pVerify 2026: Benefits, Features & Pricing

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Overview
Pricing and Plans
Features
Integrations
User Reviews

Overview

pVerify

4.3

(41)

Pricing

Starting at $50.00 per month

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 Screenshots

pVerify Pricing and Plans

Starting price: $50.00 per month

Free Trial

Free Version

Basic

$50.00

usage based, per month

No plan information available

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pVerify Features

Popular features found in Billing and Invoicing
Billing Portal
Contact Database
Customizable Invoices
Invoice Processing
Mobile Payments
Multi-Currency
Payment Processing
Quotes/Estimates
Reporting & Statistics
Tax Calculation
Time & Expense Tracking
More features of pVerify
API
Claims Management
Claims Scrubbing
Compliance Management
Dashboard
Data Security
EDI
ERP integration
Insurance Eligibility Verification
Online Payments
Real-Time Data
User Management

pVerify Integrations

AdvancedMD for Mental Health

AdvancedMD for Physical Therapy

AdvancedMD EHR

Nextech EHR & PM

Raintree Systems

VICIdial

See all 9 integrations

pVerify User Reviews

Overall Rating

4.3

Ratings Breakdown

51%

29%

17%

Secondary Ratings

Ease of Use

4.3

Value for money

4.0

Customer support

4.4

Functionality

4.3

Jason D.

Verified reviewer

Health, Wellness and Fitness

2-10 employees

Used daily for less than 6 months

Review source

Reviewed January 2024

pVerify API for Dental Office Insurance Verification

pVerify is very responsive and customer focused. If you are looking for APIs for Dental Insurance verification I highly recommend them!

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Their API is easy to work with - and is responsive (low latency).

Cons:

I would like to see additional parsing of Dental Insurance.

Reasons for choosing pVerify

pVerify was responsive and easy to work with. I have interacted with their customer service and tech support multiple times and receive quick (less than 1 hr) complete responses to my questions.

Brittainy W.

Verified reviewer

Hospital & Health Care

2-10 employees

Used daily for less than 2 years

Review source

Reviewed June 2024

Pverify is a life saver

I love the batch eligibility feature it has saved us so much time. I also like that you can pull benefits multiple ways at once. e.g., general coverage, vs telehealth, vs mental health outpatient vs mental health as each of those coverage types can sometimes display a different return for what the patient owes.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

During the change healthcare outage we relied heavily on pverify to obtain eligibility.

Cons:

Pverify caters to imaging and other healthcare providers more readily and doesn't have all of the nuances set up for behavioral health providers. It would be nice if we could search by individual CPT code to see if it was covered under the policy.

Christopher B.

Verified reviewer

Health, Wellness and Fitness

11-50 employees

Used daily for less than 2 years

Review source

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.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

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.

Reasons for choosing pVerify

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

Pamela B.

Verified reviewer

Medical Practice

2-10 employees

Used daily for less than 12 months

Review source

Reviewed January 2024

Insurance Eligibility

Product is great. It would be great for the explanation of deductible applies when patient has deductible and copay. We use the urgent care setting, but it does not always give that the deductible applies to this service. It will have doesn't or does apply to OOP, but not patients' percentage, copay and if individual deductible applies to this facility.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Very few technical issues, easy to use. Technical support. Has other features that we are looking into suck as cost estimator.

Cons:

Can not check eligibility of BCBS on Sundays and some Saturdays.

Reasons for choosing pVerify

NA. I was not here during implementation

Stephen S.

Verified reviewer

Hospital & Health Care

11-50 employees

Used daily for less than 2 years

Review source

Reviewed February 2024

Easy to use

Ratings Breakdown

Ease of use

Functionality

Pros:

Very simple UI and easy to use. I can train my employees on it once and they’re good to go.

Cons:

The search is not as intuitive as I think could be possible with this type of technology.

megan s.

Verified reviewer

Medical Practice

11-50 employees

Used daily for more than 2 years

Review source

Reviewed March 2024

Makes my job easier

Ratings Breakdown

Ease of use

Functionality

Pros:

I love that I have access to hundreds of insurance plans at the tips of my fingers. I work in a patient facing office position and I love that I can quickly access their insurance benefits to help them with their needs in an efficient manor on one site.

Cons:

Nothing really. It was a little bit of a learning curve at first to decipher the daily reports for upcoming appointments, but once we figured it out it has been smooth sailing.

Priscilla M.

Verified reviewer

Health, Wellness and Fitness

51-200 employees

Used daily for more than 2 years

Review source

Reviewed March 2024

Ease of Use

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

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

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

David M.

Verified reviewer

Hospital & Health Care

11-50 employees

Used daily for more than 2 years

Review source

Reviewed March 2024

Makes insurance verification so much easier

Excellent. From onboarding to ongoing insurance verifying and support, everything has run smoothly. The company is proactive with communication as well.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Insurance verification much more streamlined, with good value for cost.

Cons:

It doesn't verify vision plans, but this is not a major issue.

Reasons for choosing pVerify

Customer service, value, and ability to meet all of our needs.

Verified

Reviewer

Medical Practice

51-200 employees

Used daily for less than 2 years

Review source

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.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

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.

Nadja N.

Verified reviewer

Mental Health Care

Self-Employed

Used daily for less than 2 years

Review source

Reviewed March 2024

Great addition to my practice