# pVerify > Real\-time insurance eligibility and benefits verification for healthcare providers\. ## At a glance | Field | Value | | --- | --- | | Category | Insurtech Infrastructure | | Type | Solutions Provider | | Region | NA | | Headquarters | Tustin, California, USA | | Founded | 2006 | | Stage | Established | | Employees | 11-50 | | Funding | Acquired | ## Overview pVerify is a cloud-based SaaS platform providing real-time health insurance eligibility and benefits verification for healthcare providers. Founded in 2006, the company built a comprehensive eligibility verification system connecting to over 1,500 medical, dental, and vision payers through both EDI and non-EDI connections. Its primary customer base includes medical billing companies, physical therapy and occupational therapy practices, dental practices, health systems, and healthcare software developers. The platform delivers eligibility checks through a web-based portal, batch verification tools, and a library of 140+ REST APIs that integrate with EHR, practice management, and billing software. It supports multiple data exchange standards including HL7, FHIR, and ANSI X12. The system is HIPAA-compliant and SOC 2 certified, and includes modules for insurance discovery, prior authorization workflow, and claims submission integration. pVerify was acquired by DoseSpot in June 2023. DoseSpot is a PSG-backed healthcare technology company. pVerify continues to operate independently within that portfolio. In December 2024, pVerify expanded into the dental market with automated insurance eligibility software for dental practices. ## Products & services ### Real\-Time Eligibility Verification Instant patient insurance eligibility and benefits verification at the point of care, connecting to 1,500+ payers across medical, dental, and vision plans. **Key features:** - Single\-transaction eligibility checks across multiple payers - Real\-time coverage status and benefits detail - Reduces claim denials by identifying coverage gaps before service *Target users:* Healthcare providers, front\-desk staff, medical billing companies ### Batch Eligibility Verification Bulk eligibility processing for scheduled patients, enabling pre-visit eligibility sweeps across multiple payers. **Key features:** - High\-volume batch processing - Pre\-appointment coverage validation - Multi\-payer support in a single batch run *Target users:* Health systems, billing companies, large group practices ### Eligibility Portal Web-based, customizable portal for manual eligibility checks by administrative staff, with patient self-service capabilities. **Key features:** - Role\-based access for front\-desk and billing users - Configurable to match practice workflows - Patient self\-service interface option *Target users:* Front\-desk staff, billing administrators ### REST API Platform \(140\+ Endpoints\) Comprehensive API library for deep integration with practice management, EHR, and billing software. **Key features:** - 140\+ REST API endpoints - Support for HL7, FHIR, and ANSI X12 standards - Enables custom eligibility workflows within third\-party systems *Target users:* Healthcare software developers, EHR vendors, billing platform providers ### Insurance Discovery Tools for identifying unknown or secondary insurance coverage for patients to maximize reimbursement. **Key features:** - Secondary coverage identification - Coordination of benefits support - Reduces write\-offs from undetected coverage *Target users:* Revenue cycle management teams, billing companies ### Prior Authorization Workflow Integrated prior authorization tools combined with eligibility data for streamlined authorization management. **Key features:** - Eligibility\-to\-authorization workflow integration - Reduces administrative burden on clinical staff - Supports pre\-service authorization requirements *Target users:* Medical practices, health systems ## Category & focus - Subcategories: Eligibility Verification, API Platform, Healthcare Data Exchange - Insurance verticals: Health, Group Benefits - Target customers: TPAs, Carriers, Agents/Agencies ## Notable customers - WebPT \(real\-time eligibility integration partner\) - Veradigm \(Allscripts\) \-\- integration partner - Etactics \-\- claims submission integration partner ## Links - Website: - Directory profile: - About: - Linkedin: - Press/news: - Documentation: - Acquisition press release: --- *Last updated: 2026\-06\-05*