DME Account Registration Form

Create your account with pVerify

Please fill out the form below

Please use this DME Account Registration Prepaid​ Form to help us to create your account. You will receive an email from when this is done.

Note: An NPI is required for Eligibility. A PTAN is required for Same or Similar. If you are supplying an NPI or PTAN from a US Partner or Affiliate a signed Authorization Form is required.

Copy of Authorization Form


    Account Information

    Choosing your Prepaid Plans: Individual vs Combo Plans

    Purchase solutions individually with $300 and $500 Plans.
    Combo Plans are available for $500, $1000, and $1500 per month, one plan that includes all chosen solutions. Combo plans offer lower rates for each service.

    Refer to pricing provided by pVerify Representative

    Creating your account


    DME Account Registration Prepaid

    Thank you for choosing pVerify!

    Please provide the Authorization Form provided to

    DME Account Registration Prepaid

    Verify Eligibility

    pVerify provides Eligibility details at a deeper level, with information separated and highlighted individually for easier review and understanding

    Estimate Responsibility

    pVerify Patient Estimates gives you quick and easy cost estimates for patient responsibility

    Collect Payment

    A worry-free commitment with pVerify’s No Contact Patient Payments that provides contactless payment collection