pVerify API – Eligibility, Estimates, Claim Status, and Same/Similar

pVerify – Complete Patient Eligibility Verification


Complete Patient Eligibility Verification

Do you:


Spend too much time on API development and management?

Find yourself unable to get changed insurance plans?

Often getting wrong Copay or Coinsurance data?

Want API integration for small payers?

Find yourself bewildered about the insurance industry and looking for an eligibility partner for guidance?


If you answer “YES” to any of these questions, you need pVerify API.

Sign Up for Free Trial

Compare pVerify to your current eligibility verification solution.


 pVerifyYour Current Solution
Provide comprehensive Eligibility API for all payers?
Provide Medicare CPT specific eligibility?
Easy extract crucial information such as copay and activate status?
Show TPA, Medicare Risk, and other payer change info?
Allow API support of non-EDI payers?
Support Claim Status?
Support Same/Similar?

Eligibility Pricing Plans with pVerify


Plan TypePeriodTransaction CostPeriod Cost# of TransactionsOverageRenewal CostSetup Cost
Monthly Subscription 1000Monthly (annual contract)0.17$1,000*58820.22N/A99
Monthly Subscription 100Monthly (annual contract)0.22$100*4540.25N/A99
Prepaid 1,00090 days0.20$1,0005000N/A100099
Prepaid 50090 days0.25$5002000N/A50099
API, Batch or Volume >1000/monthContact us or visit pverify.io

*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.

Same or Similar Pricing Plans with pVerify


Plan TypePeriodTransaction Cost ($)Period Cost ($)# of TransactionsOverage ($)Renewal Cost ($)Setup Cost ($)
Prepaid30 days1.00300300N/A30099
Prepaid30 days.90600666N/A60099
Prepaid30 days.7510001333N/A100099

Estimator Pricing Plans with pVerify


Plan TypePeriodPricing# of TransactionsSetup Cost ($)
Subscription30 days$100*unlimited99

*Estimator cost is waived when total monthly billing is $500 or more.

**There is a one-time setup fee of $99 for all of the above plans.

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

pVerify Has three Pricing Options:

Prepaid plans expire, and you can renew the plan at any time, much like a prepaid phone card.

Subscription plans have a monthly fee, and you get a set number of transactions, with additional transactions at a low rate.

Monthly plans are for higher volume clients and have a charge per transaction.
pVerify charges additional fees for some eligibility plans for a small amount of payers. To see the list click here.

pVerify Draws Rave Reviews!

Utilizing pVerify’s automated verification service, we are able to validate our patient’s benefits thoroughly and consistently in advance of their visit…This allows us to identify issues relating to patient’s coverage and take corrective action before the patient being seen..I highly recommend pVerify eligibility solutions for any busy practice.

Albert Castillo

Since using pVerify, we have significantly reduced claim rejections, lowered administrative cost (by reducing the time it takes to verify eligibilities) and as improved our cash flow. pVerify has contributed immensely to our practice and I am so happy that we began using them. pVerify truely is an efficient and cost-effective tool designed to facilitate the eligibility verification process.

Beth Carvajal