minutes, and allows to collect the estimated allowed amount, and save the patients credit card (with consent form)in case of additional needed collection. pVerifys solution will save your office time and money!

 

Claim Status API

 
pVerify Claim Status is unique in the industry, with the largest selection of payers, 3 ways to submit requests (instant, batch, and API), and customizable reporting and search. Learn why pVerify is the best in the business! Claim Status quickly gives you access to patient claim status via manual entry, batch or API. No more uncertainties! Now physicians and providers can check the status of the billed claims – it’s easy to glance at which claims are paid and which ones are denied with pVerify Claim Status.