For inquiries regarding accounts, billing, payments, and related matters, please contact us at support@veritable.app.
Payments and Subscriptions
What payment methods do you accept?
Can I change the payment method on my account?
What happens if I exceed my plan’s usage limits?
Can I change my subscription plan at any time?
Can I change the billing cycle of my subscription?
How do I cancel my subscription?
Will I receive a refund if I cancel my subscription?
Is there a penalty for canceling my subscription early?
What happens if I accidentally cancel my subscription, can I reactivate it and resume service?
Can I get an invoice for my subscription payments?
Are my payment details secure?
What happens if my payment fails?
Can I pause my subscription payments?
What happens if I accidentally make a duplicate payment?
What happens if my credit card is stolen or lost?
Is there a limit to how many payment methods I can have?
Is there a fee for using a specific payment method, such as a credit card or PayPal?
Can I update my mobile number and email ID?
Account Setup and Onboarding
My onboarding process failed midway. What should I do?
However, if the issue persists, please contact support@veritable.app.
I am unable to complete my onboarding. How can I contact Veritable’s customer support for assistance?
Which NPI am I supposed to provide during the onboarding process?
During onboarding, you can provide the NPI of either of the following:
- You can enter a Type 1 NPI, which is associated with an individual provider who is part of your practice.
- You can enter a Type 2 NPI, which is the NPI of your organization. The person registered as the authorized official of your organization will be recognized, and the process ahead will be continued by them.
What is the electronic verification of the provider?
After submitting the NPI, you will now be required to verify your identity. Please ensure that the provider/authorized official whose NPI has been submitted is the same person who is proceeding with electronic identity verification.
The verification is a two-step process:
- Verification using a government-issued ID such as a driver’s license or passport
- Virtual identity verification of the provider/authorized official via laptop webcam or mobile phone camera.
Both steps are completed online within the Veritable Portal. Please be assured that we do not collect or store any sensitive information in the process.
What data format does your software currently use?
In addition to viewing the data in the UI, we also provide data in FHIR, X12 and JSON formats.
Patient Eligibility Verification
What kind of information will I receive in the eligibility response from the payer?
A typical eligibility response from a payer consists of:
- The basic demographic and plan information of the member, including their name, member ID, relationship to the subscriber, plan period, plan name, etc.
- Coverage and benefits information for a bundle of services such as physician visits, emergency services, Hospital visits, and other services that the payer might include as part of Health Benefit Plan Coverage.
- Patient responsibilities such as deductible (total and remaining), coinsurance and copayment for various services, along with limitations, out-of-pocket maximums and other such details are returned at various levels of coverage such as individual, family, employee, etc. Depending on the plan, benefit details are also returned for various provider networks.
- Details about the patient’s primary care provider and primary/secondary insurance may also be returned.
Which service types are supported for eligibility inquiry?
- You can check your patient's eligibility and benefits for over 200 service types. This includes a range of services such as the general Plan Coverage and Benefits to other specific services such as Durable Medical Equipment (DME) Used, DME Rental, Consultation, Pathology etc.
- However, some payers may not support sending specific service types for eligibility verification inquiries. They may return "Health Benefit Plan Coverage" as their standard response to any service type submitted. Health Benefit Plan Coverage fetches information about the general plan coverage and benefits and may be bundled with many other frequently requested service types for that payer such as Physician Visits, Emergency Services, etc.
- Although you can query for multiple service types in a single eligibility request, however, the payer may or may not support receiving multiple service requests. If they do, we will get the response back to you.
What are the actual medical service types Veritable supports?
"2" : "Surgical",
"3" : "Consultation",
"4" : "Diagnostic X-Ray",
"5" : "Diagnostic Lab",
"6" : "Radiation Therapy",
"7" : "Anesthesia",
"8" : "Surgical Assistance",
"9" : "Other Medical",
"10" : "Blood Charges",
"11" : "Used Durable Medical Equipment",
"12" : "Durable Medical Equipment Purchase",
"13" : "Ambulatory Service Center Facility",
"14" : "Renal Supplies in the Home",
"15" : "Alternate Method Dialysis",
"16" : "Chronic Renal Disease (CRD) Equipment",
"17" : "Pre-Admission Testing",
"18" : "Durable Medical Equipment Rental",
"19" : "Pneumonia Vaccine",
"20" : "Second Surgical Opinion",
"21" : "Third Surgical Opinion",
"22" : "Social Work",
"23" : "Diagnostic Dental",
"24" : "Periodontics",
"25" : "Restorative",
"26" : "Endodontics",
"27" : "Maxillofacial Prosthetics",
"28" : "Adjunctive Dental Services",
"30" : "Health Benefit Plan Coverage",
"31" : "Benefit Disclaimer",
"32" : "Plan Waiting Period",
"33" : "Chiropractic",
"34" : "Chiropractic Office Visits",
"35" : "Dental Care",
"36" : "Dental Crowns",
"37" : "Dental Accident",
"38" : "Orthodontics",
"39" : "Prosthodontics",
"40" : "Oral Surgery",
"41" : "Routine (Preventive) Dental",
"42" : "Home Health Care",
"43" : "Home Health Prescriptions",
"44" : "Home Health Visits",
"45" : "Hospice",
"46" : "Respite Care",
"47" : "Hospital",
"48" : "Hospital - Inpatient",
"49" : "Hospital - Room and Board",
"50" : "Hospital - Outpatient",
"51" : "Hospital - Emergency Accident",
"52" : "Hospital - Emergency Medical",
"53" : "Hospital - Ambulatory Surgical",
"54" : "Long Term Care",
"55" : "Major Medical",
"56" : "Medically Related Transportation",
"57" : "Air Transportation",
"58" : "Cabulance",
"59" : "Licensed Ambulance",
"60" : "General Benefits",
"61" : "In-vitro Fertilization",
"62" : "MRI/CAT Scan",
"63" : "Donor Procedures",
"64" : "Acupuncture",
"65" : "Newborn Care",
"66" : "Pathology",
"67" : "Smoking Cessation",
"68" : "Well Baby Care",
"69" : "Maternity",
"70" : "Transplants",
"71" : "Audiology Exam",
"72" : "Inhalation Therapy",
"73" : "Diagnostic Medical",
"74" : "Private Duty Nursing",
"75" : "Prosthetic Device",
"76" : "Dialysis",
"77" : "Otological Exam",
"78" : "Chemotherapy",
"79" : "Allergy Testing",
"80" : "Immunizations",
"81" : "Routine Physical",
"82" : "Family Planning",
"83" : "Infertility",
"84" : "Abortion",
"85" : "AIDS",
"86" : "Emergency Services",
"87" : "Cancer",
"88" : "Pharmacy",
"89" : "Free Standing Prescription Drug",
"90" : "Mail Order Prescription Drug",
"91" : "Brand Name Prescription Drug",
"92" : "Generic Prescription Drug",
"93" : "Podiatry",
"94" : "Podiatry - Office Visits",
"95" : "Podiatry - Nursing Home Visits",
"96" : "Professional (Physician)",
"97" : "Anesthesiologist",
"98" : "Professional (Physician) Visit - Office",
"99" : "Professional (Physician) Visit - Inpatient",
"A0" : "Professional (Physician) Visit - Outpatient",
"A1" : "Professional (Physician) Visit - Nursing Home",
"A2" : "Professional (Physician) Visit - Skilled Nursing Facility",
"A3" : "Professional (Physician) Visit - Home",
"A4" : "Psychiatric",
"A5" : "Psychiatric - Room and Board",
"A6" : "Psychotherapy",
"A7" : "Psychiatric - Inpatient",
"A8" : "Psychiatric - Outpatient",
"A9" : "Rehabilitation",
"AA" : "Rehabilitation - Room and Board",
"AB" : "Rehabilitation - Inpatient",
"AC" : "Rehabilitation - Outpatient",
"AD" : "Occupational Therapy",
"AE" : "Physical Medicine",
"AF" : "Speech Therapy",
"AG" : "Skilled Nursing Care",
"AH" : "Skilled Nursing Care - Room and Board",
"AI" : "Substance Abuse",
"AJ" : "Alcoholism",
"AK" : "Drug Addiction",
"AL" : "Vision (Optometry)",
"AM" : "Frames",
"AN" : "Routine Exam",
"AO" : "Lenses",
"AQ" : "Nonmedically Necessary Physical",
"AR" : "Experimental Drug Therapy",
"B" : "Non-escrow or Non-impound Service",
"B1" : "Burn Care",
"B2" : "Brand Name Prescription Drug - Formulary",
"B3" : "Brand Name Prescription Drug - Non-Formulary",
"BA" : "Independent Medical Evaluation",
"BB" : "Partial Hospitalization (Psychiatric)",
"BC" : "Day Care (Psychiatric)",
"BD" : "Cognitive Therapy",
"BE" : "Massage Therapy",
"BF" : "Pulmonary Rehabilitation",
"BG" : "Cardiac Rehabilitation",
"BH" : "Pediatric",
"BI" : "Nursery",
"BJ" : "Skin",
"BK" : "Orthopedic",
"BL" : "Cardiac",
"BM" : "Lymphatic",
"BN" : "Gastrointestinal",
"BP" : "Endocrine",
"BQ" : "Neurology",
"BR" : "Eye",
"BS" : "Invasive Procedures",
"BT" : "Gynecological",
"BU" : "Obstetrical",
"BV" : "Obstetrical/Gynecological",
"BW" : "Mail Order Prescription Drug: Brand Name",
"BX" : "Mail Order Prescription Drug: Generic",
"BY" : "Physician Visit - Office: Sick",
"BZ" : "Physician Visit - Office: Well",
"C" : "Escrow or Impound Service",
"C1" : "Coronary Care",
"CA" : "Private Duty Nursing - Inpatient",
"CB" : "Private Duty Nursing - Home",
"CC" : "Surgical Benefits - Professional (Physician)",
"CD" : "Surgical Benefits - Facility",
"CE" : "Mental Health Provider - Inpatient",
"CF" : "Mental Health Provider - Outpatient",
"CG" : "Mental Health Facility - Inpatient",
"CH" : "Mental Health Facility - Outpatient",
"CI" : "Substance Abuse Facility - Inpatient",
"CJ" : "Substance Abuse Facility - Outpatient",
"CK" : "Screening X-ray",
"CL" : "Screening laboratory",
"CM" : "Mammogram, High Risk Patient",
"CN" : "Mammogram, Low Risk Patient",
"CO" : "Flu Vaccination",
"CP" : "Eyewear and Eyewear Accessories",
"CQ" : "Case Management",
"DG" : "Dermatology",
"DM" : "Durable Medical Equipment",
"DS" : "Diabetic Supplies",
"GF" : "Generic Prescription Drug - Formulary",
"GN" : "Generic Prescription Drug - Non-Formulary",
"GY" : "Allergy",
"IC" : "Intensive Care",
"MH" : "Mental Health",
"NI" : "Neonatal Intensive Care",
"ON" : "Oncology",
"PT" : "Physical Therapy",
"PU" : "Pulmonary",
"RN" : "Renal",
"RT" : "Residential Psychiatric Treatment",
"TC" : "Transitional Care",
"TN" : "Transitional Nursery Care",
"UC" : "Urgent Care"
What is considered a transaction?
Is batch upload possible? Can I enter an excel or CSV file to run eligibility requests for multiple patients?
Claims Status Checks
What kind of information will I receive in the claim status response from the payer?
A typical claim status response from a payer will consist of the following:
- Basic demographic information about the patient such as their name, and member ID in the payers’ records along with the patient’s account number.
- Claim information such as claim status and category, claim number, and the billed and paid amounts.
- If the claim has been processed, the response will contain the claim's finalized date, along with a line-level breakup of various procedures submitted in the claim.
- Finally, for a paid claim, the response also returns the check/EFT date, number, and final amount paid.
Payments Add-On
What is the cost of subscribing to the Payments Add-on? Is there a limit to the number of transactions I can process monthly?
How can I subscribe to the Payments Add-on?
You can also subscribe to Payments from Subscription Details > Add-On Subscriptions section in your Veritable Portal once you have signed up.
You will receive an email confirming that you have successfully subscribed.