Healthcare Provider Credentialing Platform Solutions

Our platform automates data collection through CAQH integration, eliminates duplicate entry, orchestrates parallel verification workflows, automates primary source verification through direct API connections, provides real-time status tracking, enables electronic document management, and streamlines committee review processes. This comprehensive automation combined with intelligent workflow management reduces credentialing cycle time by 65% compared to manual processes while ensuring complete compliance with accreditation standards.

Our system provides automated verification of medical licenses through state boards, board certifications through ABMS, DEA registration through direct API connections, education credentials, work history, hospital privileges, professional liability insurance, and malpractice claims history. The platform maintains verification documentation, tracks verification status, alerts staff to incomplete verifications, and ensures all primary source verification requirements are met for accreditation compliance.

Our ongoing monitoring system automatically tracks expiration dates for licenses, certifications, DEA, insurance policies, and other credentials with configurable alert timelines (90-day, 60-day, 30-day warnings). The platform continuously monitors OIG exclusions, NPDB, SAM database, and state sanctions with daily updates. Automated email notifications alert providers and staff to upcoming expirations, the system prevents credential lapses, maintains compliance documentation, and supports re-credentialing workflows ensuring zero expired credentials.

Yes, our platform includes comprehensive accreditation reporting for Joint Commission, NCQA, AAAHC, and other accrediting bodies. Standard reports include credentialing summary, verification status, privileging documentation, ongoing monitoring compliance, expired credentials tracking, and complete audit trails. The system maintains documentation meeting accreditation standards, provides surveyors with required evidence, generates compliance dashboards, and ensures your medical staff operations meet all regulatory and accreditation requirements.

Our privileging module supports specialty-specific privilege delineation, core and special privilege definitions, competency assessment documentation, procedure authorization workflows, temporary privilege tracking, privilege modification requests, proctoring requirements, and focused professional practice evaluation (FPPE/OPPE) management. The system aligns privileges with board certifications, maintains privilege history, tracks privilege utilization, and ensures clinical privileges match provider qualifications and organizational policies throughout the credentialing lifecycle.