ResOURCES Library

Credentialing resources from the experts at Verifiable

From guidance on how to streamline your credentialing processes and provider data management, to tips for creating better provider experiences and operational cost-savings - our resources get you one step closer to managing your provider network smarter.

Case Studies

CHA Nevada Unblocked Provider Scheduling with Credentialing Status Visibility

CHA Nevada now has confidence in their provider data accuracy and organization to seek delegated contracts with payers—something that wouldn’t have been possible without Verifiable.

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Modern Health Improved Provider Experience with a Modern Credentialing Approach

Thanks to Verifiable’s integrations and transparent approach to credentialing data, Modern Health is able to identify opportunities for increased efficiency and make their credentialing more robust.

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Grow Therapy is Making Mental Healthcare More Accessible Through Delegated Credentialing

Thanks to fast provider onboarding and delegated payer contracts, new patients can see therapists within four days.

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How Verifiable Helped Humana Dental Accelerate Credentialing Turnaround Times by 98%

Since integrating with Verifiable, Humana has seen seven-figure cost savings, increased in-house credentialing capacity, and drastically reduced credentialing packet completion times.

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Blog

Faster Medical Credentialing = Better Provider Experiences & Network Growth

Provider and payer organizations need to work harder to attract and grow their networks. One overlooked lever for provider growth is to remove the unpaid, un-fun administrative work from the provider’s plates, such as credentialing.

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In-House Medical Credentialing Specialists: Ideal Team Size & Cost Break-Down

How many credentialing specialists do you need to have in-house in order to build an efficient credentialing team? We'll answer this question and more in this blog post.

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Keeping Up With Provider Re-Credentialing Requirements

Explore the transformative impact of automating re-credentialing processes in healthcare, offering precision and efficiency in maintaining provider standards.

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Guides & Whitepapers

How to Become NCQA Accredited

NCQA accreditation helps generate significant return-on-investment by streamlining credentialing efforts, shielding provider organizations from costly risks, and maintaining the trust of key stakeholders – i.e., patients, major payers, regulators, and practitioners.

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What You Should Know About NCQA Credentialing Standards

Not only do following NCQA credentialing standards open pathways to securing and keeping the trust of payers (as well as federal and state regulators), they’re also best practices that reflect positively on the health systems and practitioners that apply them.

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How Does Primary Source Verification Work?

Primary Source Verification (PSV) is the process of verifying a provider’s qualifications and competencies by reaching out to and obtaining information from the issuing authority or original source of that information.

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The Influencing Factors of Provider Data Strategy on Provider Network Growth

Developing a provider network strategy in today’s market has never been more complicated. Siloed data, multiple information streams, and unknown credentialing statuses leave organizations open to not just compliance issues, but also a loss in providers and members.

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Guide to Insourcing Credentialing

What should operations leaders and credentialing professionals know about insourcing their processes in today’s market? Can the promise of speed and cost savings from automation carry over into credentialing, while still meeting regulatory requirements, and enhancing provider experience?

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Guide to Provider Credentialing

Provider credentialing is the systematic process of checking and validating the education, skills, training, experience, and professional history of healthcare practitioners who aim to deliver care or services.

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Cover page for delegated credentialing handbook

Handbook: Everything You Need to Know About Delegated Credentialing

Increasingly, healthcare systems and payers are saying “yes” to delegated credentialing to save time, and money, and even reduce liability. Delegated credentialing leverages the expertise of other entities (internal or external) to handle this arduous process.

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Webinars & Events

Cover page for provider data webinar

Webinar: Your Provider Network Strategy Needs
a Provider Data Strategy

Disconnected data sources and teams make it difficult to create a cohesive provider network strategy.Watch this on-demand webinar to learn about the ways you can overcome these challenges.

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Webinar: Unlocking Network Growth and Delivering a Great Provider Experience

It’s no secret, healthcare is undergoing a massive transformation. In order to thrive in this new digitized and diversified environment, organizations must rethink how their provider networks play a critical role in their ongoing success.

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Webinar: Taking on 2023 -
Time for a Check-up on Your Provider Journey?

Whether clinician shortages in the face of surging demands, limited staff to maintain operations, or the need for an efficient revenue cycle to sustain the mission  -  provider orgs must challenge their prior status quo.

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