pVerify · Pricing Plans

Pverify Plans Pricing

CORRECTED 2026-08-15. Earlier rounds of this artifact recorded pVerify as sales-led with no published pricing. That is wrong: pVerify publishes a real per-product rate card at https://pverify.com/pricing/, with two named tiers per product, a monthly floor price and an included monthly transaction quota on each. Four products are priced — Advanced Eligibility, Insurance Discovery, MBI Lookup and Claim Status — for eight priced tiers in total, plus two published onboarding fees. Every price is quoted as "Starting at", so these are published FLOORS rather than final rates, and pVerify still quotes the actual contract. API access is the material tier boundary: on all four products the Standard tier is portal-only and the API is an ENTERPRISE-tier entitlement. Nothing on the page states an overage rate, a per-transaction rate beyond the bundle, a free trial, or a month-to-month option — those remain unpublished.

Pverify Plans Pricing is the machine-readable pricing-plan profile for pVerify on the APIs.io network, conforming to the API Commons Plans specification.

It defines 8 plans, covering subscription tiers, with named plans including Advanced Eligibility — Standard, Advanced Eligibility — Enterprise, Insurance Discovery — Standard, Insurance Discovery — Enterprise, MBI Lookup — Standard, and 3 more.

Tagged areas include Healthcare, Insurance, Eligibility, Claims, and EDI.

8 Plans API Commons Plans
View Source
HealthcareInsuranceEligibilityClaimsEDI270/271Plans

Plans

Advanced Eligibility — Standard subscription

Portal-only real-time eligibility verification. No API entitlement is listed on this tier.

Advanced Eligibility Standard (transactions · month) Starting at $125/month USD
Advanced Eligibility — Enterprise subscription

Adds the REST API, API integrations, self-service and full-service batch, and detailed reporting on top of the portal.

Advanced Eligibility Enterprise (transactions · month) Starting at $395/month USD
Insurance Discovery — Standard subscription

Portal-only insurance discovery across commercial payers and Medicare.

Insurance Discovery Standard (transactions · month) Starting at $120/month USD
Insurance Discovery — Enterprise subscription

Adds the REST API, full-service batch, detailed reporting and State Medicaid searchability.

Insurance Discovery Enterprise (transactions · month) Starting at $390/month USD
MBI Lookup — Standard subscription

Medicare Beneficiary Identifier lookup. The pricing page does not list API on either MBI tier, even though openapi/pverify-mbi-lookup-api-openapi.yml documents MBIInquiry / GetMBIResponse.

MBI Lookup Standard (transactions · month) Starting at $50/month USD
MBI Lookup — Enterprise subscription

Higher MBI quota with State Medicaid access and detailed reporting.

MBI Lookup Enterprise (transactions · month) Starting at $200/month USD
Claim Status — Standard subscription

Portal-only 276/277 claim status checks.

Claim Status Standard (transactions · month) Starting at $40/month USD
Claim Status — Enterprise subscription

Adds the REST API, single/batch processing and detailed reporting.

Claim Status Enterprise (transactions · month) Starting at $70/month USD

Sources

Work with this as data

Every plan here is available over the APIs.io API and to AI agents over MCP.

MCP server

One button, every client — Claude, Cursor, VS Code and the rest.

https://apis.io/mcp

Tools for plans

4 MCP tools reach this
  • find_plansBrowse and filter every plan in the catalog.
  • apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.
  • resolveTurn a domain, URL or GitHub org into the provider it belongs to.
  • find_cohortsEvery scored population of providers in the catalog.
All 92 tools

Call it yourself

curl for this page
This plan
curl "https://apis.io/api/v1/plans/pverify-plans-pricing"
All plans
curl "https://apis.io/api/v1/plans?limit=25"

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