pVerify Inc, a provider of all-payor, real-time patient insurance eligibility in API and cloud-based portal services for medical, dental, and vision providers, announces a partnership with WebPT to integrate pVerify’s Advanced Eligibility Solution into WebPT’s end-to-end platform.
WebPT, a physical therapy EMR for outpatient rehab, released its Electronic Benefit Verification (eBV) product in January 2022. With distinct verification needs, such as therapy visits remaining, therapy caps, and specific PT co-pays/co-insurance, pVerify’s RESTful APIs obtained those benefits, and more, whenever possible.
Advanced Eligibility, pVerify’s enhanced 271 Response containing discrete patient benefit details, is the product of 15+ years of business analytics applied to practice-specific interpretation of the standard 270/271 eligibility and benefits. This refined process allows for isolation and presentation of key benefit details of 1,500+ insurance payers including more than 900 real-time EDI payers.
“The team at pVerify has been an invaluable resource to us, especially over the past three to four months since we have successfully launched the Electronic Benefits Verification product,” says Brian Kunich, PT, OCS, COMT Director, Product Management Partnerships, WebPT.
For payors that provide minimal details, pVerify designed an Intelligent Business Rules Engine. After capturing all possible eligibility details, the Business Rules Engine appends standard information by systematically inserting verification and billing specialists’ archival knowledge directly into qualified eligibility returns, adding more details than ever before available.
[Source(s): pVerify Inc, PR Newswire]