Scale your Provider Network with the Speed and Reliability of Automation

Credentialing automation and always-on monitoring help health plans process thousands of providers in parallel while maintaining audit-ready compliance.

Why Leading Health Plans Choose Verifiable

Reduced Operational Costs

Stop overpaying for rigid legacy CVOs. Verifiable allows you to bring credentialing in-house to realize 7-figure immediate savings, or use a Hybrid Model to manage core volume internally while using our CVO for overflow.

Credentialing Software

Automated Roster Ingestion

Eliminate the chaos of delegated rosters. Automatically ingest, map, and validate provider data from delegated groups and health systems. Our "Impact Preview" lets you see exactly who will be added, termed, or updated before you commit, keeping your directory clean.

Continuous NCQA Compliance

Move from periodic checks to always-on surveillance. Our platform automates daily monitoring of OIG, SAM, and Medicare Opt-Out lists, ensuring you catch risks the moment they happen—not months later.

Ongoing Monitoring
Case Study
Humana Dental has realized 7-figure cost savings by trading in their outsourced CVO to in-house credentialing with Verifiable
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Verifiable’s Product Benefits for Health Plans

Simplified Provider Intake & Profile Management
Centralize provider data into a single source of truth using automated CAQH integration to eliminate manual entry errors, ensure accurate provider directories, and accelerate network growth.
Replace manual processing with direct-to-source verifications that trigger one-click packet generation, reducing turnaround times by 98% and ensuring every file is audit-ready for medical committee review.
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Move from periodic monthly checks to always-on surveillance of sanctions, exclusions, and licenses (NPDB, OIG, SAM) to catch risks immediately and prevent claims payments to non-compliant providers.
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Automate the ingestion, consolidation, and validation of provider information into a single, reliable system of record.
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Salesforce-native platform or API integration delivers enterprise-grade scalability, configurability, and a unified source of truth for provider data and compliance.
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Choose from software-only, full-service CVO, hybrid, or monitoring-only options to align with your current needs and scale with future strategies.
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10x Productivity with Autonomous Agents

Health plans can no longer rely on manual verifications and processes to manage growing networks. CredAgent™ acts as an autonomous extension of your team, clearing backlogs and accelerating turnaround times without sacrificing governance.

Backlog to Batch Processing

Move beyond single-file workflows. Process thousands of credentialing events in parallel to handle seasonal spikes or network expansions instantly.

Fully Transparent AI

CredAgent provides step-by-step decision logs and cited primary sources for every verification. Your medical committee gets speed and full auditability.

Custom Governance

Configure the agent to follow your specific business rules and NCQA policies, ensuring every automated decision meets your unique risk standards

Learn more about CredAgentTM

How Salesforce And Verfiable Are Scaling Provider Networks With Automation

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.
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Reliable Provider Data Delivered to Your System of Choice

Verifiable’s Native Salesforce Experience

Verifiable isn't just an integration; it lives where your team works. Take advantage of:
Get providers in-network faster
Connect credentialing status directly to contracting, claims, and provider relations workflows.
Enterprise Security
Leverage the security and scalability of the Salesforce cloud.
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Verifiable’s APIs

Technology-first since day 1, Verifiable offers reliable APIs to deliver provider data into your system of choice. Take advantage of:
Flexibility
Get your provider data into any system to build additional workflows around.
Reliability
No need to build source integrations yourself when our APIs connect you to 370+ sources.
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