Better Healthcare Begins With Better Data

AmeriVeri creates an additional level of assurance that patient medical records are a true representation of the actual services provided to the patient. Our goal is to improve the patients' continuity of care and ensure accurate medical history.

Data Driven Healthcare

AmeriVeri is a Data Integrity Solution

Our supervised machine learning process analyzes all possible coding scenarios to identify miscoding.
We provide clear, context specific explanations for every imprecise or insufficient use case.

For Example

Claim #GF186674K9

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Procedure: 71020

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Diagnosis 1: J00

Diagnosis 2: R05

When procedure code 71020 (Chest X-ray, 2 views frontal and lateral) is billed with diagnosis codes J00 (acute common cold) and R05 (cough), AmeriVeri will flag this as an unsupported procedure.

PROVIDERS

Have you ever submitted an incorrect procedure, missing diagnosis, or incomplete claim that was denied by insurance or contested by a patient?

Making corrections to claims before submitting them ensures better records and favorable revenue cycle impact.

PAYERS

Have you ever paid a claim that contained unsupported or incorrect charges? Have you been retrospectively audited for billing compliance?

Feedback from AmeriVeri can be used to return claims to the provider for code revision or elimination before payment.

The Difference

AmeriVeri recognizes every possible procedure and diagnosis code combination.

Over a billion total scenarios.

AmeriVeri

100%

Competitors

Centers for Medicaid

How It Works

As a prepayment solution, AmeriVeri intercepts medical claims before payment and electronically identifies unsupported procedures. No software is installed on client system.

UPLOAD

Transfer medical claims data directly to AmeriVeri

WAIT

Data is processed immediately and ready within the hour

RESUME

Clean data allows the claim process to continue forward

Data Security

AmeriVeri provides world class data protection.

  • SSAE 16 Type II Certified
  • Fully HIPAA Compliant
  • Check Point® Security Gateway
  • Secure FTP Connection

FAQs

Our process was developed by physicians, nurses, and clinical billing specialists and is derived from CMS and AMA policies.
Electronic claims data is acceptable is any format. Procedure and diagnosis codes are required. Claim, patient, and provider identifiers help us track the results.
The code errors identified by AmeriVeri are returned electronically. Formatting is flexible to fit client workflow.
Yes. Total customization allows AmeriVeri to work with any vendor at any stage of the claims handling process.

Our Process

Every implementation is different.
The following steps allow us to create the perfect solution for your organization.

1

MEET

2

DISCOVER

3

PLAN

4

TRIAL

5

CONFIGURE

6

LAUNCH

Experience Counts

We’ve learned that we are more than just a payment integrity solution. AmeriVeri has tailored flexible and comprehensive solutions for:

Single employers

Self-self funded plans reap similar benefits consistent with large health systems.

Third Party Administrators

Claims adjudication platforms are powerful tools that allow plug-and-play enhancement.

Insurance carriers

Compliance audits create peace of mind for large processing volumes.

State Medicaid

Statewide programs require continuous monitoring and ongoing review.

About

Founded in 2010, AmeriVeri has grown with the health care industry through the Affordable Care Act, the adoption of ICD-10, and continuing consolidation.

Our History

AmeriVeri CR, LLC was founded by Patti Merdian, Jim Baughman and Martin Amberger in Indianapolis, Indiana.

AmeriVeri software build-out completed, tested and implemented for first clients.

First workers' comp clients join AmeriVeri.

ICD-10 transition completed.

AmeriVeri moves west and opens second office in Denver, Colorado.

Focus shifts to unsupported charges that lack medical necessity.

National Correct Coding Initiative edits and CMS edits removed from standard service offering.

First Medicaid partner joins AmeriVeri.

Fun Facts

CUPS OF COFFEE CONSUMED
CUSTOMER RETENTION RATE
YEARS IN BUSINESS
BILLION CODES CONFIRMED

Pricing

The niche in which AmeriVeri operates and the flexibility in which the service is provided allow AmeriVeri to deliver exceptional value. Our solution is fully customizable and can be tailored to fit your needs.

  • $299 per month
    Professional
  • up to 500 claims / mo.
  • Limited support
  • Perfect for small provider offices and self-funded health plans.
  • $999 per month
    Enterprise
  • up to 2,500 claims / mo.
  • Expanded support
  • A great fit for small hospitals and third party administrators.

For More Information

Schedule a consultation with us to discuss a custom solution for your organization.

AmeriVeri

720 Executive Park Drive
Suite 2400
Greenwood, IN 46143
P: (888) 354-8776