All-Payer Patient Insurance Verification

About Us

pVerify is the Leader in All-Payer Patient Insurance Verification Software with Real-time, API and Batch Solutions showcasing comprehensive Patient Eligibility, Estimation and Payment Collection for Medicare, Medicaid, Commercial, Dental and Vision Payers.

All-payer Patient Insurance Verification

The Journey Started

pVerify® was founded in 2006 by a team of accomplished Healthcare Professionals with a singular focus: streamline the front-end patient insurance eligibility and benefit verification processes in order to not only improve patient collections but also reduce back-office denials.

Powered by its own APIs pVerify aimed it’s focus on studying over 1350 payer responses to compile unique eligibility settings for each. Championing the highest level of benefits parsing with consumable API endpoints, pVerify’s team of expert developers stride forward to refine and maximize benefit reporting.

Our unique blended process allows us to delivery the most pertinent patient eligibility information across all  payers – even if the payer 270/271 report doesn’t include all of the required elements or even if the payer does not support EDI 270/271. Then, unlike other services, we provide verified patient benefits at a deeper level, with information separated and highlighted individually for easier review and understanding . For our First-Class Batch we present the results in a color-coded Microsoft Excel spread-sheet format so that a front-office, verification team, or billing staff can collect appropriate patient payments and spot inaccuracies relating to patient demographics or insurance information.
Supporting over 1350 payers across all 50 states and cover all types of payers, including Medicare, Medicaid, BCBS, Dental, Vision and Commercial.
Innovative and robust APIs deliver a hassle-free approach to integrating with existing practice management and hospital information systems. As a result, we deliver an industry-leading eligibility solution that significantly improves productivity of both the front-and the back-offices and leads to a rapid return on investment.
pVerify® is headquartered in Tustin, California.
All-payer Patient Insurance Verification

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    Featured Clients

    Largest medical groups, IPAs/MSOs, and Medical Billing companies use pVerify’s Patient Insurance Verification Software. We have a very strong presence in Primary Care, Pediatric and Adult Therapies (speech, occupational & physical), Mental Health, Emergency Care, Ambulatory and Inpatient Surgery, orthopedics, sleep centers, imaging centers, and more!

    How Can We Help You?

    Get answers before you subscribe.

    All-Payer Patient Insurance Verification and MORE!

    Our automated, date-of-service patient insurance verification brings unprecedented efficiency to your front-office workflow. Coupled with our Patient Estimator and hands-free Patient Payment, our Solutions can significantly reduce patient debt and improve front-office collections. Supported in Realtime, Batch, and API

    Advanced Eligibility

    Verify a patient ahead of time or during their procedure with pVerify’s All Payer Advanced Eligibility Solution in Instant, Batch, or API Eligibility, in real-time with accuracy down to the service received.

    Patient Payments

    Collect payment during appointment with contactless QR code, card-on-file and customized card-on-file payment plans with no contract commitment.

    Healthcare APIs

    The Industry service leader in Realtime Healthcare APIs for Advanced Eligibility, Claim Status, & DME Solutions.

    Frequently Asked Questions

    We already have access to Availity and many other free payer sites; how is pVerify any different?
    pVerify ™ is a single portal to verify eligibility instantly from 1350 insurance companies, and it even covers non-EDI payers (through a delayed verification process). Combination of our advanced parsing technology and proprietary process ensures that all the relevant information is available across all payers. We also provide unique, color-coded Eligibility Summary Reports in Excel Spreadsheet format that makes it easy for your front-office to take appropriate actions. Furthermore, once verified, results are stored for up to one year in a searchable PDF format in case you need to access it again.
    What is ‘parsing’?
    Coming soon
    What is the information that I require to carry out eligibility verification?
    Coming soon
    I don't have fee schedules for the various payers. How can pVerify be of any help?
    Coming soon
    What is card-on-file?
    Coming soon
    What are EDI and non-EDI payers?
    Coming soon
    How long does it take pVerify to verify eligibility?
    Coming soon
    Does pVerify offer any guarantees for performance?
    Coming soon
    How is pVerify's eligibility report different from other verification services?
    pVerify is the leader in custom batch eligibility reporting, with our unique blend of machine and human-enabled AI and ability to use business logic and manual means of obtaining information from traditional and more difficult payers. With the largest payer list in the industry, pVerify provides specialty-specific details for all Medical, Dental, and Vision Payers. Outsourcing patient verification is a huge time and cost saver for Medical Practices and Hospitals that can easily glance at one place for all of their daily appointments, filter with ease, and identify specific benefit details.