Price checkMonthly
Advanced Eligibility$125/transactions a month/moStandard Eligibility$395/transactions a month/moStandard Insurance Discovery$120/transactions a month/mo
See all 10 plans

All pVerify Plans & Pricing

Plan Monthly Annual Best For
Advanced Eligibility
Standard Eligibility
Standard Insurance Discovery
Enterprise Insurance Discovery
Standard MBI Lookup
Enterprise MBI Lookup
Standard Claim Status
Enterprise Claim Status
Standard Onboarding
Enterprise Onboarding
View all features by plan (compare side-by-side)

Advanced Eligibility

Standard Eligibility

Standard Insurance Discovery

Enterprise Insurance Discovery

Standard MBI Lookup

Enterprise MBI Lookup

Standard Claim Status

Enterprise Claim Status

Standard Onboarding

Enterprise Onboarding

See pVerify Plans
Compare pVerify with alternativesAdjust seats, lock a tier, add up to 2 more products side-by-side. Shareable URL.
Cost calculator

What does pVerify actually cost you?

Drag the slider. Pick a tier. Your projected spend updates as you go.

Tier
Billing
Your projected cost$3.1Kper month · $125/unit × 25units
Year 1 license$38K12 months at this rate
At a glance

List price by tier (annualized, per unit)

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

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

pVerify costs $40 to $395 per transactions a month as of July 2026, with 10 plans available. Plans: Advanced Eligibility at $125/transactions a month, Standard Eligibility at $395/transactions a month, Standard Insurance Discovery at $120/transactions a month, Enterprise Insurance Discovery at $390/transactions a month, Standard MBI Lookup at $50/transactions a month, Enterprise MBI Lookup at $200/transactions a month, Standard Claim Status at $40/transactions a month, and Enterprise Claim Status at $70/transactions a 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: Advanced Eligibility, Standard Eligibility, Standard Insurance Discovery, Enterprise Insurance Discovery, Standard MBI Lookup, Enterprise MBI Lookup, Standard Claim Status, Enterprise Claim Status, Standard Onboarding, Enterprise Onboarding. Paid plans include Advanced Eligibility at $125/transactions a month, Standard Eligibility at $395/transactions a month, Standard Insurance Discovery at $120/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 pricing ranges from $40 to $395/transactions a month across 10 plans. Plans include Advanced Eligibility at $125/transactions a month, Standard Eligibility at $395/transactions a month, Standard Insurance Discovery at $120/transactions a month, Enterprise Insurance Discovery at $390/transactions a month, Standard MBI Lookup at $50/transactions a month, Enterprise MBI Lookup at $200/transactions a month, Standard Claim Status at $40/transactions a month, Enterprise Claim Status at $70/transactions a month, Standard Onboarding (custom pricing), Enterprise Onboarding (custom pricing).

pVerify Pricing Overview

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

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
    industry "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
    industry "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
    industry "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
    industry "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
    industry "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
    industry "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
    industry "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
    industry "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
    industry "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.

02 Are there annual pricing options?

Annual pricing is available for the Standard Onboarding plan at $495.0 per month and the Enterprise Onboarding plan at $950.0 per month.

03 What are the monthly prices for the Onboarding plans?

The Standard Onboarding plan is $495.0 per month and the Enterprise Onboarding plan is $950.0 per month.

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