JSON twin: https://www.healthaidb.com/software/pverify.json
pVerify
https://pverify.com/solutions/core-eligibility-verification/
pVerify is a real-time insurance eligibility and benefits verification platform that provides APIs, portal and batch tools to automate upfront coverage checks and reduce claim denials.
pVerify delivers high-accuracy, real-time eligibility verification and benefits insights across medical, dental and vision payers (1,500+ payers). It offers a business-rules engine, REST APIs, portal, batch processing and direct EHR integrations to automate verification workflows, generate structured coverage details, and support claims history and compliance tracking for providers, RCM/billing firms and health IT vendors.
yes
2006
P1349
2025-09-07
commercial/proprietary
Tiered, flexible enterprise plans; public pricing not listed — contact vendor for demo and pricing.
enterprise_quote
product
1.0
{
"company_name": "pVerify",
"company_url": "https://pverify.com",
"company_offices": [
"United States"
],
"company_founding": "2006",
"product_url": "https://pverify.com/solutions/core-eligibility-verification/",
"categories": [
"administrative",
"revenue cycle management",
"eligibility verification",
"integrations/apis",
"billing/claims"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://pverify.com/",
"https://pverify.com/solutions/core-eligibility-verification/",
"https://pverify.com/solutions/enhanced-patient-coverage-insights/",
"https://pverify.com/about/",
"https://pverify.com/api-developers/",
"https://pverify.com/payer-list/",
"https://elion.health/products/pverify",
"https://www.capterra.com/p/238921/pVerify/",
"https://www.trustradius.com/products/pverify/reviews"
],
"summary": "pVerify is a real-time insurance eligibility and benefits verification platform that provides APIs, portal and batch tools to automate upfront coverage checks and reduce claim denials.",
"description": "pVerify delivers high-accuracy, real-time eligibility verification and benefits insights across medical, dental and vision payers (1,500+ payers). It offers a business-rules engine, REST APIs, portal, batch processing and direct EHR integrations to automate verification workflows, generate structured coverage details, and support claims history and compliance tracking for providers, RCM/billing firms and health IT vendors.",
"target_users": [
"clinicians",
"revenue cycle managers",
"billing staff",
"practice administrators",
"health IT/EHR vendors",
"RCM/billing companies",
"DME suppliers",
"pharmacies/labs",
"payers"
],
"specialties": [
"multi-specialty ambulatory",
"urgent care",
"telehealth",
"durable medical equipment (DME)",
"physical therapy",
"dental",
"vision",
"pharmacy",
"diagnostic labs",
"imaging centers"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Tiered, flexible enterprise plans; public pricing not listed — contact vendor for demo and pricing.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS",
"hybrid"
],
"os_platforms": [
"Web",
"iOS",
"Android"
],
"features": [
"Real-time insurance eligibility checks",
"Batch eligibility verification",
"Web portal for verification",
"Business rules engine for automated workflows",
"Largest payer list (medical, dental, vision)",
"Coverage insights and financial responsibility estimation",
"Claims history & compliance tracking",
"Eligibility widget (consumer-facing)",
"Drop-in UI (low-code) for embedding",
"Demographic validation",
"Webhooks and email notifications",
"Payer discovery and hierarchical logic",
"Automated payer verification workflows",
"High-volume API connectivity (50+ endpoints)",
"RESTful API and SOAP support",
"ANSI X12 270/271 support",
"Zapier connector",
"CallShaper telemarketing integration",
"CRM integration support",
"DoseSpot integration"
],
"optional_modules": [
"Enhanced Patient Coverage Insights",
"Claims History & Compliance Tracking",
"Eligibility Widget",
"Drop-in UI",
"CallShaper",
"Zapier connector"
],
"integrations": [
"EHR / EMR vendors (direct EHR integration)",
"Practice management systems",
"CRM systems",
"Zapier",
"DoseSpot",
"CallShaper",
"Payer networks (1,500+ medical, dental, vision payers)"
],
"data_standards": [
"REST",
"FHIR",
"HL7",
"ANSI X12 (270/271)",
"SOAP"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [],
"privacy_features": [],
"data_residency": "",
"customers": [
"DoseSpot",
"Etactics"
],
"user_reviews": [
"PVerify is very responsive and customer focused.",
"Easy to use",
"Awesome team. Super friendly.",
"Great addition to my practice"
],
"ratings": [],
"support_channels": [
"email",
"portal/ticketing",
"api support",
"contact form"
],
"training_options": [
"documentation",
"developer_hub",
"templates",
"webinars"
],
"release_year": "",
"integration_partners": [
"DoseSpot",
"Etactics"
],
"id": "P1349",
"slug": "pverify",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/pverify.json"
}
}