Payer organizations

Provider network
management for payers,
automated.

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Payer Organization Network Management
for how health plans operate

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Automated

Automate primary source verifications to reduce costs & grow your network

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Centralized Data

Centralize your provider data into a single 'source of truth'

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Monitoring

Monitor par & non-par providers for regulatory compliance & eligibility

A single source of truth for verified provider data
across the provider lifecycle

ONBOARDING
CREDENTIALING
NETWORK MONITORING
CLAIMS & PAYMENT INTEGRITY
DATA ACCURACY & COMPLIANCE

Verifiable for Health Plans

Create a unified, verified ‘source of truth’ for your provider data that can be leveraged throughout the provider lifecycle to drive operational efficiency, cost savings and network expansion. Verifiable partners with plans with LOBs across commercial, Medicare Advantage, Managed Medicaid, and speciality networks.

Drive operational efficiency, save time & reduce costs
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NCQA-compliant credentialing & network monitoring
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Meet No Surprises Act & CMS requirements
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Verifiable for
State & Federal Governments

Government institutions require the ability to quickly and cost-effectively check and monitor high volumes of provider data to ensure regulatory compliance. Verifiable’s data infrastructure is built for the scalability, flexibility and speed.

Ensure participant eligibility & guideline adherence
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Catch provider issues & data inaccuracies others miss
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Prevent overpayments & protect program integrity
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Verifiable for
Third-party Administrators

TPAs and Benefit Administrators must also juggle the complex requirements of coordinating with provider networks, but often without the big payer resources. Verifiable helps network teams access and verify the provider data they need to move quickly.

Streamline network operations & reduce data costs
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Accelerate provider credentialing to ensure coverage
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Promote payment integrity & preserve revenue
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