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CredentialStream® is a modern provider lifecycle management solution designed to simplify credentialing, privileging, and enrollment. Powered by hStream, it automates data gathering and validation, en
The all-in-one credentialing solution, symplr Provider (formerly known as Cactus), takes care of everything from the initial application to ongoing recredentialing, which helps chief medical officers
From the first phone call with a new patient through final claim reconciliation and payment, you need a simpler way to collect, submit, and track the administrative, clinical, and financial data that
Medallion is the leading provider network management platform that unites provider operations and empowers end-to-end automation for credentialing, enrollment, and monitoring. We free healthcare teams
Verisys is an online credentialing and management tool. It uses trusted data to help protect patients, sustain your reputation, ensure compliance, and speed onboarding. The MedPass is created from the
Eliminate revenue loss with an automated, intelligent solution that handles every iteration of contracting, pricing, rebating, indirect channel processing, and compliance around regulatory and contrac
Up-to-date integrated provider directory software - delivering credentialed, referring, and affiliated provider data. Continuously curated and integrated with EHR, digital front door, patient access,
MedTrainer's enterprise platform simplifies healthcare compliance with training, documentation, incident reporting, credentialing, and more in one easy-to-use platform. Customers love MedTrainer's awa
Formerly known as “eVIPs”, our enhanced system, symplr Payer, is a robust workflow solution that automates and streamlines all aspects of provider data management for health plans and managed care org
Verifiable is a pre-built credentialing and network monitoring solution built to help provider, health plans, and pharma organizations optimize operations with error-free, fast verifications at scale
CAQH ProView®, the trusted source and industry standard for self-reported provider data, is used by more than 1.4 million healthcare providers. CAQH ProView continues to be the premier credentialing t
VerifyHCP is a groundbreaking provider data management and provider directory compliance solution that goes beyond answering federal and state regulations.
Provider1™ (formerly eProviderSync™) enables efficient and accurate provider data and contracts management across a Payer’s back and middle office functions. The Collaboration Portal manages the digit
ApexonHealth is the healthcare division of Technosoft Corp. The company provides solutions for revenue cycle management, coding, advanced analytics, claims management and other healthcare-focused BPM
AssureHCP includes online tools and inline integration for matching, validation, and eligibility processing of US healthcare providers. Assure HCP provides complete cross reference to all industry sta
DirectAssure’s intuitive, easy to use platform enables providers to submit or review existing practice, program, and plan affiliation information against previously supplied data to update or approve
SanctionsTrack consolidates and electronically reports all provider sanctions and related license actions in the United States.
Certify is architecting the modern provider data infrastructure — combining best-in-class technology, best-in-class data, and deep domain expertise to transform how healthcare operates. Entering the m
Change Healthcare Provider Manager offers a provider data management solution for payers that want to store and efficiently maintain accurate provider information to support members, reduce resource n
CodySoft is a revolutionary suite of web-based software products designed specifically for health plans and their complex environment.
CredSimple transforms provider credentialing into a fast, compliant and cost-effective process for healthcare organizations who are dissatisfied with inefficiencies that lead to burned out employees,
IMO’s deep expertise in clinical data is grounded in terminology used by over half a million US physicians during point-of-care documentation. IMO Precision Normalize leverages this foundation to eff
Kyruus Health is the leading care access platform on a mission to connect people to the right care. The company connects 425,000 providers across more than 1,000 hospitals and 500 medical groups, and
LexisNexis Provider Data Enhancements provides correct, current and comprehensive provider information in a way that is easy to integrate, automate and use.
LexisNexis Provider Data MasterFile is part of our Provider Data Intelligence Suite and the first stop along our provider data continuum.
Provider Data Validation is a web-based, real-time provider information search service that leverages the most current, comprehensive and accurate provider data.
LexisNexis ProviderPoint is a proven, powerful hosted solution that gives payers and other health care stakeholders a systematic way to keep provider information accurate and up-to-date, while signifi
Loyal Health is a healthcare technology company based in Atlanta, Georgia. Since its founding in 2015, Loyal has focused on creating innovative solutions that enhance the patient experience. With a de
Database tools and sophisticated data management services from Optum improve processes that depend on complete and accurate provider data.
Reliable clinician data is essential in the healthcare industry. The Orderly Provider Directory is a trustworthy source of real-time physician information sourced from various reliable and verified so
Managing provider data has become an overwhelming challenge even for the largest of organizations. Provider data is typically siloed across multiple business units and historically each business unit
Perspecta’s Provider Data Cleansing service ensures accurate, reliable provider data through AI-powered automation and verified sources. Our system identifies and corrects inaccuracies, replacing them
ProviderDirectoryAI (PDAI) revolutionizes provider directory management by leveraging big data, AI, and machine learning to deliver accurate, enriched, and compliant provider data. PDAI empowers users
Perspecta’s Roster Management service streamlines provider rosters by programmatically transforming varied formats into a cohesive, structured layout. Using proprietary ETL tools and AI-powered qualit
ProviderClenz from Animas Data Solutions can help reduce the administrative burden and close crucial revenue leakage points by 'scrubbing' your provider data in preparation for your critical data coll
ProviderLenz solves this problem as a technology-enabled solution that taps into all known, but unlinked streams of provider data to, first and foremost, curate accurate online directories in real-tim
From scheduling and billing to patient engagement and strategic decision-making, maintaining complete and accurate provider data is fundamental to your operations and your overall master data manageme
SKYGEN USA’s 2135 is an on-demand solution that helps healthcare payers strengthen provider network management and provider relationships. PDM strengthens payers’ ability to effectively build provider
The Symphony Provider Directory streamlines the way you share information with health plans so that you and your staff can focus on patient care.
TruProvider operationalizes the key functions of the provider lifecycle by integrating robust workflows, SLA tracking abilities and role-based dashboards into one, holistic solution.
V12 Network is a comprehensive provider network management system developed by Virsys12. It is built on the Salesforce platform, and is designed to automate and streamline the process of onboarding, c
Using a credentials verification organization (CVO) like Verisys to assist with the provider credentialing process assures nothing and no one slips through the cracks. We screen all 868 provider types