2023 EWC Sponsor: pVerify

Eligibility Exemplified.

Facilitating Faster Patient Care.

The Leader in All-Payer Realtime Patient Insurance Eligibility Verification with Instant, API and Batch Solutions that blend technology with human-enabled AI to simplify the complex landscape of the patient care cycle for Medical, Dental, and Vision Healthcare Providers.

Upcoming 2023 Solution Highlights

Insurance Discovery

NOW Supporting Medi-Cal and Blue Cross of CA

Find over 50% of unknown coverage

Advanced Eligibility

• Medical
• Dental
• Vision
• IPA & ACO

 

CPT Benefits
Investigation

CPT Code Level Eligibility and Benefits Details


Patient Estimation

● Estimate API Inquiry
● Eligibility + Estimator
● 835 Remits



Fast-PASS ePA

Real-time Prior Authorization

Easy API coverts 278 to/from API Format


Insurance Discovery

NOW Supporting Medi-Cal and Blue Cross of CA
Find over 50% of unknown coverage

Advanced Eligibility

• Medical
• Dental
• Vision
• IPA & ACO

CPT Benefits
Investigation

CPT Code Level Eligibility and Benefits Details

Patient Estimation

● Estimate API Inquiry
● Eligibility + Estimator
● 835 Remits

Fast-PASS ePA
Real-time Prior Authorization

Easy API coverts 278 to/from API Format

pVerify vs Clearinghouse and Payer Sites
pVerify Eligibility

Cloud-based Portal, Batch, API or Integrated
Clearinghouse

Long-term Contract
Free Payer Site

Manual Verification Only
Jay Nitturkar Founder and CEO

Founder and CEO

Chief Technology Officer

John Blosser COO & VP, Business Development

COO & VP, Business Development

Jason Donahoe Chief Product Officer

Chief Product Officer

VP of Business Operations

Erika Eordogh Senior Director, Strategy and Operations – API Product

Senior Director, Strategy & Operations – API Product

Kailash Agarwal Director of Business Processing Operations

Director of BusinessProcessing Operations

Jeff Ohmes Director of Sales

Director of Sales

Who Attends the Executive War College

Health Systems and Hospital Clinical Laboratory and Pathology Leadership

Hospital C-Suite Administrators

Laboratory Vice Presidents

Pathology Lab Directors/Administrators

Laboratory Directors

Molecular and Genetic Lab Leaders

Precision Medicine & Genetic Program Directors/Administrators

Laboratory Section Managers/Leaders/Supervisors

Representative Labs:

  • ACL Laboratories/Advocate Health
  • Cleveland Clinic Laboratories
  • Medical University of South Carolina
  • Johns Hopkins Medicine
  • Baptist Health South Florida
  • Banner Health
  • Intermountain Health Outreach Labs
  • Baylor Scott & White Health
  • Cedars Sinai
  • Santa Monica UCLA Medical Center
  • Fabric Genomics
  • Kaiser Permanente

Independent Laboratories and Pathology Groups

Laboratory Owners/C-Suite/Vice Presidents/Directors

Pathology Group Owners/Directors

Pathology Group Practice Administrators

Physician Group Lab Owners/Directors

Public Health/Population Health VP’s/Directors

Life Sciences/Research Labs

Representative Labs:

  • Mayo Clinic Laboratories
  • ARUP (Reference Lab)
  • LabCorp (Reference Lab)
  • TriCore (Reference Lab)
  • GeneDx
  • Sonic Labs (Reference Lab)
  • Michigan Pathology Specialists (Pathologist Group)
  • Pacific Pathology Labs (Pathology Group)
  • NorDX (Animal Reference Lab)
  • Novartis (Research Pharm (Life Sciences)
  • AstraZeneca (Pharm/Life Sciences)
  • Caris Life Sciences (Pharm/Life Sciences)
  • Sonora Quest (Population Health Division)

Partners and Suppliers to Laboratory and Pathology Groups

In Vitro Diagnostic Manufacturers

LIS/Pathology LIS/LIMS/RCM/IT

Diagnostic Instrument, Product & Technology

Informatics Products and Services

Suppliers of Automation, Analyzers, and Assays

Revenue Cycle Management (RCM), Coding, Billing, and Collections

Legal, Regulatory & Compliance

Representative Companies:

  • Abbott (Diagnostics)
  • Epic Corporation (EMR/LIS)
  • Clinisys LIS
  • Cerner LIS
  • Telcor (Technology)
  • XIFIN (Technology/Informatics)
  • LifePoint Informatics
  • Change Health Care (RCM/billing)
  • HC1 (RCM)
  • Diagnostic Laboratory Services, Inc. (RCM)
  • COLA (Regulatory)
  • College of American Pathologists (Regulatory)
  • Beckman Diagnostics (Diagnostics)
  • Bio-Rad Laboratories (Diagnostics)
  • Hologic (Diagnostics)
  • Cardinal Health (Product & Technology)
  • Davis Wright Tremaine LLP (Legal)