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pVerify: pricing signals, access, and small-practice fit
API-first specialist (~20 yrs, 1,500+ payers) for real-time eligibility, insurance discovery, patient cost estimation, and claim status. Public Postman docs and a published pricing page — unusually transparent. NOT a full clearinghouse: it does eligibility/discovery/claim-status, not 837 claims / 835 ERA / 278 prior auth.
What it does
270/271 Eligibility & benefits276/277 Claim status
- 270/271 Eligibility & benefits — Real-time check of whether a patient's coverage is active and what it covers (X12 270 request / 271 response).
- 276/277 Claim status — Ask a payer the status of a submitted claim (X12 276 request / 277 response).
Real-time: yes · Batch: yes
Known pricing signals
| Item | What's public |
|---|---|
| claimStatus | reported / estimate Claim Status from ~$40/mo (≤150 txns); Enterprise from ~$70/mo (≤250 txns) pVerify publishes a pricing page; confirm current figures at pverify.com/pricing. Source: Aggregator paraphrase of pverify.com/pricing — re-confirm on the official page · verified 2026-06-22 |
| range | reported / estimate Plans ~$50–$900/mo by module/volume; free trial available Source: Aggregators + pVerify positioning · verified 2026-06-22 |
| perTxn | no public price ~$0.25/transaction figure is a forum back-calculation (getprosper.ai), NOT an official rate. Setup/enrollment fees: no public pricing found. No public source — vendor quotes per account. |
Access requirements
Public pricing page, free trial, dedicated API-trial registration, and public Postman docs. OAuth2 credentials are provisioned by pVerify (not instantly self-issued) — a light sales gate for live use.
Best-for-small-practice
Among the most accessible for eligibility/claim-status specifically: public pricing, low ~$40–$50/mo entry, free trial, public docs. Scope: not a full 837/835/278 clearinghouse.
Best-for-small-practice/dev candidate for eligibility + claim status only.
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Find the right one →Independent transparency directory. Pricing and access details are compiled from public vendor pages and practitioner reports and are dated and confidence-tagged — published = vendor's own public page, reported = third-party/forum estimate, no public price = none found. We do not invent numbers. Last verified 2026-06-22. Not affiliated with any vendor; verify current terms directly before contracting. Some outbound links may be referral links.