pVerify

4.3 (41)
Write a Review!
Patient eligibility verification for healthcare providers.

About pVerify

pVerify is a cloud-based solution that helps healthcare organizations verify patient insurance eligibility on a centralized interface. The platform includes APIs and eligibility benefits verification that helps medical professionals verify prior authorization, claims status, and more. pVerify also offers batch eligibility solutions for medical, dental, and vision providers. Key features include real-time APIs, parsed benefits, EMR/PM integration, custom business rules, compliance management, and financial estimators.


Key benefits of pVerify

- Provides real-time insurance eligibility verification for medical, dental, and vision providers through cloud-based portal, batch processing, or API integration

- Includes Medicare solutions such as SNF, inpatient, and same or similar to facilitate compliance

- Estimates patient financial responsibility with an integrated patient estimator tool


Images

pVerify Software - pVerify verification
pVerify Software - pVerify dashboard
pVerify Software - pVerify batch example
View 3 more
pVerify Software - pVerify verification
pVerify Software - pVerify dashboard
pVerify Software - pVerify batch example

Not sure about pVerify? Compare with a popular alternative

pVerify

4.3 (41)
VS.

Starting Price

USD 50.00
month
No pricing found

Pricing Options

Free version
Free trial
Free version
Free trial

Features

9
16

Integrations

9
15

Ease of Use

4.3 (41)
4.0 (12)

Value for Money

4.0 (41)
4.4 (12)

Customer Service

4.4 (41)
4.1 (12)
Green rating bars show the winning product based on the average rating and number of reviews.

Alternatives

DreamFactory

4.1
#1 Alternative to pVerify
DreamFactory is a API generation platform that automates the building, securing, and documenting of internal/private...

Waystar

4.5
#2 Alternative to pVerify
Waystar provides a next-generation, cloud-based technology platform that modernizes the healthcare revenue cycle. Our...

Availity

3.8
#3 Alternative to pVerify
Availity is designed to help businesses in the healthcare industry manage medical benefits, insurance claims, and...

CollaborateMD

4.1
#4 Alternative to pVerify
CollaborateMD delivers cloud-based practice management, medical billing, and care coordination software that helps...

Reviews

Overall rating

4.3 /5
(41)
Value for Money
4.0/5
Features
4.3/5
Ease of Use
4.3/5
Customer Support
4.4/5

Already have pVerify?

Software buyers need your help! Product reviews help the rest of us make great decisions.

Showing 5 reviews of 41
Jason
Jason
Overall rating
  • Industry: Health, Wellness & Fitness
  • Company size: 2–10 Employees
  • Used Daily for 1-5 months
  • Review Source

Overall rating

  • Value for Money
  • Ease of Use
  • Customer Support
  • Likelihood to recommend 10.0 /10

pVerify API for Dental Office Insurance Verification

Reviewed on 30/01/2024

pVerify is very responsive and customer focused. If you are looking for APIs for Dental Insurance...

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

Pros

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

Cons

I would like to see additional parsing of Dental Insurance.

Verified Reviewer
Overall rating
  • Industry: Medical Practice
  • Company size: 51–200 Employees
  • Used Daily for 1+ year
  • Review Source

Overall rating

  • Value for Money
  • Ease of Use
  • Customer Support
  • Likelihood to recommend 9.0 /10

Eligibility/Discovery partner

Reviewed on 05/02/2024

Overall our partnership with pVerify has allowed our company to grow and be able to find member's...

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.

Christopher
Overall rating
  • Industry: Health, Wellness & Fitness
  • Company size: 11–50 Employees
  • Used Daily for 1+ year
  • Review Source

Overall rating

  • Value for Money
  • Ease of Use
  • Customer Support
  • Likelihood to recommend 5.0 /10

Its the most you can get

Reviewed on 30/01/2024

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

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.

Brittainy
Overall rating
  • Industry: Hospital & Health Care
  • Company size: 2–10 Employees
  • Used Daily for 1+ year
  • Review Source

Overall rating

  • Value for Money
  • Ease of Use
  • Customer Support
  • Likelihood to recommend 9.0 /10

Pverify is a life saver

Reviewed on 24/06/2024

I love the batch eligibility feature it has saved us so much time. I also like that you can pull...

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.

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.

Priscilla
Overall rating
  • Industry: Health, Wellness & Fitness
  • Company size: 51–200 Employees
  • Used Daily for 2+ years
  • Review Source

Overall rating

  • Value for Money
  • Ease of Use
  • Customer Support
  • Likelihood to recommend 10.0 /10

Ease of Use

Reviewed on 14/03/2024

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

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

Showing 5 reviews of 41 Read all reviews

pVerify FAQs

Below are some frequently asked questions for pVerify.

pVerify offers the following pricing plans:

  • Starting from: USD 50.00/month
  • Pricing model: Subscription
  • Free Trial: Available

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

pVerify has the following typical customers:

11–50, 51–200, 201–500, 501–1,000, 1,001–5,000

pVerify supports the following languages:

English

pVerify supports the following devices:

pVerify integrates with the following applications:

AdvancedMD Billing Services, AdvancedMD EHR, AdvancedMD Telemedicine, AdvancedMD for Mental Health, AdvancedMD for Physical Therapy, CareCloud, Nextech EHR & PM, Raintree Systems, VICIdial

pVerify offers the following support options:

Email/Help Desk, FAQs/Forum, Knowledge Base, Phone Support

Related categories

See all software categories found for pVerify.