pVerify’s Pricing Plans for Eligibility

Pricing Plans by Solution

pVerify’s provides tiered pricing for each of its solutions.

Setup fees quoted separately.

Eligibility Pricing

pVerify Lite, pVerify Premium, and First Class Batch Reports

DME Supplier Pricing

Eligibility, Same or Similar, and In-patient Skilled Nursing Faculty  

Add-on Solutions Pricing

Patient Estimator, MBI Lookup, Insurance Discovery, and MORE!

API Pricing

Refer to Developer’s Website

Eligibility Pricing

Subscription and Monthly Plans

pVerify Lite

A Simplified Version of pVerify Premium

pVerify Premium

Customized Advanced Eligibility

First-Class Batch

Outsourced Patient Verification
Plans starting at

$50 per provider

Plans starting at

$100 per month

Plans starting at

$400 per month

Advanced Eligibility

Proprietary research into payers' eligibility response for maximum verification success
YES YES YES

Specialty Specific

In-depth, specialty-focused, customized parsing of verified patient benefits
YES YES YES

All EDI Payer Coverage

Medicare, Medicaids, and Commercial Payers (EDI)
YES YES YES

Instant Eligibility (Real-time)

Real-time single patient verification
YES YES YES

Unlimited Users

Unlimited users with unique log-in details and passwords
YES YES YES

Unlimited Providers and Locations

Unlimited Provider NPIs for patient verification and unlimited locations to restrict patient details by location and users
YES YES

Business Rule Engine

Insert of existing benefit knowledge into each Eligibility return
YES YES

Patient Batch Upload

Verify patients in batches
YES YES

Self Service Batches

Medicare, Medicaid, and Specialist Benefits for Commercial Payers
YES YES

Add-on Products

Supports the Estimator, Patient Payments, and MORE!
YES YES

Unlimited Support

Phone, Email, and Ticket Support
YES YES

Integrate with EMR/PM

Compatible with system integrations
YES YES

Outsourced Batch Patient Processing

Outsource patient verification prior to their appointment
YES

Non-EDI Payer Coverage

Verification of difficult and non-electronic payers
YES
Request Pricing Request Pricing Request Pricing

Eligibility Pricing

Subscription and Monthly Plans

pVerify Lite

A Simplified Version of pVerify Premium

Plans starting at

$50 per provider

Advanced Eligibility

Proprietary research into payers' eligibility response for maximum verification success

Focused per specialty

In-depth, specialty-focused, customized parsing of verified patient benefits

All EDI Payer Coverage

Medicare, Medicaids, and Commercial Payers (EDI)

Instant Eligibility (Real-time)

Real-time single patient verification

Unlimited Users

Unlimited users with unique log-in details and passwords

pVerify Premium

Customized Advanced Eligibility with add-on Solutions

Plans starting at

$100 per month

Advanced Eligibility

Proprietary research into payers' eligibility response for maximum verification success

Focused per specialty

In-depth, specialty-focused, customized parsing of verified patient benefits

All EDI Payer Coverage

Medicare, Medicaids, and Commercial Payers (EDI)

Instant Eligibility (Real-time)

Real-time single patient verification

Unlimited Users

Unlimited users with unique log-in details and passwords

Unlimited Providers

Unlimited Providers NPIs for patient verification

Unlimited Locations

Unlimited locations to restrict patient details by location and users

Patient Upload Processing

Verify patients in batches

Self-Batch Eligibility

Medicare, Medicaid, and Specialist Benefits for Commercial Payers

Add-on Products

Supports the Estimator, Patient Payments, and MORE!

Unlimited Support

Phone, Email, and Ticket Support

Integrate with EMR/PM

Compatible with system integrations

First-Class Batch

Outsourced Patient Verification

Plans starting at

$400/ per month

Advanced Eligibility

Proprietary research into payers' eligibility response for maximum verification success

Focused per specialty

In-depth, specialty-focused, customized parsing of verified patient benefits

All EDI Payer Coverage

Medicare, Medicaids, and Commercial Payers (EDI)

Instant Eligibility (Real-time)

Real-time single patient verification

Unlimited Users

Unlimited users with unique log-in details and passwords

Unlimited Providers

Unlimited Providers NPIs for patient verification

Unlimited Locations

Unlimited locations to restrict patient details by location and users

Patient Upload Processing

Verify patients in batches

Self-Batch Eligibility

Medicare, Medicaid, and Specialist Benefits for Commercial Payers

Add-on Products

Supports the Estimator, Patient Payments, and MORE!

Unlimited Support

Phone, Email, and Ticket Support

Integrate with EMR/PM

Compatible with system integrations

Automated/Outsourced Batch Report Processing

Outsource patient verification prior to their appointment

Non-EDI Payer Coverage

Verification of difficult and non-electronic payers

Durable Medical Supplier Pricing

Prepaid Plans

Eligibility

3-Month Validity

Same or Similar

3-month Validity

Inpatient SNF

3-Month Validity
Prepaid Plans starting at

$300

Prepaid Plans starting at

$300

Prepaid Plans starting at

$300

Combo Plan Pricing

One plan includes all 3 services: tiered pricing starting at $500 per month
YES YES YES

Auto-Recharge Capabilities

Opt in for auto-recharge: card-on-file will be charged for plan amount when fund reach last 5% or at expiration
YES YES YES

Includes Roll-Over Credits

If a plan is recharged before it expires, all remaining credits will be added to the new plan balance
YES YES YES

Unlimited Upload Processing

Run patients in large batches
YES YES YES

Unlimited Users

Unlimited users with unique log in details and passwords
YES YES YES

Unlimited Providers

Unlimited Provider NPIs for patient verification
YES YES YES

Unlimited Locations

Unlimited locations to restrict patient details by location and users
YES YES YES
Request Pricing Request Pricing Request Pricing

Durable Medical Supplier Pricing

Prepaid Plans

Eligibility

3 Month Validity

Prepaid Plans starting at

$300

Combo Plan Pricing

One plan includes all 3 services, tiered pricing starting at $500 per month

Auto-recharge capabilities

Opt in for auto-recharge, card-on-file will be charged for plan amount when fund reach last 5% or at expiration

Includes Roll-over credits

If a plan is recharged before it expires all remaining credits will be added to the new plan balance

Unlimited Upload Processing

Run patients in large batches

Unlimited Features

Unlimited users, provider NPIs, and Locations

Same or Similar

3 Month Validity

Prepaid Plans starting at

$300

Combo Plan Pricing

One plan includes all 3 services, tiered pricing starting at $500 per month

Auto-recharge capabilities

Opt in for auto-recharge, card-on-file will be charged for plan amount when fund reach last 5% or at expiration

Includes Roll-over credits

If a plan is recharged before it expires all remaining credits will be added to the new plan balance

Unlimited Upload Processing

Run patients in large batches

Unlimited Features

Unlimited users, provider NPIs, and Locations

Inpatient SNF

3 Month Validity

Prepaid Plans starting at

$300

Combo Plan Pricing

One plan includes all 3 services, tiered pricing starting at $500 per month

Auto-recharge capabilities

Opt in for auto-recharge, card-on-file will be charged for plan amount when fund reach last 5% or at expiration

Includes Roll-over credits

If a plan is recharged before it expires all remaining credits will be added to the new plan balance

Unlimited Upload Processing

Run patients in large batches

Unlimited Features

Unlimited users, provider NPIs, and Locations

Add-on Solution Pricing

Subscription and Monthly Plans

Estimator

Estimate patient responsibility

Plans starting at

$99 per month

Powered by Eligibility

pVerify Estimator takes a patient’s eligibility results to calculate financial responsibility based on their copays, co-insurance, out-of-pocket and deductible remaining

Powered by Fee Schedules

pVerify's Estimator takes a provider's unique fee schedules or 120% of Medicare (based on location) to correctly estimate financial responsibility.

Print to PDF

Print Estimates in PDF format with company logo, address, and customized disclaimers or email directly to the patient

Portal or API Supported

Available in the Premium Portal and by API Estimator Widget

MBI Lookup

Find the Medicare MBI ID

Plans starting at

$100 per month

Subscription Pricing

MBI Lookup is available with Subscription and Monthly Plans

Batch and Single Patient Modes

MBI Lookup include unlimited batch processing as well as Single Patient Mode on the Premium Portal

APIs Supported

pVerify provides robust APIs and detailed development to automate MBI Lookups

Print to PDF/Excel

Download to PDF or an Excel Spreadsheet

Unlimited Users and Locations

Unlimited users with unique log in details and passwords and unlimited locations

Inpatient SNF

Learn where a patient is, during their stay

Plans starting at

$150 per month

Subscription Pricing

Inpatient Skilled Nursing Facility is available with Subscription and Monthly Plans

Batch and Single Patient Modes

Inpatient SNF has unlimited batch processing as well as Single Patient Mode on the Premium Portal

APIs Supported

pVerify provides robust APIs and detailed development support for Inpatient SNF 

Print to PDF/Excel

Download to PDF or an Excel Spreadsheet

Unlimited Users

Unlimited users with unique log in details and passwords

Add-on Solution Pricing

Subscription and Monthly Plans

Patient Payments

Create CoF Payment Plans

Plans starting at

$10 per month

Powered by Eligibility and the Estimator

pVerify’s Estimator takes a patient’s eligibility results to calculate financial responsibility, which can be collected through Patient Payments

Contactless Collection

Patient Payments collects a patient’s card to add on file via text, email, or QR Code. The patient is also prompted with a Pay Now Button.

Create CoF Payment Plans

Create a payment plan to auto-draft the CoF monthly or weekly, until the balance has been paid off. 

Portal or API Supported

Available in the Premium Portal and by API 

Claim Status

Take action with Claim Status Alerts

Plans starting at

$100 per month

Subscription Pricing

Claim Status is available with Subscription and Monthly Plans

Batch and Single Patient Modes

Claim Status Alerts include unlimited batch processing as well as Single Patient Mode on the Premium Portal

APIs Supported

pVerify provides robust APIs and detailed development to automate Claim Status

Print to PDF/Excel

Download to PDF or an Excel Spreadsheet

Unlimited Users and Locations

Unlimited users with unique log in details and passwords and unlimited locations

Insurance Discovery

Find a patient’s insurance coverage

Plans starting at

$150 per month

Subscription Pricing

Insurance Discvoery is available with Subscription and Monthly Plans

Batch and Single Patient Modes

Insurance Discovery has unlimited batch processing as well as Single Patient Mode on the Premium Portal

APIs Supported

pVerify provides robust APIs and detailed development support for Insurance Discovery

Receive Verified Benefit Details

pVerify automatically verifies a patient’s coverage when insurance is discovered

Unlimited Users

Unlimited users with unique log in details and passwords