pVerify

About pVerify
pVerify is a cloud-based solution that helps healthcare organizations verify patient insurance eligibility on a centralized interface. The platform includes APIs and eligibility benefits verification that helps medical professionals verify prior authorization, claims status, and more. pVerify also offers batch eligibility solutions for medical, dental, and vision providers. Key features include real-time APIs, parsed benefits, EMR/PM integration, custom business rules, compliance management, and financial estimators.
Key benefits of pVerify
- Provides real-time insurance eligibility verification for medical, dental, and vision providers through cloud-based portal, batch processing, or API integration
- Includes Medicare solutions such as SNF, inpatient, and same or similar to facilitate compliance
- Estimates patient financial responsibility with an integrated patient estimator tool
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Reviews
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- Industry: Health, Wellness & Fitness
- Company size: 2–10 Employees
- Used Daily for 1-5 months
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Review Source
Overall rating
- Value for Money
- Ease of Use
- Customer Support
- Likelihood to recommend 10.0 /10
pVerify API for Dental Office Insurance Verification
Reviewed on 30/01/2024
pVerify is very responsive and customer focused. If you are looking for APIs for Dental Insurance...
pVerify is very responsive and customer focused. If you are looking for APIs for Dental Insurance verification I highly recommend them!
Pros
Their API is easy to work with - and is responsive (low latency).
Cons
I would like to see additional parsing of Dental Insurance.
- Industry: Medical Practice
- Company size: 51–200 Employees
- Used Daily for 1+ year
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Review Source
Overall rating
- Value for Money
- Ease of Use
- Customer Support
- Likelihood to recommend 9.0 /10
Eligibility/Discovery partner
Reviewed on 05/02/2024
Overall our partnership with pVerify has allowed our company to grow and be able to find member's...
Overall our partnership with pVerify has allowed our company to grow and be able to find member's benefits. They have been helpful and responsive when we need help. They do periodic updates that assist.
Pros
I really like the ability to get eligibility within a few minutes for hundreds of children. I also like being able to set up my own rules that I can change. Individual discovery is a game changer. This is so helpful when I have a few members I need to find.
Cons
That certain data fields are all over the place. Being a national organization, it can be hard when I know that field I want to pull but API wise, it is in comments or a random stop.
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for 1+ year
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Review Source
Overall rating
- Value for Money
- Ease of Use
- Customer Support
- Likelihood to recommend 5.0 /10
Its the most you can get
Reviewed on 30/01/2024
better than everything else, but thats not a high standard, and we arent asking much, but its not...
better than everything else, but thats not a high standard, and we arent asking much, but its not their problem.
Pros
its the most you can get in a bad industry.
Cons
the limits of its use are the limits of the ability of the industry to provide effective real time data in all scenarios, there needs to be a forced common healthcare insurance verification provided by the government, none of these companies with systems such as pverify work very well. The objective is simple its not space, if it was space the best the entire industry offers is a car ride from city to city. Maybe a flight, definitely not space. I still have employees spending hours and hours on verification, the software is a part of a system where I use 3-5 other systems for verification and still have to use human labor.
- Industry: Hospital & Health Care
- Company size: 2–10 Employees
- Used Daily for 1+ year
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Review Source
Overall rating
- Value for Money
- Ease of Use
- Customer Support
- Likelihood to recommend 9.0 /10
Pverify is a life saver
Reviewed on 24/06/2024
I love the batch eligibility feature it has saved us so much time. I also like that you can pull...
I love the batch eligibility feature it has saved us so much time. I also like that you can pull benefits multiple ways at once. e.g., general coverage, vs telehealth, vs mental health outpatient vs mental health as each of those coverage types can sometimes display a different return for what the patient owes.
Pros
During the change healthcare outage we relied heavily on pverify to obtain eligibility.
Cons
Pverify caters to imaging and other healthcare providers more readily and doesn't have all of the nuances set up for behavioral health providers. It would be nice if we could search by individual CPT code to see if it was covered under the policy.
- Industry: Health, Wellness & Fitness
- Company size: 51–200 Employees
- Used Daily for 2+ years
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Review Source
Overall rating
- Value for Money
- Ease of Use
- Customer Support
- Likelihood to recommend 10.0 /10
Ease of Use
Reviewed on 14/03/2024
The experience has been good so far. Not complaints besides the follow-up
The experience has been good so far. Not complaints besides the follow-up
Pros
Intergration with our API was great and our agents use pverify for all of our eligibility.
Whenever I place a ticket they are quick to respond
Cons
Whenever I put a ticket in and ask for a callback to let me know the issues has been resolved. I have not gotten phone callback nor an email update with my ticket. If I do get an email its well after the issue has been resolved.. I'm director of billing but also assist with operations so I'm constantly running around. A phonecall would be nice
pVerify FAQs
Below are some frequently asked questions for pVerify.Q. What type of pricing plans does pVerify offer?
pVerify offers the following pricing plans:
- Starting from: USD 50.00/month
- Pricing model: Subscription
- Free Trial: Available
Pricing is tiered volume-based with an exception for a few solutions that are per provider-based.
Q. Who are the typical users of pVerify?
pVerify has the following typical customers:
11–50, 51–200, 201–500, 501–1,000, 1,001–5,000
Q. What languages does pVerify support?
pVerify supports the following languages:
English
Q. Does pVerify support mobile devices?
pVerify supports the following devices:
Q. What other apps does pVerify integrate with?
pVerify integrates with the following applications:
AdvancedMD Billing Services, AdvancedMD EHR, AdvancedMD Telemedicine, AdvancedMD for Mental Health, AdvancedMD for Physical Therapy, CareCloud, Nextech EHR & PM, Raintree Systems, VICIdial
Q. What level of support does pVerify offer?
pVerify offers the following support options:
Email/Help Desk, FAQs/Forum, Knowledge Base, Phone Support
Related categories
See all software categories found for pVerify.
- Electronic Discovery Software
- API Platforms
- EDI Software
- SaaS Management Software
- Payment Processing Software
- Insurance Software
- Billing and Invoicing Software
- Medical Billing Software
- Telemedicine Software
- System and Data Integration Software
- Claims Processing Software
- Insurance Policy Software
- Patient Management Software
- Medical Software