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Managing provider networks has never been more complex. Between growing compliance requirements (NCQA, Federal and State Regulations), rising provider expectations, and the challenge of fragmented systems, health plans are under pressure to ensure data is accurate, complete, and scalable.
In a recent webinar, leaders from Salesforce, Verifiable, and Excellus BCBS shared how automation and strong data infrastructure are helping health plans modernize credentialing and overall provider network management.
1. A strong data foundation is non-negotiable.
Excellus BCBS inherited 30-year-old systems, multiple manual workflows, and fragmented data sources. By investing in a centralized source of truth for provider data, they built the groundwork needed to scale, reduce errors, and meet regulatory requirements. Clean, connected data is the foundation for everything else.
2. Automation relieves resource-constrained teams.
Many health plans face the challenge of doing more with fewer resources. With Verifiable, organizations are not only reducing credentialing turnaround times by up to 98% and expanding monitoring coverage by more than 250%, but also realizing immediate seven-figure cost savings by moving away from costly, manual processes. Automation reduces repetitive work, optimizes limited resources, and allows teams to focus on higher-value priorities that drive both compliance and growth..
3. Integration streamlines provider experience.
Providers often contract with 18–20 different payers, making it impractical to update information in multiple systems. Excellus BCBS addressed this challenge by integrating with CAQH and connecting workflows through Salesforce and Verifiable. This approach simplified provider data updates, reduced duplicative outreach, and improved accuracy across both directories and internal systems. By removing friction, integration not only improves data quality but also creates a more seamless experience for providers and network teams alike.
4. Change management drives adoption.
Technology alone doesn’t create transformation—people do. Excellus BCBS emphasized the importance of phased implementation, open communication, and involving teams in agile demos. What began as uncertainty about automation quickly turned into excitement, with staff asking, “Can we go live now?”
5. Clean data creates long-term value.
Accurate provider data doesn’t just support compliance—it unlocks opportunities to optimize networks, improve audit results, and strengthen member and provider trust. Excellus BCBS’s long-term vision is moving from a culture of “we can’t” with outdated tools to one of agility, scalability, and growth.
The Bottom Line
Scaling provider networks goes beyond meeting compliance requirements—it demands resilient infrastructure, seamless integration, and automation that supports both providers and internal teams. Excellus BCBS’s journey, enabled by Salesforce and Verifiable’s integrated credentialing solution, highlights how investing in technology and change management together enables health plans to build accurate, efficient, and scalable networks.
Watch the full webinar recording to hear directly from Salesforce, Verifiable, and Excellus BCBS on how automation helps health plans scale with accuracy and compliance.
