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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 pricing
pVerify does not have a free version but does offer a free trial. pVerify paid version starts at US$50.00/month.
Starting Price:
US$50.00/month
Free Version:
No
Free trial:
Yes
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pVerify Reviews
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41 reviews
Jason
- Industry: Health, Wellness & Fitness
- Company size: 2–10 Employees
- Used Daily for 1-5 months
-
Review Source
5.0
Reviewed on 30/01/2024
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!
Pros
Their API is easy to work with - and is responsive (low latency).
Cons
I would like to see additional parsing of Dental Insurance.
Madeleine
- Industry: Hospital & Health Care
- Company size: 11–50 Employees
- Used Weekly for 1+ year
-
Review Source
4.0
Reviewed on 8/02/2024
pVerify is super helpful!
We use pVerify every week and it's such a great resource for anyone looking to verify insurance benefits!
Pros
I liked that, unlike other platforms, we can access all insurance plans across the nation. As a national practice it's hard to find something that does this.
Cons
I do think the platform could be more visually accessible for those with different disabilities. It's very "monotone".
Christopher
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for 1+ year
-
Review Source
3.0
Reviewed on 30/01/2024
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.
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.
Priscilla
- Industry: Health, Wellness & Fitness
- Company size: 51–200 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 14/03/2024
Ease of Use
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
Brittainy
- Industry: Hospital & Health Care
- Company size: 2–10 Employees
- Used Daily for 1+ year
-
Review Source
5.0
Reviewed on 24/06/2024
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.
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.
David
- Industry: Hospital & Health Care
- Company size: 11–50 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 11/03/2024
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.
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.
megan
- Industry: Medical Practice
- Company size: 11–50 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 14/03/2024
Makes my job easier
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.
Nadja
- Industry: Mental Health Care
- Company size: Self Employed
- Used Daily for 1+ year
-
Review Source
4.0
Reviewed on 18/03/2024
Great addition to my practice
My overall experience has been a positive one. It has given me greater control over our revenue.
Pros
It's a simple way to verify patient insurance and help us to collect payments accurately upfront.
Cons
Benefits are not always 100% correct though I know that can't be expected as benefits are complicated sometimes.
Jeremy
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 11/03/2024
Awesome team. Super friendly.
Pros
Very responsive. Always looking to fit to your needs and improve your business.
Cons
No cons! Love working with them. Great team.
Syed
- Industry: Executive Office
- Company size: 11–50 Employees
- Used Daily for 1+ year
-
Review Source
4.0
Reviewed on 14/03/2024
Pverify Review
Im happy but would like more features in pverify.
Pros
Simplicity of pverify is what keeps us from using it.
Cons
no secondary insurance verification has affected our company.
Verified Reviewer
- Industry: Medical Practice
- Company size: 51–200 Employees
- Used Daily for 1+ year
-
Review Source
5.0
Reviewed on 5/02/2024
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.
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.
Laura
- Industry: Medical Practice
- Company size: 51–200 Employees
- Used Daily for 1+ year
-
Review Source
5.0
Reviewed on 8/02/2024
The Best Verification Systems I have encountered
Well 1st of all I have the BEST Client Support Representative. She actually listens, provides feedback and understands our needs. We have requested additional products and the pVerify Team has actually built them to help achieve our goals.
Now let's talk about the system - We have been on pVerify for almost 2 years and have never had an issue with the system going down, sometimes there are payer websites that go down but that is out of pVerify's control.
Pros
pVerify has options to upload a batch or process individual verifications. They have also added many additional components to their system which are very useful and dependable.
Cons
Honestly, I do not have any Cons because pVerify has been amazing
Megan
- Industry: Medical Practice
- Company size: 201–500 Employees
- Used Daily for 1-5 months
-
Review Source
3.0
Reviewed on 8/02/2024
Good and Bad
PVerify does help in some areas and makes tracking productivity easy. But in a lot of cases I am finding we have to follow up with separate insurance portals to confirm benefits. It is a 50/50 for me
Pros
I like that Medicare benefits can be pulled through PVerify. Also that it will give the correct plan name if the card is not available to us. In some cases, it will also list the main subscriber if it is not the member being searched.
Cons
I do not like that the copay/coinsurance is not always accurate. You also can not pull government benefits. Insurance Discovery will also not pull all active coverage and will show the member does not have any coverage about 50% of the time for us.
Pamela
- Industry: Medical Practice
- Company size: 2–10 Employees
- Used Daily for 6-12 months
-
Review Source
4.0
Reviewed on 30/01/2024
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.
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.
pat
- Industry: Insurance
- Company size: 2–10 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 8/02/2024
need better pricing options
Pros
User management is easy. Setting up bulk users is easy to accomplish. You can also set up individual users right from the interface. The web site is uncomplicated but a white label option would be nice. Too many of our customers are confused by who pverify is.
Cons
Forced to purchase more eligibility checks than needed. You need to be able to customize for smaller businesses
Jackie
- Industry: Medical Practice
- Company size: 51–200 Employees
- Used Daily for 1+ year
-
Review Source
5.0
Reviewed on 30/01/2024
Time Saving Verifications
Pros
This is such a powerful timesaving tool. It takes only a few seconds to pull selected information needed in order to perform benefit verifications specific to the industry I am in.
Cons
There are still a few insurance providers that are not accessible on pVerify and we still have to use other methods to verify those plans.
Donna
- Industry: Medical Practice
- Company size: 201–500 Employees
- Used Daily for 1+ year
-
Review Source
3.0
Reviewed on 8/02/2024
From an insurance verification perspective
It's okay. I typically use other websites first, and go to Pverify if I need to clarify information or get additional information.
Pros
Multiple insurance companies in one place
Cons
Too many pages to scroll through to get the necessary information, would like to be able to enter a specific service and get just that information. It times out too quickly.
Verified Reviewer
- Industry: Medical Practice
- Company size: 11–50 Employees
- Used Daily for 6-12 months
-
Review Source
4.0
Reviewed on 30/01/2024
pVerify Use in Daily Work
Pros
pVerify is very user friendly. It provides concise, detailed information within a few keystrokes.
Cons
Functionality can be impacted by insurance files and updates by carriers.
Lakshmana
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for Free Trial
-
Review Source
4.0
Reviewed on 8/02/2024
Only reviewed pVerify briefly for electronic eligibility
Good and I do not have any complaints. It just did not work for me since I do not have proper support from NextGen support team back then. We stopped using NextGen as well since the contractor gave several problems and NextGen directly does not want to provide any help to get rid of the contractor as well.
Pros
This was reviewed long back. Before 2014, I believe. Wanted to integration with then practice management system Raintree and then NextGen instead of file based transfer between the practice management system(s) to and back from pVerify for eligibility. Back then pVerify does not have billing features which I notice your questions talk about.
Cons
Did not have access to the the api of nextgen at the time I reviewed pVerify for integration and so the whole idea of using pVerify was dropped.
Donna
- Industry: Hospital & Health Care
- Company size: 5,001–10,000 Employees
- Used Daily for 6-12 months
-
Review Source
5.0
Reviewed on 5/02/2024
pVerify Review
The experience overall has been smooth and no major hiccups have occurred.
Pros
Consent connectivity, API has been very stable.
Cons
Untimely responses and cost. Cost is much higher than other vendor we have or do utilize. Also, had to follow up several times for a response when we did have to reach out for an issue or updates.
Stephen
- Industry: Hospital & Health Care
- Company size: 11–50 Employees
- Used Daily for 1+ year
-
Review Source
4.0
Reviewed on 5/02/2024
Easy to use
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.
Moody
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for 6-12 months
-
Review Source
5.0
Reviewed on 30/01/2024
pVerify Helps Your Company Grow
Pros
Ease of use, very little downtime, great response time on support issues, great API functions, user interface is easy and fast!
Cons
Honestly, I do not have a "con". This is a great product and company.
Cassandra
- Industry: Medical Practice
- Company size: 11–50 Employees
- Used Daily for 2+ years
-
Review Source
5.0
Reviewed on 30/01/2024
Pverify office review
Pros
The company uses Pverify daily and the verification system has been seamless. The system is user friendly. If there is ever an issue, the customer service is fast and friendly.
Cons
Sometimes the specialist copays are not listed in the information provided.
Jennifer
- Industry: Medical Devices
- Company size: 501–1,000 Employees
- Used Daily for 1-5 months
-
Review Source
4.0
Reviewed on 30/01/2024
Great tool, great support
It's been really good. They have a roadmap that will make them even better.
Pros
The system offers a DME summary to help make configuration easier. Also, the system provides user configurations through the website that are incorporated into the API data.
Cons
I'd like to have to have more configurations and ultimately pricing. They have pricing but it doesn't incorporate renewal dates (for rentals) and secondary insurance.
Sydney
- Industry: Health, Wellness & Fitness
- Company size: 11–50 Employees
- Used Daily for 6-12 months
-
Review Source
5.0
Reviewed on 30/01/2024
Pverify is the perfect solution for anyone in Healthcare who accepts insurance
Pros
Ease of setup, level of customer support, pricing, all reasons I would recommend
Cons
I don't have anything negative to report.
