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Medical Practice / Professional Eligibility Pricing

US based only

 

Premium Eligibility Portal – Subscription Plans

Subscription is billed on the 1st of the month for the following month. Mid-month top-up required if plan amount exceeded

One-time set-up fee: $99

 

Plan AmountCostRate
Up to 400 verifications$10025 cents/per
Up to 1000 verifications$25025 cents/per
Up to 2500
verifications
$50020 cents/per
Up to 6667
verifications
$1000 15 cents/per
Up to 10,000 verifications$150015 cents/per
Volume above 10k/monthContact for pricing

*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 Solution- Subscription plans

Premium Eligibility Portal included at no extra cost

 

Subscriptions are billed monthly on the 1st of the month for the following month. Mid-month top-up required if plan amount exceeded

Batch Excel one-time set-up fee: $99- $599
Integration with EMR/PM one-time set-up fee: $299-$2500

 

Plan AmountCostRate
Up to 1000 verifications$25025 cents/per
Up to 2000
verifications
$500 25 cents/per
Up to 3000
verifications
$750 25 cents/per
Up to 4000
verifications
$100025 cents/per
Up to 10,000 verifications$250025 cents/per
Volume above 10k/monthContact for pricing

 *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.

 

 

Eligibility Prepaid Plans

90 day validity (Remaining verifications roll-over if recharged before expiration) – $99 Set-up fee

 

Plan AmountCostRatePremium Portal
1200 verifications$30025 cents/perX
2500
verifications
$50020 cents/perX
6,667
verifications
$100015 cents/perX
10,000
verifications
$150015 cents/perX

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.

 

 

Estimator Pricing Plans with pVerify

Plan TypePeriodPricing# TransactionsSetup Cost ($)
Subscription30 days$100*Unlimited99

*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.