pVerify vs. Ventiv Claims

Overview
ProductRatingMost Used ByProduct SummaryStarting Price
pVerify
Score 0.0 out of 10
N/A
A provider of real-time healthcare APIs for eligibility, insurance discovery, instant prior authorization, claim status, and DME solutions, offering benefits parsing with consumable API endpoints, expert developers, and integration with pVerify's own business rules engine with infrastructure including Medical, Dental, and Vision APIs.N/A
Ventiv Claims
Score 8.3 out of 10
Enterprise companies (1,001+ employees)
Ventiv Claims Administration software is designed to handle claims with speed and precision.N/A
Pricing
pVerifyVentiv Claims
Editions & Modules
No answers on this topic
No answers on this topic
Offerings
Pricing Offerings
pVerifyVentiv Claims
Free Trial
NoYes
Free/Freemium Version
NoNo
Premium Consulting/Integration Services
NoNo
Entry-level Setup FeeNo setup feeRequired
Additional Details
More Pricing Information
Community Pulse
pVerifyVentiv Claims
User Ratings
pVerifyVentiv Claims
Likelihood to Recommend
-
(0 ratings)
8.0
(0 ratings)
Likelihood to Renew
-
(0 ratings)
7.2
(0 ratings)
Usability
-
(0 ratings)
8.2
(0 ratings)
Support Rating
-
(0 ratings)
6.4
(0 ratings)
Online Training
-
(0 ratings)
7.0
(0 ratings)
Implementation Rating
-
(0 ratings)
7.5
(0 ratings)
Vendor pre-sale
-
(0 ratings)
4.5
(0 ratings)
User Testimonials
pVerifyVentiv Claims
Likelihood to Recommend
No answers on this topic
Ventiv Claims works beautifully for workers' compensation. It is easy to use for both field employees and Risk Management. The claim nearly creates itself by allowing the digital "Injury Reporting Form" the employee fills out when they report an injury to populate the claim itself. I have the employee's own description of the incident, which helps determine compensability. In addition, the support we receive from the Ventiv Claims team is second to none. We have a dedicated account manager who ensures our success and is always willing to step in and help whenever we have a question or want something to perform differently.
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Pros
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  • The Ventiv team is always ready to assist in solving complex issues in a very timely manner.
  • The entire Ventiv staff is friendly, knowledgeable, and always ready to help via phone, email, web ex. Our Customer Success Manager, Doug H. is the best! And Cindy H., Machella G., Josette D., Duane J. ...just to name a few.
  • Love the fact that aspects of our daily tasks are streamlined and can be completed in one central location from claims management, to reporting, policy renewals, and payment processing.
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Cons
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  • Document handling
  • Load case management transfer
  • Slow loading times for tabs
  • Automation to assign diaries to claim assistant instead of examiner or supervisor
  • Pagination and allowing for view of more than 500 records on a tab
  • PDF converter in application requires specific formatting of the Word document
  • Need for work arounds for existing issues
  • Application built more for an Insurance carrier than a TPA
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Likelihood to Renew
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We have been using Ventiv Claims for over ten years, and there is a wealth of information in the system. We have not seen any other system that compares to the Ventiv Claims environment.
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Usability
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Overall, the system is easy to use. Some fields are redundant within the system, which makes it a little confusing, but once you choose which to use, you can easily hide the other field from users so they do not enter information in the other field.
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Support Rating
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Overall the support is really good. There are only a few instances where the support could not figure out how to resolve issues we have encountered quickly.
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Online Training
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During any training provided by Ventiv, the sessions are always two ways. It is not just a lecture that you sit through, they are generally question and answer type sessions that are very good at getting the point across. By keeping the sessions small and manageable, Ventiv can provide the training necessary so that all of the users feel comfortable.
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Implementation Rating
No answers on this topic
I was not a part of the implementation so I am not able to speak much to this. From my understanding Ventiv was very involved in the process of making this as seamless as possible and provided great support. For the integrations that we have had Ventiv has done a great job of answering all questions and helping to resolve any issues.
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Alternatives Considered
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RL Solutions/RLDatix was another company that we evaluated but they did not have anything Workers' Comp related at the time. Origami Risk was another company that we evaluated but they didn't have anything Workers' Comp related at the time and were very pricy. RiskMaster was the product we used many moons ago for managing Workers' Comp software. We selected Ventiv because of their history and how long they had been in the industry with Workers' Compensation.
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Return on Investment
No answers on this topic
  • We pay about $100K per year in support/update fees it has been very difficult to justify these fees as we don't use support much and many of the updates simply brought the product to an approximate level to what we thought we were purchasing in the first place.
  • Self-hosting and owning the software rather than SaaS is an incredible value.
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ScreenShots

Ventiv Claims Screenshots

Screenshot of Claim Frequency by Age/Claim Severity by Age
Graphical Representation of Claims Frequency and Severity by AgeScreenshot of Unreviewed Documents by Examiner
Graphical Representation of documents that have not been reviewed by file handlerScreenshot of ODG Comparison – Total Cost
Graphical representation claim cost benchmarked against ODG GuidelinesScreenshot of Vendor Payment 
Graphical representation of payments made over time, payments by transaction, and total amount paid for specified time frameScreenshot of Policy Participation
Graphical Representation of reinsurance layers for a specific policyScreenshot of Claims by Month
Graphical Representation of claims entered by month that includes a filter for claim year and status