Insurance verification software: verify patients’ eligibility in real time
Verify patient coverage with automated eligibility and benefits verification across 1,000+ payers
Trusted by 4,700+ healthcare organizations nationwide
The industry-leading solution for eligibility and benefits verification
Every day, Phreesia’s industry-leading eligibility and benefits verification software helps healthcare organizations of all sizes verify patients’ insurance coverage. We offer:
- 1,000+ supported payers, including Medicare and every state’s Medicaid
- AI-driven copay selection to predict patients’ copays based upon their visit type, health plan and more
- An automated verification schedule and real-time checks to ensure accuracy
- Payer and eligibility alerts, including Primary Payer, MCOs and Medicare annual wellness visit
- Bidirectional integrations managed by a team skilled in HL7v2, FHIR, proprietary APIs and data extracts
- A dedicated team that offers expedited support for insurance-related inquiries
Reduce denied claims and get paid faster
Phreesia makes verifying insurance eligibility easier than ever. You can:
Verify eligibility and benefits within seconds using Phreesia’s insurance eligibility verification software—automated checks run three times prior to a patient’s visit, on average.
Use insurance benefit verification data to determine copays at the time of service for primary care, specialty, urgent care and vision visits
Confirm insurance information with Phreesia’s patient eligibility verification software—pulling data directly from the patient or as it’s imported from your PM system
Multiple eligibility and insurance benefit verification checks help staff reconcile any coverage issues and quickly determine patients’ financial responsibility.
Phreesia’s health insurance verification software provides patients with a pre-visit eligibility and benefits summary—so they understand what they’ll owe, and why, before they arrive.
What clients say
“The E&B verification through Phreesia saves us time by automatically checking every detail before we submit a claim. We’re able to maximize collections, too, by presenting the balance to their patient during check-in.”
“Phreesia checks within all of the registration fields for conflicts of data, looks within insurance verification eligibility and verifies against the information collected by the patient. It can proactively alert registration staff when there is potentially an error that they need to correct before the patient leaves.”
“Phreesia’s eligibility functionality is great for our team. We verify eligibility for our patients ahead of time, and Phreesia provides accurate copay and deductible information.”
Our bidirectional integrations
Phreesia’s medical insurance eligibility verification software integrates bidirectionally with your existing EHR or PM system, with a dedicated medical insurance verification software team managing every connection.
Can’t find your PM/EHR? Don’t worry! Phreesia is easily integrated using open standards, including HL7, FHIR, CCD, CSV and more.
What makes Phreesia different?
It’s simple. Our size, scale and best-practice expertise help healthcare organizations save time, easily collect copays and quickly verify insurance eligibility.
With automated tools for insurance verification, payment and more, Phreesia helps providers reduce denied claims and collect copays before the visit and create great patient experiences—and that’s why our platform facilitates more than 180M patient visits every year.
The best-performing practices run on Phreesia
Learn how Phreesia makes verifying insurance eligibility a breeze.