Billing and Payment Policy Terms

Why Choose pVerify?

  • Best-in-class Patient Eligibility Portal
  • Unrivaled Insurance Payer List, both EDI and non-EDI Payers supported
  • Amazing Batch Eligibility Reports
  • Integration with nearly any medical system
  • Patient Estimates tied to Eligibility


NEW Medicare MBI ID Lookup Tool

pVerify introduces a new, scalable solution for obtaining the NEW Medicare ID, your patient’s MBI number, quickly and easily by submitting the patient data including SSN, DOB and Name. 

-Individual Patient Lookup      -Batch Report Processing      -MBI through API

New MBI Number for Medicare ID Card





Updated: April 21st, 2020



With respect to billing, payment terms and pricing policy, pVerify has updated their Billing and Payment Policy Terms. The changes will take effect on invoices generated on and after May 1st, 2020. 


Updated Payment Terms and Conditions

    • Payments made by credit card will be automatically charged to the card on file between the 5th- 7th of the month, for the *entire invoice amount of the previous month of service.
    • Payments made by EFT, Bank Transfer, or ACH will be established in QuickBooks by CUSTOMER and paid by the 5th-7th of the month, for the *entire invoice amount of the previous month of service.
    • Checks by mail are no longer accepted.

Subscription and Monthly Plans (Card on File)

Subscription Plans will initially require payment in full for their first month of service (this is the plan amount).  Any remaining balance at the end of the first month will be added as a credit to the following month’s Subscription plan.  From the second month on, Payments will be automatically charged to the card on file between the 5th- 7th of the month, for the *entire invoice amount of the previous month of service (The plan amount). If plan transactions are exhausted mid-month, an additional “top-up” payment may be required to add more funds at that time. If “top-up” payment is not required; transactions used over the set plan amount will be added to the following month’s invoice.  Whether or not top-up payments are required depend on your plan amount, typically you will reach maximum credit limit (at which point transactions stop) at 3x your plan amount.  For example with a $100 plan, the maximum credit limit is typically $300, so if you are close to this limit we will do a top-up payment so transactions do not halt.

Monthly Plan payments will be automatically charged to the card on file between the 5th- 7th of the month, for the *entire invoice amount of the previous month of service. If transactions used are less than the monthly plan minimum requirement, the minimum requirement will be charged. 


 Monthly Plans (EFT, Bank Transfer, or ACH)

Monthly plans with a minimum requirement of $500 or more may opt to pay by Bank Transfer or ACH via QuickBooks or Electronic Funds Transfer (EFT) from their bank. Payment must be received by the 7th of the month for the *entire invoice amount of the previous month of service.  Please note checks by mail are no longer accepted due to COVID-19, please use EFT or other payment method.


Negotiated Pricing

The agreed-upon pricing, including both set-up fees and cost per transaction, is based fully on the volume, complexity, time, and effort of the work required, established during the qualifying and trial phases between Customer and pVerify. After onboarding procedures, if the requested effort from the Customer surpasses the previously established expectation or the complexity of the API/Integration (if applicable) has increased due to the Customer’s system’s requirements, renegotiations will be required based on the newly established effort requirements.


Maintenance Fees

pVerify’s one-time setup fee includes initial Integration (API, EMR, PM, etc.) and testing to establish Customer’s customization and setup to the agreed-upon satisfaction. Once completed any additional assistance, such as improvements, additional customization, change in platform, or maintenance to current integration may incur a maintenance fee once the scope of work is determined. Maintenance fees may be monthly or a one-time payment (per occurrence.)


Outstanding Invoices

If for any reason payment is not received within thirty (30) days from the invoice date, a finance charge equal to 1.5% per month (18% per year) may be added at PVERIFY’s sole discretion, to all outstanding balances 31 days and older (a few exclusions may apply based on negotiated contracts.)  In the event any dispute arises involving any of the items contained on PVERIFY’s invoice, the Customer agrees to promptly notify pVerify.  pVerify may, at its sole discretion, terminate this Agreement and Customer’s access to the Services.

*COVID-19 Concession

For the months of March 2020 and following, pVerify will waive minimum monthly fees for Subscription and Monthly Accounts and charge only for transactions used. For Prepaid Accounts we will extend the expirations for as long as there are funds available. The end date of the COVID-19 Concession is currently undetermined. 



Keeping your information safe and maintaining transparency are important to us. The new updates will take effect on May 1st, 2020 and no further action is required by you. If you do not contact us to close your account by April 30th, 2020 or otherwise continue to use our platform and solutions, you accept these updated terms.

Contracting entity: pVerify, Inc (800) 974-2995, 3002 Dow Avenue Suite #308, Tustin, CA 92780.