Price checkMonthly
Standard Claim Status$40/transactions a moStandard MBI Lookup$50/transactions a moEnterprise Claim Status$70/transactions a mo
See all 10 plans

All pVerify Plans & Pricing

Some prices not re-verified — only plans marked “checked” were confirmed on the vendor’s pricing page

Plan Monthly Annual Best For
Standard Claim Status not re-verified Not published Not specified
Standard MBI Lookup not re-verified Not published Not specified
Enterprise Claim Status not re-verified Not published Not specified
Standard Insurance Discovery not re-verified Not published Not specified
Advanced Eligibility not re-verified Not published Not specified
Standard checked Oct 30, 2026 Not published Not specified
Enterprise MBI Lookup not re-verified Not published Not specified
Enterprise Insurance Discovery not re-verified Not published Not specified
Standard Eligibility not re-verified Not published Not specified
Enterprise checked Oct 30, 2026 Not published Not specified
View all features by plan (compare side-by-side)

Standard Claim Status

Standard MBI Lookup

Enterprise Claim Status

Standard Insurance Discovery

Advanced Eligibility

Standard

Enterprise MBI Lookup

Enterprise Insurance Discovery

Standard Eligibility

Enterprise

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At a glance

List price by tier (annualized, per license)

Per-license list price across pVerify's plans, annualized. Custom-priced tiers show a hatched bar.

Standard Claim Status$480/yr
Standard MBI Lookup$600/yr
Enterprise Claim Status$840/yr
Standard Insurance Discovery$1.4K/yr
Advanced Eligibility$1.5K/yr
Standard$1.5K/yr
Enterprise MBI Lookup$2.4K/yr
Enterprise Insurance Discovery$4.7K/yr
Standard Eligibility$4.7K/yr
Enterprise$4.7K/yr
Quick Answer
Last verified:
High confidence

pVerify costs $40 to $395 per transactions a month as of October 2026, with 10 plans available. Plans: Standard Claim Status at $40/transactions a month, Standard MBI Lookup at $50/transactions a month, Enterprise Claim Status at $70/transactions a month, Standard Insurance Discovery at $120/transactions a month, Advanced Eligibility at $125/transactions a month, Standard at $125/month, Enterprise MBI Lookup at $200/transactions a month, Enterprise Insurance Discovery at $390/transactions a month, Standard Eligibility at $395/transactions a month, and Enterprise at $395/month. Pricing depends on your chosen tier, contract length, and negotiated discounts.

Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.

  • Free tier: No free tier available

pVerify offers 10 pricing tiers: Standard Claim Status, Standard MBI Lookup, Enterprise Claim Status, Standard Insurance Discovery, Advanced Eligibility, Standard, Enterprise MBI Lookup, Enterprise Insurance Discovery, Standard Eligibility, Enterprise. Paid plans include Standard Claim Status at $40/transactions a month, Standard MBI Lookup at $50/transactions a month, Enterprise Claim Status at $70/transactions a month.

Compared to other medical billing & revenue cycle management software, pVerify is positioned at the mid-market price point.

  • 9 documented hidden costs beyond list price
Last verified: | Sources: 1 pricing pages and reviews

How much does pVerify cost?

pVerify has 10 paid plans costing $40–$395/mo. Plans include Standard Claim Status at $40/transactions a month, Standard MBI Lookup at $50/transactions a month, Enterprise Claim Status at $70/transactions a month, Standard Insurance Discovery at $120/transactions a month, Advanced Eligibility at $125/transactions a month, Standard at $125/month, Enterprise MBI Lookup at $200/transactions a month, Enterprise Insurance Discovery at $390/transactions a month, Standard Eligibility at $395/transactions a month, Enterprise at $395/month.

pVerify Pricing Overview

pVerify has 10 pricing plans ranging from $40 to $395/transactions a month. The Standard Claim Status plan costs $40/transactions a month. The Standard MBI Lookup plan costs $50/transactions a month. The Enterprise Claim Status plan costs $70/transactions a month. The Standard Insurance Discovery plan costs $120/transactions a month. The Advanced Eligibility plan costs $125/transactions a month. The Standard plan costs $125/month. The Enterprise MBI Lookup plan costs $200/transactions a month. The Enterprise Insurance Discovery plan costs $390/transactions a month. The Standard Eligibility plan costs $395/transactions a month. The Enterprise plan costs $395/month.

pVerify with a 1-year term minimum commitment.

There are at least 9 documented hidden costs beyond pVerify's list price, including implementation, training, and add-on fees.

This pricing was last verified in June 14, 2026 from 1 independent source.

See pVerify Plans

pVerify offers a range of plans for eligibility, insurance discovery, MBI lookup, claim status, and onboarding. All plans are priced per transaction a month, except for the Onboarding plans which are priced per month.

The available plans include Standard and Enterprise tiers for most services, with specific plans like Advanced Eligibility also offered.

How pVerify Pricing Compares

Compare pVerify pricing against top alternatives in Medical Billing & Revenue Cycle Management.

Claimmd $30-$120/mo nth View pricing → Kareo Billing Custom pricing View pricing → Greenway Health Custom pricing View pricing →

Compare pVerify vs Alternatives

Before committing to pVerify, compare pricing with these 3 alternatives in the same category.

VSClaimmd
From $30/mo nth

Compare pricing
VSKareo Billing
Custom

Compare pricing
VSGreenway Health
Custom

Compare pricing

All pVerify alternatives & migration guides

What Companies Actually Pay for pVerify

Review scores
Third-party review aggregates, as of Jul 2026
Top pricing complaints
Gaps for Behavioral Health Providers (e.g., lack of lapse detection, no behavioral health-specific payer logic, no seamless admissions-to-billing handoff)Pricing Surprises (related to additional modules or increased usage)Search functionality not always intuitiveIntegration Support Issues (e.g., lack of proper support from NextGen support team)

How pVerify Pricing Compares

Software Starting Price Top Price
pVerify $40/transactions a month $395/transactions a month
Claimmd $30/mo nth $120/mo nth
Greenway Health Custom Custom
Veradigm (Allscripts) Custom Custom
Kareo Billing Custom Custom
MedEvolve Custom Custom

Browse all Medical Billing & Revenue Cycle Management pricing →

9 pVerify Hidden Costs Beyond the List Price

Beyond the listed price, pVerify has at least 9 documented hidden costs that can significantly increase total cost of ownership.

Watch for 9 hidden costs
  • Setup and Onboarding $500 to $2,000+
    medium 1 source
    Grounded summary Setup and Onboarding: While not always publicly disclosed, industry estimates for pVerify onboarding range from $500 to $2,000+ and are typically quoted separately.
  • General Implementation and Onboarding $1,500 to $5,000
    medium 1 source
    Grounded summary Implementation and Onboarding (General Industry Estimate): Broader industry estimates for implementation and onboarding, especially depending on the depth of EHR integration, can range from $1,500 to $5,000.
  • API/EHR/PM Integration $5,000 and $30,000+
    high 1 source
    Grounded summary API/EHR/PM Integration: Integrating pVerify with existing Electronic Health Records (EHR) or Practice Management (PM) systems can be a substantial cost, estimated between $5,000 and $30,000+, depending on the complexity of the systems, the number ...
  • Data Migration
    medium 1 source
    Grounded summary Data Migration: Specific information on data migration costs is not publicly published by pVerify, but it is likely either included in onboarding fees or quoted separately.
  • Data Testing and QA $2,000 to $15,000+
    high 1 source
    Grounded summary Data Testing and Quality Assurance (QA): Buyers may incur costs ranging from $2,000 to $15,000+ for test cycles, data mapping, and validation.
  • Training Programs $1,000 to $8,000+
    medium 1 source
    Grounded summary Training Programs: While assumed to be included in Standard/Enterprise plans, dedicated training for administrators and staff can cost an estimated $1,000 to $8,000+ for live or virtual sessions.
  • Add-on Modules $50 per month
    medium 1 source
    Grounded summary Add-on Modules: Optional modules like the Patient Demographic Validator (PDV) are available, but their pricing is not publicly disclosed.
  • Transaction Overages
    high 1 source
    Grounded summary Transaction Overages: While pVerify's pricing is tiered based on transaction volume (e.g., Advanced Eligibility Standard at $125/month for up to 500 transactions/month, Enterprise at $395/month for up to 1500 transactions/month), customization and...
  • Behavioral Health Specific Needs
    medium 1 source
    Grounded summary Behavioral Health Specific Needs: Behavioral health providers often require multiple modules to cover their workflows, which can increase overall cost and complexity.
Tip

Ask your pVerify sales rep about these costs upfront. Getting them in writing before signing can save you from surprise charges later.

Full hidden costs breakdown →

Intelligence sourced from 1 independent sources
industry
Key claims include inline source attribution. Data verified against multiple independent sources. 14 source citations total.

pVerify Contract Terms

pVerify contracts do not auto-renew. Changes require advance notice. These terms are sourced from verified buyer experiences.

Contract Terms
Minimum Commitment 1-year term
Based on 1 verified source

How to Negotiate pVerify Pricing

pVerify contracts are negotiable. These 4 tactics are sourced from real buyer experiences and procurement specialists.

Negotiation Playbook 4 tactics
Leverage Market Knowledge high success

Understanding the true market value of the service and comparing it to competitors can strengthen a buyer's position.

https://larealtors.org
Understand Seller's Motivation high success

Gaining insight into why a vendor might be eager to close a deal can help buyers craft more appealing offers beyond just price.

https://larealtors.org
Be Willing to Walk Away high success

If a seller is unwilling to budge on price or terms, being prepared to disengage can give buyers the upper hand.

https://larealtors.org
Focus on Value high success

Instead of solely demanding price drops, buyers can focus on

https://itqlick.com
High success Medium Low / difficult

Full negotiation guide →

pVerify Pricing FAQ

01 What is the cheapest paid plan?

The Standard Claim Status plan is the cheapest paid plan at $40.0 per transaction a month.

Is this pricing incorrect? — we'll verify and update it.