Eligibility Checking

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PVerify Transcript
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4.5/5
9 min readReviewed on: 10/06/2023
Reviewer
Title: Product Lead
Organization Type: Virtual-First Provider
Specialty: Women's Health
Summary
  • Product Usage: The product is used at their company to get members’ year-to-date spend information with their insurance, enabling them to build a price transparency tool within their product.

  • Strengths: PVerify has excellent customer service, a solid API, good payor coverage (although not the broadest), and easy-to-use technology.

  • Weaknesses: The product sometimes struggles with standardizing data due to varied formats from different insurance companies, and it does not quite match the payor coverage of some other options.

  • Overall Judgment: Despite some minor issues, the product is well-regarded, easy to use, and technologically advanced, making it a good choice for their company.

Waystar Transcript
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3/5
13 min readReviewed on: 07/10/2023
Reviewer
Title: Head of Care Coordination
Organization Type: Virtual-First Provider
Specialty: Behavioral Health
Summary
  • Product Usage: Waystar is used for daily automated claims submissions, ERA enrollment, and eligibility checking.

  • Strengths: Waystar is user-friendly and simple to navigate with a robust search functionality.

  • Weaknesses: Waystars reporting functionality is lacking, requiring extensive use of spreadsheets for data analysis and tracking; support responsiveness and issues with deeper engineering aspects were highlighted.

  • Overall Judgment: Despite its user-friendly interface and features, Waystar might not be the best solution for those companies seeking robust reporting capabilities and flawless engineering support.

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