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How to Set Up and Use iVerify Insurance Discovery (CRM)

Overview

The iVerify Insurance Discovery feature enables you to run a query using only a patient's basic info—no Payer Code or Health Plan ID needed. It uses the patient's First Name, Last Name, DOB, and SSN to automatically find active insurance policies.
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This is different from the standard Instant VOB workflow, which requires insurance details to be entered manually before verification can run.
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Before You Begin

  • You must have administrator access to CRM Settings.

  • Confirm that iVerify is active for your instance.

  • Have your Module & Layout editor available — you will need to add an SSN field to your Account layout and the Submit New Lead form.

Steps

Step 1: Enable iVerify Insurance Discovery Settings

  1. Go to Settings → iVerify Settings.

  2. Click Edit.

  3. Check both of the following options:

    • Avoid member ID input while verifying VOB

    • iVerify insurance discovery

  4. Click Save.

Step 2: Add the SSN Field to Your Account Layout

  1. Navigate to your Module & Layout settings.

  2. Open the Account layout editor.

  3. Create a new text field for SSN with a maximum character length of 15 characters.

  4. Save the layout.

Step 3: Add the SSN Field to the Submit New Lead Form

  1. Open the Submit New Lead form configuration.

  2. Add the SSN field you created in Step 2 to this form.

  3. Save your changes.

Step 4: Confirm Insurance Fields Are Not Marked as Mandatory

  1. In your Module & Layout settings, locate the fields for Insurance Company and Health Plan ID.

  2. Ensure that neither field is marked as required or mandatory.

  3. Save any changes.

Verification / Expected Result

Once setup is complete, you can submit a new lead using only the patient's First Name, Last Name, DOB, and SSN — without entering a Payer Code or Health Plan ID. The Insurance Discovery feature will run a search and attempt to identify the patient's active insurance policies automatically.


Understanding iVerify Credit Usage

Because Insurance Discovery performs a more comprehensive search than a standard VOB, it consumes more credits. Plan accordingly when running discovery queries.

  • 10 iVerify credits are consumed per Discovery query.

  • 1 additional credit is charged for each specific insurance policy found and verified during the query.

⚠️ Note: Credit usage is higher for Insurance Discovery than for a standard Instant VOB. Monitor your credit balance if running discovery queries frequently.


Tips & Notes

💡 Tip: Insurance Discovery is designed for situations where you only have basic patient demographics at the time of intake. It is not a replacement for the standard Instant VOB when insurance information is already known.


⚠️ Important: If the Insurance Company or Health Plan ID fields are marked as mandatory in your layout, the form will require those fields to be filled in before submission — which will prevent Insurance Discovery from working as intended. Always verify these fields are set to optional.


✅ Best Practice: Confirm your SSN field has a 15-character maximum set in the field configuration. Entries that exceed this limit may cause submission errors.


Related Resources

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