pVerify – Complete Patient Eligibility Verification

pVerify – Complete Patient Eligibility Verification


Complete Patient Eligibility Verification

If you answer “YES” to any of these questions, you need pVerify.

Do you:
Find your staff spending too much time on the phone and on insurance websites checking patient eligibility?
Receive insurance denials due to patients changing plans?
Have excessive accounts receivables due to plans with high deductibles, ACA issues, etc.?
Use reports that don’t tell you which services require prior authorization and provide lots of information you don’t need?
Lose significant revenue due to billing the wrong insurance companies for procedures requiring prior authorization?

Sign Up for Free Trial

Get customized eligibility reports unavailable with any other solution.

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pVerify tailors batch eligibility reports specifically to your practice. If you’re a specialist, we delete data intended for primary care MDs. And make it easy for you to see if prior authorization is required (or if a patient is enrolled in an SNF). The possibilities for customization are nearly endless. What’s more, pVerify will check medical eligibility, and with batch processing, our billing technicians will perform Quality Assurance on every transaction to ensure the data are accurate.

Less staff time for eligibility verification

Reduction of claim denials

Payer coverage – More than 800 carriers in total!

Compare pVerify to your current eligibility verification solution.


 pVerifyYour Current Solution
Instantly see patient eligibility - without spending countless hours doing manual checking
Get customized eligibility reports based on your specialty, payer contracts, and other practice needs
Easily view patient benefits - such as copays- to reduce receivables and delinquencies
Flag and resolve eligibility issues before patient visits, to avoid significant revenue loss
100% coverage of your payers - including those that don't offer electronic eligibility checking
Batch reports reviewed by human beings - to prevent gaps and errors in eligibility info

Eligibility Pricing


 PeriodTransaction CostPeriod Cost# of TransactionsOverageRenewal CostSetup Cost
Monthly Subscription 1000Monthly (annual contract)$0.17$1,000*5,882$0.22N/A$0
Monthly Subscription 100Monthly (annual contract)$0.22$100*454$0.25N/A$0
Prepaid 1,00090$0.20$1,0005,000N/A$1,000$99
Prepaid 50090$0.25$5002,000N/A$500$99
Batch or Volume >
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*Cancellations: Subscription plans are for a period of 12 months. Any cancellation requests prior to the 12 month term must be submitted in writing with a 60 day advanced notice.
**There is a one-time setup fee of $99 for all of the above plans.
***Costs are subject to pass thru fees, non-EDI fees, and batch processing fees when applicable.


pVerify Has Three Pricing Options:


Prepaid plans expire, and you can renew the plan at any time, much like a prepaid phone card.

Subscription plans have a monthly fee, and you get a set number of transactions, with additional transactions at a low rate.

Monthly plans are for higher volume clients and have a charge per transaction.

Are you a large medical practice, specialist, or other practice that schedules appointments?


pVerify will check medical eligibility and provide a batch eligibility report on all your patients for each day, delivered on an agreed-upon day prior to each date of service. If a patient changed plans, you know in time to receive prior authorization. You get up-to-date, easy-to-see info on copays, coinsurance, and deductibles. Specialist and other practices with unique requirements get customized reports with a human touch. If a claim is denied, you can go back up to 90 days to show eligibility for coverage at time of visit.

Only pVerify provides this set of advantages.

Faster verification 

Improved cash flow 

Fewer denials 

Less patient delinquency 

Easy-to-see eligibility info 

Reduced labor costs 

Full report customization 

Human checking for accuracy 

Increase profitability with pVerify

Using our new portal, give easy and instant access to your patient’s key insurance benefits

  • One stop portal gives access to 800+ payers, saving you manpower. One client reduced billing staff count by 75% due to pVerify.
  • Instantly and easily check medical eligibility and see eligibility errors, reducing insurance denials by 50%
  • Instantly see critical information such as co-pay and deductible, tailored to you specialty

Give us a try for free now!


Amazing best-in-class batch reports

When you use pVerify for some or all of your appointment information, you will have access to our unique Excel batch reports.

  • Human touch ensures a custom solution for your practice. Want additional eligibility data? No problem. Don’t need Primary Copay? Easy.
  • Critical errors are pointed out in red for easy visibility
  • Batch reports are custom delivered on a agreed time (i.e. 3 days prior) for a date of service.

Schedule a demo now!

pVerify Draws Rave Reviews!

Utilizing pVerify’s automated verification service, we are able to validate our patient’s benefits thoroughly and consistently in advance of their visit…This allows us to identify issues relating to patient’s coverage and take corrective action before the patient being seen..I highly recommend pVerify eligibility solutions for any busy practice.

Albert Castillo

Since using pVerify, we have significantly reduced claim rejections, lowered administrative cost (by reducing the time it takes to verify eligibilities) and as improved our cash flow. pVerify has contributed immensely to our practice and I am so happy that we began using them. pVerify truely is an efficient and cost-effective tool designed to facilitate the eligibility verification process.

Beth Carvajal

Other important pVerify pluses.

Cloud-based pVerify runs in a HIPAA-compliant environment and provides high availability, secure data processing, and reduced errors.


Interfaces with leading practice management solutions, including AdvancedMD, Allscripts, and Nextgen.


Value-added offerings include pVerify Patient Estimator and Payment Processing for full revenue cycle management.


An API allows you to customize pVerify for a variety of medical software solutions, including durable medical equipment (DME).