DME Account Registration Form

Create your account with pVerify

Please fill out the form below

Please use this DME Account Registration Prepaid​ Form to help us to create your account. You will receive an email from support@pverify.com when this is done.

Note: An NPI is required for Eligibility. A PTAN is required for Same or Similar. If you are supplying an NPI or PTAN from a US Partner or Affiliate a signed Authorization Form is required.

Copy of Authorization Form

     

    Account Information

    Choosing your Prepaid Plans: Individual vs Combo Plans

    Purchase solutions individually with $300 and $500 Plans.
    Combo Plans are available for $500, $1000, and $1500 per month, one plan that includes all chosen solutions. Combo plans offer lower rates for each service.

     
    Refer to pricing provided by pVerify Representative

    Creating your account

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    DME Account Registration Prepaid

    Thank you for choosing pVerify!

    Please provide the Authorization Form provided to support@pverify.com.

    DME Account Registration Prepaid

    Verify Eligibility

    pVerify provides Eligibility details at a deeper level, with information separated and highlighted individually for easier review and understanding

    Estimate Responsibility

    pVerify Patient Estimates gives you quick and easy cost estimates for patient responsibility

    Collect Payment

    A worry-free commitment with pVerify’s No Contact Patient Payments that provides contactless payment collection