Pricing
We offer a range of flexible, tiered solutions designed to scale with your organization’s unique needs. Whether you’re a growing startup or an established enterprise, our customizable options ensure you get the right level of support, features, and performance—without paying for more than you need. With solutions tailored to fit every stage of growth, we empower your business to operate efficiently, innovate faster, and stay ahead of the competition.
Advanced Eligibility
| Standard | Enterprise | |
| Advanced Eligibility | Starting at $125/month Up to 500 transactions a month on a 1 year-term |
Starting at $395/month Up to 1500 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access |  |
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| API | |
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| Integration Options Available | |
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| Data Process Methods | ||
| Single Process via Portal | |
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| Self Batch via Portal | |
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| Full Service / First Class Batch via pVerify Service Team | |
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| Additional Features | ||
| Business Rules Engine | |
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| Reporting | Basic | Detailed |
| Optional Add-On | ||
| Patient Demographic Validator (PDV) | |
Insurance Discovery
| Standard | Enterprise | |
| Insurance Discovery | Starting at $120/month Up to 80 transactions a month on a 1 year-term |
Starting at $390/month Up to 200 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access | |
|
| API | |
|
| Integration Options Available | |
|
| Data Process Methods | ||
| Single Process via Portal | |
|
| Full Service / First Class Batch via pVerify Service Team | |
|
| Searchability | ||
| Standard (Commercial Payers + Medicare) | |
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| Advanced (Includes State Medicaid) | |
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| Additional Features | ||
| Reporting | Basic | Detailed |
| Optional Add-On | ||
| Patient Demographic Validator (PDV) | |
MBI Lookup
| Standard | Enterprise | |
| MBI Lookup | Starting at $50/month Up to 75 transactions a month on a 1 year-term | Starting at $200/month Up to 200 transactions a month on a 1 year-term |
| Searchability | ||
| Standard (Commercial Payers + Medicare) | |
|
| Advanced (Includes State Medicaid) | |
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| Additional Features | ||
| Business Rules Engine | |
|
| Reporting | Basic | Detailed |
Same or Similar
| Standard | Enterprise | |
| Same or Similar | Starting at $190/month Up to 250 transactions a month on a 1 year-term |
Starting at $450/month Up to 500 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access | |
|
| API | |
|
| Integration Options Available | |
|
| Data Process Methods | ||
| Single Process via Portal | |
|
| Self Batch via Portal | |
|
| Full Service / First Class Batch via pVerify Service Team | |
|
| Additional Features | ||
| Multi-User Access | |
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| Multi-Product Inquiry Capabilities | |
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| Multi-Regional Verification | |
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| Reporting | Basic | Detailed |
Certificate of Medical Necessity
| Standard | Enterprise | |
| CMN | Starting at $100/month Up to 125 transactions a month on a 1 year-term |
Starting at $215/month Up to 250 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access | |
|
| API | |
|
| Integration Options Available | |
|
| Data Process Methods | ||
| Single Process via Portal | |
|
| Self Batch via Portal | |
|
| Full Service / First Class Batch via pVerify Service Team | |
|
| Additional Features | ||
| Business Rules Engine | |
|
| Reporting | Basic | Detailed |
Claim Status
| Standard | Enterprise | |
| Claim Status | Starting at $40/month Up to 150 transactions a month on a 1 year-term |
Starting at $70/month Up to 250 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access | |
|
| API | |
|
| Integration Options Available | |
|
| Data Process Methods | ||
| Single Process via Portal | |
|
| Self Batch via Portal | |
|
| Full Service / First Class Batch via pVerify Service Team | |
|
| Additional Features | ||
| Reporting | Basic | Detailed |
Skilled Nursing
| Standard | Enterprise | |
| Skilled Nursing | Starting at $120/month Up to 150 transactions a month on a 1 year-term |
Starting at $430/month Up to 500 transactions a month on a 1 year-term |
| Connection Options | ||
| Premium Portal Browser Access | |
|
| API | |
|
| Integration Options Available | |
|
| Data Process Methods | ||
| Single Process via Portal | |
|
| Self Batch via Portal | |
|
| Full Service / First Class Batch via pVerify Service Team | |
|
| Additional Features | ||
| Reporting | Basic | Detailed |
Other Benefits
| Other Benefits | Standard | Enterprise |
| Onboarding | Starting at $495 | Starting at $950 |
| Technical Support | See Standard Support | See Enterprise Support |
| Customer Success | See Standard Support | See Enterprise Support |
| Billing | 3yr term, payable quarterly | 1yr term, payable quarterly |
| 1yr term, payable quarterly | 1yr term, payable quarterly | |
| Monthly Subscription | Monthly Subscription |