pVerify
Facilitating Faster Patient Care
About Us
All-Payer Patient Insurance
Verification Leader with Realtime, API, and Batch Solutions showcasing comprehensive Patient Eligibility and a suite of solutions for Medicare, Medicaid, Commercial, Dental, and Vision Payers.
In the industry of Eligibility vendors, pVerify shines with 15 years of historic medical verification knowledge and innovative technological capabilities to help world-class developers build comprehensive verification systems
Same or Similar Inpatient SNF
API Solutions Eligibility Claim Status
Our Eligibility Endpoints
HealthcareEligibilityandMedicalAPIs: pVerify’s enhanced Healthcare Eligibility and Medical APIs endpoint’s advanced configuration features allows Developers to get the data they want without wading through complex objects for 10 unique Healthcare API Solutions.
Claim Status
One of the difficult hurdles in payment collection and account reconciliation is the time lost between submitting claims, receiving responses from payers, resubmitting a claim, and waiting to discover if you will get paid. pVerify’s Claim Status lessens the waiting game and allows billers to check in on claims before the payer has taken action to request more information.
Obtain details on current claims to make actionable decisions. Paid Alerts return the amount and check number.
Pending shares status code. Settle A/R faster with pVerify’s Claim Status.
Same or Similar
For DME Suppliers working with Medicare patients, Same or Similar is a valuable step in the process to ensure payment for every device issued. Specifically, pVerify’s Same or Similar refers to a patient’s 5-year Claim History for a device category and the discovery if the same device, or a similar one, has already been provided to the patient within 5 years.
pVerify’s consumable API endpoints are a near real-time calls from a client’s own system, sent to pVerify and through to obtain a Medicare patient’s claim history. The API get then returns to pVerify for parsing and then back to the pVerify client, within a matter of seconds.
Inpatient SNF
Most Eligibility Verification services acquire Home Health, Hospice, and Skilled Nursing Faculty episode details directly from the patient’s verified benefits. Eligibility results for SNF are limited due to the fact the episode must have ended in order for it to be reported.
pVerify provides the ONLY Inpatient Skilled Nursing Facility (SNF) API Solution that provides details on current Skilled Nursing Facility and Hospital patients, as early as 72 hours after a patient’s initial admission.
pVerify’s consumable API endpoints are a near realtime calls from a client’s own system, sent to pVerify and through to a payer via one of our redundant connections to obtain a patients current admission details.
Contact Us
www.pverify.io
