Eligibility Verification Automation:  

Automate the process of checking patient insurance eligibility and benefits in real-time before appointments. This reduces manual errors, accelerates the check-in process, and ensures that patients are aware of their coverage details, including copays and deductibles, which can enhance the patient experience and reduce claim denials.

​

Automated Prior Authorization:  

Streamline the prior authorization process by automatically submitting necessary patient and treatment information from ModMed to pVerify. This reduces the administrative burden on staff, shortens the time required to obtain approvals, and minimizes the risk of treatment delays due to authorization issues, thereby improving overall operational efficiency.

​

Claims Management and Scrubbing:  

Automate the claims submission process by using pVerify to scrub claims for errors or missing information before submission. This increases the first-pass acceptance rate of claims, reduces the time spent on rework, and improves cash flow by ensuring faster and more accurate claims processing.