# pVerify Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is pVerify the right Billing and Invoicing solution for you? Explore 41 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/238921/pVerify/reviews --- pVerify 4.3 (41) [View alternatives](https://www.capterra.com/p/238921/pVerify/alternatives/) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated March 13th, 2026 # Reviews of pVerify Ease of use 4.3 Customer Service 4.4 ## Pros and Cons in Reviews RL Ron L CEOHealth, Wellness and Fitness, 11 - 50 employeesUsed the software for: Less than 6 months. “pVerify was quick to setup, it's easy for my employees to use, and the pricepoint is fair.“ February 26, 2024 SS Stephen S COOHospital & Health Care, 11 - 50 employeesUsed the software for: 1-2 years. “The search is not as intuitive as I think could be possible with this type of technology.“ February 5, 2024 SF Sydney F CRM Solutions ArchitectHealth, Wellness and Fitness, 11 - 50 employeesUsed the software for: 6-12 months. “Ease of setup, level of customer support, pricing, all reasons I would recommend“ January 30, 2024 LN Lakshmana N AdminHealth, Wellness and Fitness, 11 - 50 employeesUsed the software for: I used a free trial. “It just did not work for me since I do not have proper support from NextGen support team back then.“ February 8, 2024 ME Mike E Cllinical DirectorMental Health Care, 11 - 50 employeesUsed the software for: Less than 6 months. “The customer support has been great and quickly and efficiently resolving these.“ January 30, 2024 ## Showing most helpful reviews Showing 1-25 of 41 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use mS megan S. Front Office Medical Practice Used the software for: 2+ years ### "Makes my job easier" March 14, 2024 5.0 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. Review Source JG Jackie G. Admin Manager Medical Practice Used the software for: 1-2 years ### "Time Saving Verifications" January 30, 2024 5.0 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. Review Source ML Megan L. RCM Team Lead Medical Practice Used the software for: Less than 6 months ### "Good and Bad" February 8, 2024 3.0 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. Review Source PB Pamela B. Offie Manager Medical Practice Used the software for: 6-12 months ### "Insurance Eligibility" January 30, 2024 4.0 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. Reason for choosing pVerify NA. I was not here during implementation Review Source pH pat H. pres Insurance Used the software for: 2+ years ### "need better pricing options" February 8, 2024 5.0 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 Review Source MB Moody B. CEO Health, Wellness and Fitness Used the software for: 6-12 months ### "pVerify Helps Your Company Grow" January 30, 2024 5.0 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. Reason for choosing pVerify Price Response time from sales team Interface Review Source CL Cassandra L. Front office manager Medical Practice Used the software for: 2+ years ### "Pverify office review" January 30, 2024 5.0 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. Review Source DB Donna B. Senior Verification Representative Medical Practice Used the software for: 1-2 years ### "From an insurance verification perspective" February 8, 2024 3.0 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. Review Source DG Donna G. Sr. Product Manager Hospital & Health Care Used the software for: 6-12 months ### "pVerify Review" February 5, 2024 5.0 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. Review Source LN Lakshmana N. Admin Health, Wellness and Fitness Used the software for: I used a free trial ### "Only reviewed pVerify briefly for electronic eligibility" February 8, 2024 4.0 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. Reason for choosing pVerify Fixed cost per month than per patient eligibility req is what made us go with Trizetto. Used Emdeon for a while and the costs were different every month. Review Source AW ALYCEN W. Dir. of Revenue Medical Practice Used the software for: 1-2 years ### "Works great" March 5, 2024 4.0 Pros Batching eligiblity, ease of entering new providers Cons Payer Downtime and still needing logins for specific payers. Reason for choosing pVerify Single location for most payers is far more convenient. Review Source MG Marshaun G. Owner Mental Health Care Used the software for: 2+ years ### "My Honest Review" January 30, 2024 3.0 Overall, I would give it a 5 out of 10. Pros It's easy to use and inexpensive. The functions are self-explanatory. Cons The layout of information is confusing, as well as the reports. Doesn't always provide the information I am looking for. Review Source JF Jack F. Technology Project Manager Hospital & Health Care Used the software for: 2+ years ### "One Day Turnaround!" January 30, 2024 5.0 Pros When we submit batch requests for eligibility, we get our results < 1 Day consistently - this helps when we plan ahead. Cons I don't have any direct cons for our Business use. Review Source PC Pravinsinh C. Founder Information Technology and Services Used the software for: I used a free trial ### "Smart Product to start with." January 31, 2024 4.0 Pros I have all major API that can help accessing required information. Cons Need to connect more dental Insurances for more Real time Eligibility and Benefits Verification cases. Review Source BW Brittainy W. Owner Hospital & Health Care Used the software for: 1-2 years ### "Pverify is a life saver" June 24, 2024 5.0 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. Review Source VR Verified Reviewer Revenue Cycle Manager Medical Practice Used the software for: 1-2 years ### "Eligibility/Discovery partner" February 5, 2024 5.0 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. Review Source CB Christopher B. FNP Health, Wellness and Fitness Used the software for: 1-2 years ### "Its the most you can get" January 30, 2024 3.0 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. Reason for choosing pVerify not applicable, I still had to keep the other products I use. Review Source LB Laura B. VP of Revenue Cycle Medical Practice Used the software for: 1-2 years ### "The Best Verification Systems I have encountered" February 8, 2024 5.0 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 Reason for choosing pVerify The response, customer service that was given since day one. Review Source PM Priscilla M. Billing Director Health, Wellness and Fitness Used the software for: 2+ years ### "Ease of Use" March 14, 2024 5.0 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 Review Source DM David M. Owner Hospital & Health Care Used the software for: 2+ years ### "Makes insurance verification so much easier" March 11, 2024 5.0 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. Reason for choosing pVerify Customer service, value, and ability to meet all of our needs. Review Source Jason D. Office Manager AND Developer Health, Wellness and Fitness Used the software for: Less than 6 months ### "pVerify API for Dental Office Insurance Verification" January 30, 2024 5.0 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. Reason for choosing pVerify pVerify was responsive and easy to work with. I have interacted with their customer service and tech support multiple times and receive quick (less than 1 hr) complete responses to my questions. Review Source VR Verified Reviewer Medical Coding Consultant Medical Practice Used the software for: 6-12 months ### "pVerify Use in Daily Work" January 30, 2024 4.0 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. Review Source JF Jennifer F. Sr Director of Business Applications Medical Devices Used the software for: Less than 6 months ### "Great tool, great support" January 30, 2024 4.0 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. Review Source SF Sydney F. CRM Solutions Architect Health, Wellness and Fitness Used the software for: 6-12 months ### "Pverify is the perfect solution for anyone in Healthcare who accepts insurance" January 30, 2024 5.0 Pros Ease of setup, level of customer support, pricing, all reasons I would recommend Cons I don't have anything negative to report. Switched from [Waystar](https://www.capterra.com/p/45512/ZirMed/)[Availity](https://www.capterra.com/p/68854/Availity/) 2 platforms in one with Pverify. We didn't get as much data from other platforms. Review Source cG cynthia G. trainer Medical Practice Used the software for: 2+ years ### "great service" January 30, 2024 5.0 Pros user friendly easy to use no issues login in. Cons no problems at all i like everything about it Review Source Similar Products Featured ## Related categories [EDI](https://www.capterra.com/edi-software/)[Insurance Policy](https://www.capterra.com/insurance-policy-software/)[Billing and Invoicing](https://www.capterra.com/billing-and-invoicing-software/) ## Send me user reviews about this product ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox.