pVerify

Eligibility/Discovery partner

Commenti: 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.

Aspetti positivi:

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.

Aspetti negativi:

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.

pVerify is super helpful!

Commenti: We use pVerify every week and it's such a great resource for anyone looking to verify insurance benefits!

Aspetti positivi:

I liked that, unlike other platforms, we can access all insurance plans across the nation. As a national practice it's hard to find something that does this.

Aspetti negativi:

I do think the platform could be more visually accessible for those with different disabilities. It's very "monotone".

Alternative considerate: Availity

Perché passare a pVerify: pVerify offered more plans that Availity did, including Medicare.

Its the most you can get

Commenti: better than everything else, but thats not a high standard, and we arent asking much, but its not their problem.

Aspetti positivi:

its the most you can get in a bad industry.

Aspetti negativi:

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.

Pverify is the perfect solution for anyone in Healthcare who accepts insurance

Aspetti positivi:

Ease of setup, level of customer support, pricing, all reasons I would recommend

Aspetti negativi:

I don't have anything negative to report.

Great tool, great support

Commenti: It's been really good. They have a roadmap that will make them even better.

Aspetti positivi:

The system offers a DME summary to help make configuration easier. Also, the system provides user configurations through the website that are incorporated into the API data.

Aspetti negativi:

I'd like to have to have more configurations and ultimately pricing. They have pricing but it doesn't incorporate renewal dates (for rentals) and secondary insurance.

We like pVerify and intend to expand its use

Commenti: pVerify was quick to setup, it's easy for my employees to use, and the pricepoint is fair.

Aspetti positivi:

We like the bulk upload feature and will soon launch API integration.

Aspetti negativi:

The manual check process resets every time you run a check. It would be nice to have default settings.

Discovery Support

Commenti: Very satisfied, good support, ease of use

Aspetti positivi:

Per use charge No contracts Easy to use Good support

Aspetti negativi:

There is nothing to complain about the purpose we access the software.

Only reviewed pVerify briefly for electronic eligibility

Commenti: Good and I do not have any complaints. It just did not work for me since I do not have proper support from NextGen support team back then. We stopped using NextGen as well since the contractor gave several problems and NextGen directly does not want to provide any help to get rid of the contractor as well.

Aspetti positivi:

This was reviewed long back. Before 2014, I believe. Wanted to integration with then practice management system Raintree and then NextGen instead of file based transfer between the practice management system(s) to and back from pVerify for eligibility. Back then pVerify does not have billing features which I notice your questions talk about.

Aspetti negativi:

Did not have access to the the api of nextgen at the time I reviewed pVerify for integration and so the whole idea of using pVerify was dropped.

Insurance Eligibility

Commenti: Product is great. It would be great for the explanation of deductible applies when patient has deductible and copay. We use the urgent care setting, but it does not always give that the deductible applies to this service. It will have doesn't or does apply to OOP, but not patients' percentage, copay and if individual deductible applies to this facility.

Aspetti positivi:

Very few technical issues, easy to use. Technical support. Has other features that we are looking into suck as cost estimator.

Aspetti negativi:

Can not check eligibility of BCBS on Sundays and some Saturdays.

Great addition to my practice

Commenti: My overall experience has been a positive one. It has given me greater control over our revenue.

Aspetti positivi:

It's a simple way to verify patient insurance and help us to collect payments accurately upfront.

Aspetti negativi:

Benefits are not always 100% correct though I know that can't be expected as benefits are complicated sometimes.

Ease of Use

Commenti: The experience has been good so far. Not complaints besides the follow-up

Aspetti positivi:

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

Aspetti negativi:

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

The Best Verification Systems I have encountered

Commenti: Well 1st of all I have the BEST Client Support Representative. She actually listens, provides feedback and understands our needs. We have requested additional products and the pVerify Team has actually built them to help achieve our goals. Now let's talk about the system - We have been on pVerify for almost 2 years and have never had an issue with the system going down, sometimes there are payer websites that go down but that is out of pVerify's control.

Aspetti positivi:

pVerify has options to upload a batch or process individual verifications. They have also added many additional components to their system which are very useful and dependable.

Aspetti negativi:

Honestly, I do not have any Cons because pVerify has been amazing

Makes my job easier

Aspetti positivi:

I love that I have access to hundreds of insurance plans at the tips of my fingers. I work in a patient facing office position and I love that I can quickly access their insurance benefits to help them with their needs in an efficient manor on one site.

Aspetti negativi:

Nothing really. It was a little bit of a learning curve at first to decipher the daily reports for upcoming appointments, but once we figured it out it has been smooth sailing.

Pverify is a life saver

Commenti: 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.

Aspetti positivi:

During the change healthcare outage we relied heavily on pverify to obtain eligibility.

Aspetti negativi:

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.

need better pricing options

Aspetti positivi:

User management is easy. Setting up bulk users is easy to accomplish. You can also set up individual users right from the interface. The web site is uncomplicated but a white label option would be nice. Too many of our customers are confused by who pverify is.

Aspetti negativi:

Forced to purchase more eligibility checks than needed. You need to be able to customize for smaller businesses

Makes insurance verification so much easier

Commenti: Excellent. From onboarding to ongoing insurance verifying and support, everything has run smoothly. The company is proactive with communication as well.

Aspetti positivi:

Insurance verification much more streamlined, with good value for cost.

Aspetti negativi:

It doesn't verify vision plans, but this is not a major issue.

Pverify office review

Aspetti positivi:

The company uses Pverify daily and the verification system has been seamless. The system is user friendly. If there is ever an issue, the customer service is fast and friendly.

Aspetti negativi:

Sometimes the specialist copays are not listed in the information provided.

Time Saving Verifications

Aspetti positivi:

This is such a powerful timesaving tool. It takes only a few seconds to pull selected information needed in order to perform benefit verifications specific to the industry I am in.

Aspetti negativi:

There are still a few insurance providers that are not accessible on pVerify and we still have to use other methods to verify those plans.

From an insurance verification perspective

Commenti: It's okay. I typically use other websites first, and go to Pverify if I need to clarify information or get additional information.

Aspetti positivi:

Multiple insurance companies in one place

Aspetti negativi:

Too many pages to scroll through to get the necessary information, would like to be able to enter a specific service and get just that information. It times out too quickly.

Awesome team. Super friendly.

Aspetti positivi:

Very responsive. Always looking to fit to your needs and improve your business.

Aspetti negativi:

No cons! Love working with them. Great team.

Insurance Verificiation

Aspetti positivi:

I like the fast response time for insurance verification.

Aspetti negativi:

The system goes down and we are unable to verify insurance

great service

Aspetti positivi:

user friendly easy to use no issues login in.

Aspetti negativi:

no problems at all i like everything about it

Easy to use

Aspetti positivi:

Very simple UI and easy to use. I can train my employees on it once and they’re good to go.

Aspetti negativi:

The search is not as intuitive as I think could be possible with this type of technology.

Works great

Aspetti positivi:

Batching eligiblity, ease of entering new providers

Aspetti negativi:

Payer Downtime and still needing logins for specific payers.

Pverify Review

Commenti: Im happy but would like more features in pverify.

Aspetti positivi:

Simplicity of pverify is what keeps us from using it.

Aspetti negativi:

no secondary insurance verification has affected our company.