Did you know that the insurance verification market size reached a valuation of $2.39 billion in 2025? Besides, it is predicted to grow to $3.4 billion in 2030 at a CAGR of 7.2%.
Remarkable! Isn’t it? These numbers are enough to underscore the significance of insurance verification in healthcare billing. Thus, most providers prefer using software to automate it.
Since there are hundreds of insurance verification software out there, we decided to use our industry expertise to hand-pick the best ones for you. So, if this is something you have been looking into, continue reading!
Top 10 Medical Insurance Verification Software in 2026
Shortlisting the top 10 insurance verification software from a vast pool is not an easy feat. Especially when everyone claims to be the ultimate best. Thus, we designed and implemented a meticulous methodology.
Here’s what we checked:
- Feature Set: We looked for real-time verification capabilities, automation, EHR and billing software integration, and the size of the payer network.
- Certifications & Accreditations: The healthcare sector demands top-notch data security protocols. As a result, we ensured to include verification software that is HIPAA-compliant, AICPA SOC-certified, etc.
- Pricing: Even though most verification software providers do not disclose the pricing information upfront on their websites, we still gave it a shot. Why? Because we know that pricing is a critical factor in decision-making.
With that said, let’s start discussing the top 10 health insurance verification software:
1. SPRY
Are you in search of a health insurance verification software with smarter eligibility checks to reduce denials, boost collections, and simplify intake? If yes, SPRY is your best choice.
It guarantees up to 30% higher copay collections, lowers denials by 40%, and reduces administrative workload by 60%. What’s more? With it, you can achieve an over 95% accuracy rate and 3 times better patient payment compliance.
Moreover, it utilizes AI-powered automation. Its key features include:
- Real-time insurance eligibility check with a single tap.
- 3-second verification response time.
- Coverage prediction and validation.
- Comprehensive payer network connectivity (1,000+ payers).
- Mobile-first design for on-the-go verification.
- Automated prior authorization workflows.
- Supports integration with all leading EMR/EHR and billing software.
That’s not all, this medical insurance verification software has a positive rating on Capterra and G2.
2. Veritable
Trusted by 100+ healthcare practices and billing providers, Veritable is another name that made its way to our ‘Top 10 Insurance Verification Software’ listicle. Some of its notable clients include Children’s Therapy Center, New Patterns Counseling, MOREAU Physical Therapy, and Surgery Group LA.
A few of its features are listed below:
- Real-time patient coverage, benefits, and financial responsibility verification at the point of care.
- Supports self-service batch upload to verify hundreds of insurance records simultaneously.
- Extensive payer network with access to over 1,000 insurance payers.
- Offers automated claim status checks to help you resolve issues before they lead to denials.
- Seamlessly integrates with your existing EHR and billing system.
The best thing? Unlike most of the insurance verification software providers, it features a pricing calculator on its website. That is, for 250 transactions, you will be charged $50.
3. Waystar
The next insurance verification software securing a place in our top 10 listicle is Waystar.
Why did we choose it? Because it guarantees a 46% reduction in eligibility-related denials, a 35% reduction in dollars denied at health systems, and, on average, saves 55 hours every week that full-time employees spend on eligibility verification.
Its key features include:
- Plan code matching to mitigate registration errors.
- Automated alerts with actionable insights.
- Automated prior authorization workflows.
- Real-time claim status tracking.
- Integrated patient financial clearance.
- Multi-specialty practice support.
- Automated initiation of coverage detection to find additional coverage in real-time.
Its notable certifications and accreditations include MedTech Breakthrough Award 2025, HITRUST CSF, AICPA SOC, and Inc. Best in Business 2025.
4. pVerify
pVerify is another health insurance verification software we hand-picked for you. Reliable, compliant, and proven are the keywords it uses to describe its solutions.
Its key features include:
- Real-time eligibility verification across multiple payers.
- Customizable reports for better documentation and decision-making.
- Prior authorization requirement identification for services.
- Mobile app for convenient on-the-go insurance verification.
- Comprehensive report detailing patient benefits, including copayments, deductibles, and financial responsibility.
- Connects with 1,500+ dental, vision, and medical payers (EDI & Non-EDI).
There are no metrics available on the website offering insight into its performance. However, the website features its notable customers. These include GoHealth, Hawaii Cancer Care, Quest Health Solutions, and so many more.
The best part? You can choose the integration method. That is, either verify in real-time or in advance via API, batch, portal, or through direct EHR integration.
5. maxRTE
If you want a medical insurance verification software that is easy to install and ready to use within a few hours, choose maxRTE.
Its key features include the following:
- Instant one-click verification.
- Broad payer network.
- Automated batch processing.
- Precise generation of insurance coverage details.
- Seamless integration with leading EHR systems.
That’s not all, this insurance verification software is CAQH Core-certified, Direct Trust-accredited, and SOC 2 Type 2-compliant.
With over two decades of healthcare revenue cycle management experience, maxRTE claims to lower collection costs, enhance point-of-service collections, and reduce accounts receivable days with its verification software.
6. Experian
Experian offers one of the top-rated insurance verification software solutions. According to a case study featured on the website, the automated eligibility checks of its verification tool have helped Providence Health save $18 million in potential denials and found, on average, $30 million in coverage annually.
Its key features are listed below:
- Provides seamless connections to over 900 payers.
- Automatically returns missing or invalid Medicare Beneficiary Identifiers (MBI).
- Leverages the eCare NEXT® system to identify and alert staff of incorrect plan code.
- Uses preset or custom alerts to create work queues.
- Confirms active insurance and detailed benefits in real-time at the point of service.
- Normalizes patient information across all payers into an easy-to-read format.
- Performs primary vs. secondary insurance identification to increase billing accuracy.
- Smooth integration with leading EHR systems.
7. Inovalon
Another top-rated insurance verification software that we hand-picked after careful consideration is Inovalon. It offers three distinct product tiers to match different practice sizes and automation needs, i.e., Starter, Standard, and Pro.
Some of its features are listed below:
- Supports real-time API integrations to display all necessary patient eligibility and benefit information in a single dashboard.
- Comprehensive payer network with 1,000+ connections.
- Automatically saves every insurance verification.
- Enables staff to queue and prioritize eligibility requests.
- Access to historical data (271 Data) to help resolve denials faster and build more effective appeals.
This medical insurance verification software claims to have processed around 3.30 billion transactions annually. Besides, it has a 99.9% network uptime.
8. iCore
With more than 200 dental and healthcare associations, iCore (iCore Verify) is another health insurance verification software we shortlisted for you.
Let’s review some of its key features:
- Supports advanced batch automation.
- Real-time eligibility checks for walk-ins or same-day appointments without making phone calls.
- Performs continuous hourly syncing to catch new appointments or to retry verifications that failed earlier due to missing or incorrect data.
- Identifies and flags missing, invalid, or inconsistent data automatically.
- Provides comprehensive data breakdown detailing remaining benefit maximums, deductibles, frequencies, and uncovered treatments.
- Calculates expected out-of-pocket costs automatically.
- Syncs directly with existing EHR and practice management software.
- Cloud-based platform supports multi-device connectivity.
According to the pricing details on the website, the monthly charges are as follows: $450 for 50 verifications, $675 for up to 100 verifications, $950 for up to 150 verifications, and $1,250 for up to 250 verifications. If you require more than 250 verifications per month, you can contact its representative for a custom quote.
9. CERTIFY Health
CERTIFY is one of the best insurance verification software. The following are some of the features that make it stand out among its competitors.
- Real-time eligibility verification, including copay and deductibles breakdown.
- Direct EHR and billing system integration.
- Automated pre-authorization tracking.
- Instant insurance checks across multiple payers.
- Compliant with the No Surprises Act for upfront pricing.
Additionally, CERTIFY guarantees 100% accurate verification, reduces claim denials by 30%, saves 70% staff time spent on manual eligibility checks, and enhances upfront payment collections by 90%.
That’s not all, it is AICPA SOC 2 and HITRUST-certified, and HIPAA and PCI-compliant.
10. Infinx
Infinx is another medical insurance verification software that we hand-picked to include in our top 10 listicle.
Discussed below are its key features:
- Confirms active insurance coverage through an automated dashboard in real-time.
- Provides a granular view of service-level benefits, rather than just general plan status.
- Combines advanced AI automation with human oversight. That is, specialists handle complex exceptions or payer connectivity issues that automation cannot resolve.
- Leverages machine learning and deep data mining to find undisclosed or missing insurance coverage for patients listed as self-pay or uninsured.
- Supports bi-directional EHR/EMR integration, i.e., automatically pushes verified insurance and benefit data directly into the chart.
Its notable certifications and accreditations include ISO, AICA SOC, HITRUST, and HIPAA compliance.
Let MediBillMD Handle Insurance Verification For You!
Are you skeptical about investing in insurance verification software? Would you instead prefer to outsource the verification operations to a reliable third-party? If yes, partner with MediBillMD.
We are a leading medical billing company serving over 62+ specialties across all 50 states of the US. Leverage our expertise by outsourcing insurance eligibility verification services and enjoy improved collections, fewer denials, and reduced administrative burden.
