Annual Reverification
Annual Reverification with Gen AI-Powered Automation for PSP Compliance
Regulatory mandates require PSPs to annually verify patient eligibility with either income proof, insurance, and prescriptions. Manual processes cause drop-offs, delays—Value Health’s intelligent solution automates end-to-end reverification for seamless patient/case team experiences.
Reverification
Manual
Pitfalls
Low Completion Rates
Confusing docs/instructions lead to patient abandonment.
Compliance Risks
Expired docs risk audits/program halts.
Operational Overload
Hours spent chasing submissions in fragmented systems.
End-to-End Reverification Workflow
Patient/HCP Engagement
Identify due cases; educate and request insurance updates/reminders.
Insurance Update
Auto-capture new insurance details.
AI Coverage Check
Gen AI + payer gateways for instant status.
Outcomes
- Covered: Document benefits, notify HCP/patient.
- Improves patient data accuracy and continuity of care
- Restricted: Auto-generate/initiate prior auth (PA) with HCP follow-up.
Patient/HCP Engagement
Identify due cases; educate and request insurance updates/reminders.
Insurance Update
Auto-capture new insurance details.
AI Coverage Check
Gen AI + payer gateways for instant status.
AI Coverage Check
Covered: Document benefits, notify HCP/patient.
Improves patient data accuracy and continuity of care
Restricted: Auto-generate/initiate prior auth (PA) with HCP follow-up.
Transform Your Reverification Process
Boosted Retention
Proactive reminders minimize drop-offs.
Less Manual Work
AI workflows free case managers.
Higher Rates
Intuitive tools improve engagement.
Live Tracking
Territory-wide status visibility.
HIPAA Compliance
Configurable, integrated rules.
CRM Sync
No disruption to FRM/case systems.