pVerify

RATING:

4.3

(40)

About pVerify

pVerify is a real-time insurance eligibility verification solution for medical, dental, and vision providers. The software offers APIs for eligibility, prior authorization, claim status, and more. It also provides batch eligibility verification services and a cloud-based eligibility portal. pVerify allows healthcare professionals to parse eligibility benefits at a deeper level, extracting detailed coverage information. This allows providers to have complete visibility into a patient's benefits. Additionally, the platform also integrates with EHR and practice management systems for streamlined workflows.

pVerify Pricing

Pricing is tiered volume-based with an exception for a few solutions that are per provider-based.

Starting price: 

$50.00 per month

Free trial: 

Available

Free version: 

Not Available

pVerify verification
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pVerify Reviews

Overall Rating

4.3

Ratings Breakdown

Secondary Ratings

Ease-of-use

4.5

Customer Support

4.5

Value for money

4

Functionality

4.5

Most Helpful Reviews for pVerify

1 - 5 of 40 Reviews

Anonymous

51-200 employees

Used daily for less than 2 years

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

5

EASE OF USE

4

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

Reviewed February 2024

Eligibility/Discovery partner

Overall our partnership with pVerify has allowed our company to grow and be able to find member's benefits. They have been helpful and responsive when we need help. They do periodic updates that assist.

PROS

I really like the ability to get eligibility within a few minutes for hundreds of children. I also like being able to set up my own rules that I can change. Individual discovery is a game changer. This is so helpful when I have a few members I need to find.

CONS

That certain data fields are all over the place. Being a national organization, it can be hard when I know that field I want to pull but API wise, it is in comments or a random stop.

Jennifer

Medical Devices, 501-1,000 employees

Used daily for less than 6 months

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

4

EASE OF USE

4

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

Reviewed January 2024

Great tool, great support

It's been really good. They have a roadmap that will make them even better.

PROS

The system offers a DME summary to help make configuration easier. Also, the system provides user configurations through the website that are incorporated into the API data.

CONS

I'd like to have to have more configurations and ultimately pricing. They have pricing but it doesn't incorporate renewal dates (for rentals) and secondary insurance.

Reasons for switching to pVerify

We were using the Pokitdok portion of Change Healthcare. Pokitdok is being sunset.

Priscilla

Health, Wellness and Fitness, 51-200 employees

Used daily for more than 2 years

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

5

EASE OF USE

4

VALUE FOR MONEY

5

CUSTOMER SUPPORT

3

FUNCTIONALITY

5

Reviewed March 2024

Ease of Use

The experience has been good so far. Not complaints besides the follow-up

PROS

Intergration with our API was great and our agents use pverify for all of our eligibility. Whenever I place a ticket they are quick to respond

CONS

Whenever I put a ticket in and ask for a callback to let me know the issues has been resolved. I have not gotten phone callback nor an email update with my ticket. If I do get an email its well after the issue has been resolved.. I'm director of billing but also assist with operations so I'm constantly running around. A phonecall would be nice

Christopher

Health, Wellness and Fitness, 11-50 employees

Used daily for less than 2 years

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

3

EASE OF USE

5

VALUE FOR MONEY

3

CUSTOMER SUPPORT

5

FUNCTIONALITY

3

Reviewed January 2024

Its the most you can get

better than everything else, but thats not a high standard, and we arent asking much, but its not their problem.

PROS

its the most you can get in a bad industry.

CONS

the limits of its use are the limits of the ability of the industry to provide effective real time data in all scenarios, there needs to be a forced common healthcare insurance verification provided by the government, none of these companies with systems such as pverify work very well. The objective is simple its not space, if it was space the best the entire industry offers is a car ride from city to city. Maybe a flight, definitely not space. I still have employees spending hours and hours on verification, the software is a part of a system where I use 3-5 other systems for verification and still have to use human labor.

Reason for choosing pVerify

not applicable, I still had to keep the other products I use.

Sydney

Health, Wellness and Fitness, 11-50 employees

Used daily for less than 12 months

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

5

EASE OF USE

5

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

5

Reviewed January 2024

Pverify is the perfect solution for anyone in Healthcare who accepts insurance

PROS

Ease of setup, level of customer support, pricing, all reasons I would recommend

CONS

I don't have anything negative to report.

Reasons for switching to pVerify

2 platforms in one with Pverify. We didn't get as much data from other platforms.