Medical Practice | Professional Pricing

Medical Practice | Professional Pricing

Subscription and Prepaid Options

Eligibility, Claim Status, MBI Lookup, and Estimator Solutions are priced separetly, combo plans are not avaiable.

Portal only one-time setup fee: $99

 Batch Solution and/or Integration with EMR/PM one-time set-up fee: $299-$2500

Subscription Plans

Subscriptions are billed on the 1st of the month for the following month.

Mid-month top-up required if plan amount exceeded

 

Instant Eligibility Solution 

Edit
Plan Amount Cost Rate
Up to 400 verifications $100 25 cents/per
Up to 1000 verifications $250 25 cents/per
Up to 2500
verifications
$500 20 cents/per
Up to 6667
verifications
$1000 15 cents/per
Up to 10,000 verifications $1500 15 cents/per
Volume above 10k/month Contact for pricing

Above rate is standard for 1-3 Service Types. Certain payers charge for multiple Service Types which may result in additional fees on those transactions. A list of these payers will be provided upon request.

 *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, 2-month cancellation fee required.

Costs are subject to pass thru fees*, non-EDI fees, batch processing fees and 3% Paypal when applicable.

*pVerify charges additional fees for some eligibility plans for a small amount of payers. To see the list, click here.

 

Batch Excel Eligibility Solution

Instant Eligibility included at no extra cost 
Edit
Plan Amount Cost Rate
Up to 1600
verifications
$400 25 cents/per
Up to 2400
verifications
$600 25 cents/per
Up to 4000
verifications
$1000 25 cents/per
Up to 10,000 verifications $2500 25 cents/per
Volume above 10k/month Contact for pricing

Above rate is standard for 1-3 Service Types. Certain payers charge for multiple Service Types which may result in additional fees on those transactions. A list of these payers will be provided upon request.

*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, 2-month cancellation fee required.

Costs are subject to pass thru fees*, non-EDI fees for Medical and Vision Payers, batch processing fees and 3% Paypal when applicable.

*pVerify charges additional fees for some eligibility plans for a small amount of payers. To see the list, click here

 

 

Patient Estimator

Edit
Plan Type Period Pricing # Transactions Setup Cost ($)
Subscription 30 days $100* Unlimited 99

 *Estimator cost is waived when total monthly billing is $500 or more. The Estimator is an add-on product to our eligibility service and not available as a stand alone item.

 

Claim Status Solution

Plan AmountCostRate
Up to 150 transactions$50 33 cents
Up to 333 transactions$10030 cents
Up to 800 transactions$20025 cents
Up to 2500 transactions$50020 cents

MBI Lookup Tool

Edit
Plan Cost Transactions included with NPI Transactions included without NPI Premium Portal Batch Excel Report
$50 Up to 100 unavailable X X
$100 Up to 200 Up to 133 X X
$200 Up to 400 Up to 267 X X
$500 Up to 1,250 Up to 714 X X
$1000 Up to 2,500 Up to 1,667 X X

 

 

Prepaid Plans

 

Portal only one-time setup fee: $99

 Integration with EMR/PM one-time set-up fee: $299-$2500

 

 

 

Instant Eligibility Solution 

90 day validity (Remaining verifications roll-over if recharged before expiration)
 

Edit
Plan Amount Cost Rate Premium Portal
1200 verifications $300 25 cents/per X
2500
verifications
$500 20 cents/per X
6,667
verifications
$1000 15 cents/per X
10,000
verifications
$1500 15 cents/per X

 Above rate is standard for 1-3 Service Types. Certain payers charge for multiple Service Types which may result in additional fees on those transactions. A list of these payers will be provided upon request.

*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, 2-month cancellation fee required.

Costs are subject to pass thru fees*, non-EDI fees for Medical and Vision Payers, batch processing fees and 3% Paypal when applicable.

*pVerify charges additional fees for some eligibility plans for a small amount of payers. To see the list, click here 

 

Claims Status Solution

Plan AmountCostRate
Up to 150 transactions$50 33 cents
Up to 333 transactions$10030 cents
Up to 800 transactions$20025 cents
Up to 2500 transactions$50020 cents

 

 

MBI Lookup Tool

Edit
Plan Cost Transactions with an NPI Transactions without an NPI Premium Portal Batch Excel Report
$50 100 transactions Unavailable X X
$100 200 transactions 133 transactions X X
$200 400 transactions 267 transactions X X
$500 1,250 transactions 714 transactions X X
$1000 2,500 transactions 1,667 transactions X X