Alternatives to CAQH
Compare CAQH alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to CAQH in 2026. Compare features, ratings, user reviews, pricing, and more from CAQH competitors and alternatives in order to make an informed decision for your business.
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CredentialStream
HealthStream
Finally, a single solution to affirm and continuously assess medical provider competency. Ensure excellence in care by offering the industry-leading software for enrolling, onboarding and privileging to continuously evaluate your providers. CredentialStream® incorporates patented technology that provides everything necessary for requesting, gathering, and validating information about a provider, all to establish a reliable Source of Truth for downstream processes. With a modern platform that is continuously updated, along with best-practice content libraries and industry-leading data sets, CredentialStream stands out as the most comprehensive provider lifecycle management solution available. Say goodbye to the headaches, hassles and manual processes that slow you down. Say hello to a modern, continuously updated platform, best-practice content, and industry-leading data that all works together to get your providers where they need to be— seeing patients. -
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MedTrainer
MedTrainer
MedTrainer accelerates and simplifies healthcare workforce education, compliance, and credentialing. MedTrainer’s natively built software platform provides a seamless user experience that helps healthcare organizations thrive in managing their workforce. Learning: A healthcare-specific learning management system (LMS) enriched with thousands of education courses and resources created by subject matter experts to satisfy regulatory, accreditation requirements, and provide continuing education credit. Compliance: A technology solution that combines incident reporting, document, and policy management, and highly customizable reports to improve compliance. Credentialing: An end-to-end credentialing capability with automation, workflows, and centralized data to simplify the process and reduce costly delays. From PSV to provider enrollment and privileging, everything is in one platform with complete visibility. -
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Incredable
Intiva Health
Incredable streamlines and simplifies the complex process of medical credentialing for hospitals and medical facilities, helping you save valuable time, reduce costs, and minimize risks. With Incredable, you can effortlessly manage all your healthcare providers and their credentials within a single, unified platform. Our state-of-the-art technology ensures top-notch data security, giving you peace of mind. Our platform offers comprehensive features such as Expiration Management to keep track of credential renewals, detailed Reporting for insightful analytics, and Task Management to streamline your workflow. Additionally, Payer Tracking helps you stay on top of insurance requirements, while Privileging and Appointments ensure seamless provider assignments. We also provide Exclusions and Sanctions Monitoring, keeping you compliant with regulations, and License Verification to confirm the validity of provider credentials. -
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Modio Health
Modio Health
Built by physicians and credentialing experts, Modio Health OneView provides simple, centralized, credentials management for your entire team of healthcare providers. There's no need to hunt for credentialing information anymore; OneView uses public services and primary source verification data to automatically gather provider details like NPI, DEA, license numbers, education, and more. With OneView, keep your team in compliance while your providers focus on clinical care. -
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H1
H1
At H1, our mission is nothing short of creating a healthier future worldwide by unlocking and democratizing global access to critical expertise, HCP information, claims data, ground-breaking research and discoveries, and connected insights for all – doctors, researchers, industry and, ultimately, patients – bringing everyone closer together to advance medicine and clinical outcomes. Insights derived from H1’s solutions help life sciences and other healthcare organizations accelerate the development, launch, and dissemination of life-saving treatments, drive meaningful engagements with key opinion leaders, and help ensure equitable access to healthcare services. -
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TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
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Verisys
Verisys
For three decades, Verisys has served some of the largest and most complex healthcare organizations in the United States, credentialing more than two million events annually. Our provider credentialing services get and keep you compliant. Credentialing and re-credentialing providers is a complex process for health plans, hospitals, and health systems. Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance with that state’s unique regulations. Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names. To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources. We can help you do anything from a simple provider credential search to implementing a full end-to-end credentialing solution. -
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Medallion
Medallion
Medallion is the first solution for healthcare companies to fully offload their clinician operations—state license management, payor enrollment, credentialing, and more—in one modern management platform. By empowering digital health companies, hospitals, payers, and other organizations to credential, license, and monitor their providers with ease from one modern platform, they eliminate time-consuming and laborious tasks that ultimately increases accessibility of care to millions of patients nationwide. Since inception in 2020, Medallion has saved over 100,000 administrative hours for leading healthcare companies like Cerebral, Ginger, MedExpress, Oak Street Health, and hundreds more, and has raised $50M from leading investors like Sequoia Capital, Spark Capital, Optum Ventures, Elad Gil, and Peter Reinhardt. -
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symplr Payer
symplr
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing. -
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CertifyOS
CertifyOS
CertifyOS delivers API-first credentialing, licensing, and enrollment to payors, health systems, and rapidly-scaling digital health companies. We unlock insights and power performance for clinicians, teams, and organizations. Build best-in-class provider networks with our one-click credentialing solution. Real-time, automated NCQA-compliant credentialing to scale provider networks. Automated ongoing monitoring to ensure your provider networks remain compliant. We take the guesswork (and paperwork) out of licensing–so you can scale to new markets, seamlessly. Get in the network and get reimbursed faster, so you can get back to care. Streamlined processes for cross-state licensure in all 50 states for any license category. Streamlined payor enrollment process to get providers in-network in new markets. Track enrollment progress with our individualized dashboards. Leverage our best-in-class methodology to clean, normalize, and enhance your provider data. -
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AxisCore
HealthAxis
Gain a competitive advantage with AxisCore™, leveraging state-of-the-art and modularized technology for seamless automation of your health plan administration. Say goodbye to the complexities of a cumbersome core administrative processing system (CAPS) and embrace our fully integrated solution. Meticulously crafted to optimize benefits administration, healthcare claims processing, and overall health plan management, AxisCore™ empowers your organization to thrive in today's dynamic healthcare landscape. -
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Assurance Reimbursement Management
Change Healthcare
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims. -
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Valenz Health
Valenz Health
Our single end-to-end platform of fully integrated health plan solutions delivers value and simplifies the complexity of healthcare for employers, members, providers, and payers. Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support, and services to avoid more serious and costly health events. With Valenz, you can have a healthier member population while also achieving plan and member cost savings, year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today. With a suite of fully configurable solutions integrated into one ecosystem strategy, the Valenz healthcare ecosystem optimization platform offers extensive visualization of cost, quality, and utilization opportunities. -
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HealthEC
HealthEC
HealthEC’s best population health management platform, comprising our care management module CareConnect™ and our analytics module 3D Analytics™ - is designed to elevate quality of care and patient experience by overcoming the healthcare industry's toughest data challenges. Conquer system chaos with a universal data warehouse of normalized claims, clinical, and SDoH data, from any source. CMS certified for reuse. Eliminate workflow disruption with integrated, customizable care plans, decision-support tools and robust care management support. Deliver patient-centric care by seamlessly coordinating with community resources and addressing social determinants of health. Inform strategies with actionable insights at the diagnosis, provider, practice, and organizational levels, presented in clear dashboards or at the point of care. Enhanced MCO performance reviews and CMS interoperability rule compliance. -
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symplr Directory
sympr
symplr Directory is a centralized provider data management solution designed to streamline healthcare operations and improve patient experiences. By consolidating and maintaining accurate provider data in a single platform, symplr Directory helps healthcare systems reduce errors, enhance network retention, and improve the accuracy of patient-provider matching. The platform enables seamless integration with electronic health records (EHRs), allowing providers to spend less time on administrative tasks and more time delivering care. It also helps healthcare organizations reduce patient leakage, improve revenue cycles, and increase patient acquisition through a user-friendly, digital front door. -
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Amadeus Digital Care Record
Orion Health
The Amadeus Digital Care Record (DCR) is a comprehensive solution designed to provide healthcare teams with a unified view of patient information at the point of care. By integrating data from disparate healthcare systems into a Health Information Exchange, the platform creates a holistic, real-time profile of each patient. This streamlined approach improves clinical decision-making and efficiency, while reducing clinician burnout by reducing the need for repetitive tasks. Additionally, Amadeus DCR integrates analytics and care coordination tools, supporting better patient outcomes by identifying risks early and ensuring effective care across the continuum. -
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Change Healthcare
Change Healthcare
Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication. -
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Rhapsody
Rhapsody
Build the interoperability solutions you need. Adapt to any modern environment with Rhapsody, a flexible toolbox that enables your team to build connections quickly and securely. Support the highest level of service with Rhapsody by ensuring that healthcare data is flowing where, when, and how your unique environment demands. Design flexible solutions to every connection need. Streamline workflows with a solution that is infinitely configurable and purpose-built for healthcare. Create intricate integrations with a robust toolkit that has been proven across the world. The platform is represented globally with customers in 36 countries. Develop cutting-edge FHIR-based interfaces simply and easily with REST and FHIR-specific JSON support. Security is of primary concern and is built into every part of the product, with a view to safeguarding any protected health information (PHI) that passes through the engine. -
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Provider Passport
Provider Passport
Provider Passport is an all-in-one healthcare administration tool that centralizes and automates critical provider management functions including payer enrollment, credentialing, privileging, and provider data management using its TruMation AI automation engine. It aggregates provider data into unified profiles, automatically tracks expiring credentials and licenses, monitors sanction databases in real time, and shares data securely with other systems via APIs or standard messaging protocols while reducing manual data entry and error risk. Provider Passport’s credentialing tools run primary source verifications from hundreds of integrated sources in seconds, enable customizable workflows for different provider types, and help expedite onboarding by automating re-credentialing and approval processes. Its AI-powered payer enrollment engine evaluates criteria across thousands of payer plans, automates application submission and follow-ups, and accelerates enrollment approval. -
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MantraComply
MantraComply
MantraComply is a provider credentialing and enrolment platform. We deliver comprehensive services in provider credentialing, payer enrollment solutions, license verification, hospital privileging, and healthcare compliance management. Trusted by thousands of providers, health plans, payers, group practices, and digital health companies, MantraComply ensures faster provider onboarding, reduced denials, and improved regulatory compliance. Our model integrates AI-driven insights, customizable credentialing workflows, and 24/7 expert support, enabling providers and organizations to stay compliant while focusing on patient care. MantraComply is proudly backed by $15M in funding from Impanix Capital. -
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HealthRules Payer
HealthEdge Software
HealthRules® Payer is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. For more than ten years, health plans implementing HealthRules Payer have been able to quickly address market opportunities and stay in front of their competition. HealthRules Payer is unlike any other core administrative solution because of its use of the patented HealthRules Language™, an English-like vernacular that delivers a revolutionary new approach to configuration, claims processing and transparency of information. HealthRules Payer helps transform health plans looking to grow, innovate and compete beyond any other core system today. -
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Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
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Infosys HELIX
Infosys
Driving AI - first as a business strategy for payers, providers and PBMs with products and platforms which are built on AI and runs on cloud. A “healthcare digital platform” is the integration of applications and emerging technologies to provide a tailored healthcare solution that drives business outcomes—a significant modern and accelerated approach to disintermediate legacy core administration processing systems (CAPS). To better understand the role of digital platforms and emerging technologies in achieving business objectives, the impact of digital platforms on healthcare payer KPIs, and the relative attractiveness of healthcare platforms, Infosys, in partnership with HFS, reached out to 100 C-suite healthcare payer executives in US. -
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Surglogs
Surglogs
Surglogs provides healthcare facilities with a full suite of regulatory compliance software designed to improve the everyday routines of healthcare administrators by replacing the pen-and-paper documentation process with an easy-to-navigate digital platform. Surglogs streamlines and automates regulatory compliance and the administration of logbooks, medications, supplies, narcotics, in-services, and drills in healthcare facilities. Surglogs has saved thousands of dollars in labor and storage costs for ambulatory surgery centers and hospitals across the United States through improving clinical compliance calculations as well as providing administrators and clinical staff with peace of mind for their future accreditation surveys. -
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CodySoft
Cody
In the health care industry, the burden of CMS and state rules and regulations creates time and expense challenges. Outdated processes and the anxiety of not meeting regulatory compliance plague health plan member communications and compliance directors on a daily basis. It’s time to centralize and have visibility over your organization’s compliance program and the entire material creation process. CodySoft® is a revolutionary suite of web-based software products designed specifically for health plans and their complex environment. More controlled and cost-effective project management of member and provider marketing materials. Reduced regulatory compliance risk and increased accuracy. Easy management of investigation issues. Access your dashboard via a secure online portal with no IT integration needed. Easily generate reports for regulatory audits and metrics tracking. See updates occurring in real-time. -
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Veradigm Payerpath
Veradigm
Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems. -
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PlanXpand
Acero Health Technologies
PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments. -
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Axuall
Axuall
We connect health systems, staffing firms, and digital health groups to a vast array of data, providing insights for network planning, analytics, and reporting, while dramatically reducing onboarding and enrollment time via provider-enabled digital credentials. Axuall puts healthcare professionals in control of their career identity, enabling smarter and more efficient network planning, credentialing, privileging, enrollment, and deployment among healthcare systems, staffing firms, telehealth groups, and health plans. Axuall helps capture millions in additional revenue by eliminating complexities and delays that impact patient access, clinician burnout, and quality of care. Axuall provides a comprehensive approach to workforce intelligence, including a platform of integrated components for driving better decisions and onboarding providers quickly. Drives better and faster decisions for human capital management. -
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MSO for the Web (MSOW)
HealthStream
MSOW is a legacy platform supported by HealthStream. New customers should check out CredentialStream. EchoVerify and EchoMonitor does over 30 million queries per year, offering unlimited access to 2,000+ primary source license/certification, sanction, exclusion, disciplinary board, and hospital affiliation sites that can run in the background at your desired frequency. The Administrative Review Manager (ARM) is a one-stop shop for chair and committee reviewers, which facilitates an online process of an electronic packet of information regarding a provider that is in the process of initial appointment or re-credentialing. Morrisey Privileging Solution is a subscription service that offers a comprehensive library of delineated privileges, a robust tool to manage the clinical privileging process, as well as functionality to offer consistent methods for evaluating provider competence. -
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NaviNet Open
NantHealth
As an organization that prioritizes value-based care, your ability to communicate across a flexible, extensible platform is critical. NaviNet Open is one of America’s leading payer-provider collaboration platforms, facilitating provider engagement and generating trustworthy, actionable data throughout the continuum of care delivery. A secure multi-payer platform, NaviNet Open enhances communication, boosts operating efficiency, cuts costs, and improves provider satisfaction. It lets payers and providers exchange vital administrative, financial, and clinical information in real time. For NantHealth, security is a priority. HIPAA compliant and steadfast in our values, our demonstrated commitment has led us to hold EHNAC HNAP accreditation since 2006. NaviNet Open is HITRUST certified, having met key regulations and industry-defined requirements. It appropriately manages risk regarding third-party privacy, security and compliance. -
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SKYGEN’s Provider Data Management (PDM) is an on-demand solution that helps healthcare payers strengthen provider network management and provider relationships. PDM also strengthens payers’ ability to effectively build provider networks, improves provider and member satisfaction, and lowers administrative costs. It’s a smart solution that helps payers and providers meet the needs of today’s technology-savvy healthcare constituents. Lower contract acquisition costs via fast, efficient, paperless provider recruitment and supplemental network rental. Lower credentialing costs and improved provider satisfaction through online credentialing. Eliminating expensive outreach by automating provider self-verification and ensuring accurate and verified provider data for online directories. SKYGEN powers dental and vision connectivity solutions that inspire clients to move confidently into the future by employing technology that creates unparalleled efficiencies.
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androsCredentialing
andros
androsCredentialing streamlines antiquated processes and drastically reduces person-hours and operating costs by drawing on the healthcare industry’s largest provider data resource. Digitizing the credentialing process is an absolute gamechanger. The more clients we serve and the more providers we credential, the more data the platform ingests, making it more accurate, increasing our provider roster, and accelerating credentialing for all. With our new API, clients can credential providers easier than ever, as well as integrate NCQA-certified credentialing into their apps and platforms. You get the speedy, error-free results you need, all without looking at endless spreadsheets and paper forms. The andros platform enables credentialing workflows up to 10 times faster than industry averages. Light years ahead of the market, our credentialing service reduces overhead and ensures accuracy every step of the way. -
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RINGO
RINGO
Enhance productivity and drive engagement with Ringo’s industry-leading VMS technology. Source talent, automate timekeeping, eliminate risk and gain visibility into real-time data, all in one easy-to-use platform. Gain transparency with real time dashboards and workflows including candidate and credentialing status. Source talent, log and monitor hours, and even track payments, all in one convenient solution--with both web and app-based platforms, to ensure that your team is on top of their staffing game, wherever they are. Drive internal transparency and increase profitability while enhancing external relationships with a VMS technology built by staffing professionals for staffing professionals. Engaging locum and temporary healthcare staff just got easier. From credentialing to automated timekeeping, Ringo’s VMS technology empowers healthcare providers to control cost, eliminate risk, and focus on their top priority… quality patient care.Starting Price: $0 to use; Implementation cost -
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EddyCore
Eddy
Modern Credentialing and Enrollment Software EddyCore is a self-service, cloud-based software for credentialing, privileging, and enrollment. We provide best-in-class software and services that assist both healthcare organizations and providers, saving valuable time and resources. Integrated with EddyOne to allow for seamless collection of provider data. Industry-leading implementation speed with services to simplify your transition. Delegate verification and enrollment tasks while tracking action items in real-time. No modules. No feature limitations. Get the full power of Eddy right out of the box. Create unlimited non-provider accounts with no additional fees. Run numerous primary source verifications with the click of a button. EddyCore was designed by credentialing and enrollment experts to make life easier for anyone responsible for managing provider credentialing and enrollment. -
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QuickCap
MedVision
MedVision Solutions' QuickCap is an administrative and clinical data process management solution that lets users focus on business and not the paperwork. With QuickCap, users have scalable control over their workflow and information to work smarter. QuickCap features a customizable dashboard for ease and gives them automation of their process for speed. QuickCap also streamlines claims work that makes users' work easier. QuickCap also allows users to easily determine profitability for individual providers with analytics. -
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PLEXIS Payer Platforms
PLEXIS Healthcare Systems
PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service. -
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I-Enroll
Santech
For many Hospitals and Practices, Provider onboarding is often a long and drawn-out process. Even Re-credentialing can feel like the process is starting from scratch. Onboarding a Provider can be frustrating for Providers, administrative staff, and healthcare executives, who are now taking severe note that inefficient Provider data Management capabilities impact patients' quality of care and the organization's bottom lines. Unfortunately, for the better part of two decades, Provider Management solutions (external and internal) have changed little. Siloed, manually intensive paper-based processes are still the norm. Healthcare organizations are still dependent on tribal knowledge for collecting, managing, and processing Provider data. I-Enroll empowers organizations (large and small) to transform siloed Provider Management activities into intuitive, streamlined, and finely integrated processes. With I-Enroll, multiple users and departments now get to work like a well-oiled machine. -
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E-HAS
Techdynamics
E-HAS is an Online / Offline Hospital Administration and Management Information System for Health Care organizations E-HAS have a capability of data warehousing and business intelligence for consistent growth of organization and hospital system automation to significantly decrease manpower with greater accuracy. With responsive system first time used in any HIS system yet and Mobile / Tablet Versions supported E-HAS is Designed in such a way that it can support any type Hospital (Specialty Or General Hospital) With Online / Offline working capability for distributed Chains of Hospitals and Data mining Capability for Right Decisions. E-HAS is a revolutionary solution with end-to-end features for simplifying hospital management –all at a cost which provides the fastest ROI.Starting Price: $299 one-time payment -
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Virtuo MIS
MediSolution
By simplifying and streamlining human capital management processes, you can achieve total control of workforce-related costs and be constantly assured of employing your valuable human resources to maximum advantage. You can confidently go about your daily business knowing your financial, statistical and accounts receivable information is complete, accurate, and effortlessly assembled and distributed to authorized stakeholders with minimal intervention. Total control of the entire source-to-settlement process is yours with a comprehensive suite of integrated and ecommerce enabled supply chain management software that significantly reduces work and errors while improving efficiency to make a dramatic impact on the bottom line. -
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Credentially
Credentially.io
Credentially helps healthcare providers reduce organizational inefficiencies of credentialing and onboarding through automation. Thus, employers and physicians can spend more time taking care of patients and improve patient safety. Credentially's customers take 5 days to sign-up, validate and onboard clinicians compared to an industry average of 60 days. -
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Kyruus Connect
Kyruus Health
Industry-leading provider search, scheduling, and data management solutions that help health systems match patients with the right providers and optimize patient access enterprise-wide. Our provider search and scheduling solutions—built on the Kyruus Connect provider data management platform—enable health systems to optimize patient-provider matching; boost patient acquisition and conversion; and deliver a consistent patient experience across key points of access. Differentiate your digital presence with a modern patient access experience that enables people to find the right care options for their needs and book easily online. Connect consumers with the right providers through your call center by empowering agents with the technology they need to match and schedule patients more precisely. Boost patient retention by giving providers and staff new visibility into the providers in your network and enabling patients to leave their appointment with the next one booked. -
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symplr Provider
symplr
symplr Provider credentialing software helps create a single source of provider data, shrinks turnaround times, and shortens revenue cycles, all while prioritizing patient safety. symplr Provider credentialing software makes data gathering, secure access, reporting, and ongoing compliance less burdensome for providers, credentialing staff, and internal approval committees. Our customers report a 20% reduction in credentialing timelines, including a 50% reduction in committee review meetings. Collect, verify, store, and share provider lifecycle data and documents in one automated, user-friendly hub, resulting in time savings and cost containment. With a built-in payer enrollment module, you can enroll providers with payers and easily track applications step-by-step, to get reimbursed faster. Leverage automation to gather data from hundreds of primary sources and auto-check for expired/suspended licenses, NPDB, DEA, SAM, and more. -
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SEC3URE Ethos
IntelliCentrics
A trusted environment is essential to delivering the highest quality of care. Your caregivers and staff need to be decisive when it comes to patient care. And it’s difficult to execute when you don’t have the right information or the right systems to depend on. That’s why we built the SEC3URE Ethos, so you know with certainty that every healthcare professional in your facility is credentialed, compliant, and trusted to support the patient. Because the SEC3URE Ethos builds two-way trust between all stakeholders across the entire continuum of care, patients can trust the doctors they visit, providers can trust the hospitals they work in and hospitals can trust that their reimbursements are safeguarded because they know their practitioners and vendors are compliant. -
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RFX
RFX Solutions
Go beyond the archaic manual processes for managing your facilities' regulatory compliance. RFX puts credentialing, compliance logs, binders, contracts, and staff records at your fingertips. There are tens of thousands of documents critical to your regulatory compliance as a healthcare facility. Manually managing these documents is inefficient, prone to mistakes, and leaves you open to risk. Work seamlessly as a team with system wide role-based access. Utilize simple workflows with unlimited storage, limitless users and scalability. Achieve consistent survey readiness. Ensure up-to-date compliance logs, credentialing, staff records and contracts with our simple and intuitive tools. Automatic notifications allow for timely alerts and reviews of documents, logs & agreements. Providing better compliance, managed resources, & cost. -
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symplr Access
symplr
Without tested and proven vendor policies and credentialing practices that flex with your organization’s unique needs, it's tough to check every box for compliant, risk-averse healthcare identity and access management. Vendors and suppliers—whether on-site, virtual, or hybrid—are an essential part of healthcare operations and delivery. However, healthcare providers are liable for employing or contracting with an OIG-excluded person or entity—risking fines of $10,000 per item or service in violation. Connecting the right, verified people at the right moment can mitigate penalties, save time, improve outcomes, and ultimately impact lives. Gain unmatched visibility into vendor credentials, on-site and virtual activities, and backgrounds so you’re never in the dark when it comes to ensuring compliance. Internet-free check-ins and passes mean reliable, painless access management for all parties involved. -
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Door Space KEYS
Door Space
Door Space® reduces your costs and automates your credentialing process. Get new recruits credentialed faster and reduce claim denials from expired or missing credentials. We connect the data silo’s within healthcare organizations, generating data network effects that decrease costs, unlock predictive analytics capabilities and improve employee retention. Keep all your credentials organized in one place! Door Space® makes it easy to track expiring documents and continuing education requirements. Uploading a new credential is as easy as depositing a mobile check and expiring notifications are automated so you’ll never miss a renewal deadline again! Sync your calendar with upcoming renewals and CE courses, add your phone to receive sms notifications, enable access for employers and designated agents. -
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CredentialStream for Groups
HealthStream
CredentialStream for Groups is an automated, cloud-based credentialing and enrollment software that helps organizations optimize their provider data management without hassle or high costs. In the dynamic healthcare landscape, small medical groups face the constant challenge of managing provider data effectively. With the overwhelming administrative duties and the high cost of most software solutions, it’s easy for these practices to feel left out of the technological advancements. CredentialStream for Groups changes the game by providing a solution that is not only cost-effective but designed to optimize the work of smaller practices by understanding their unique needs. A free 30-day trial for CredentialStream for Groups is available! -
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Zelis
Zelis
Build, optimize, maintain and sell your network with one unified platform. Leverage competitive intelligence to strengthen position. Standardize and cleanup provider data for simplified search. Measure network performance against accessibility, cost and quality standards. Deliver dynamic, functionally rich provider search solutions. Understand the financial performance of your network. Build and optimize competitive, accessible, high value networks to win market share and meet your members’ needs. Track competitor activity and market opportunities to refine your network strategy, identify the best fit providers to maintain competitiveness, and communicate the strength of your network. Streamline your provider directory, plan design, and benefit consulting with faster, more reliable provider network data. Tailored network design based on each client’s unique goals, risk profile and desired access to providers. -
49
CredyApp
CredyApp
Over 500 healthcare professionals trust their enrollment processes to WCH Service Bureau. Try this all-in-one tool to keep track of your participation contracts, insurance panels, revalidations, and so much more! CredyApp allows you to allocate tasks among your staff based on specifics and complexity. Sophisticated Interface: CredyApp features make it easier to manage credentialing processes of any size group and employees assigned to clients' workflows. All-in-one client portal: Portal designed to help with profile maintenance, insurance status, e-sign, and document management. Recredentialing made easier: Keep the track of clients’ insurance renewal contract dates. Stay on top of follow-ups: Stay up to date with insurance follow-ups handled by employees, reassign work, and never miss an important callback. Enhanced internal credentialing: Whether you are a credentialing expert or a beginner, CredyApp makes it easy to streamline your enrollment processes. -
50
MD-Staff
Applied Statistics & Management
MD-Staff is a cloud-based, AI-enabled, and user-friendly credentialing software solution backed by over 30 years of innovation. Over 2,000 clients world-wide use MD-Staff to automate credentialing, track clinical privileges and advanced patient safety initiatives. MD-Staff is an industry proven software solution backed by personalized service. MD-Staff’s Aiva™ Credentialing engine uses AI and deep automation to slash application processing times while flagging practitioner files with issues. MD-Staff automates primary source verifications using web crawlers, Pronto reference verifications, and deep integrations with many primary sources such as the NPDB, OIG and SAM. MD-Staff’s privileging module provides a simple drag-and-drop user interface for creating and managing both core and laundry list-style privilege delineation forms.
