Payer organizations

Provider network
management, automated.

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Provider Network Management
for how health plans operate

Automated

Automate provider verifications 
to save costs & grow your network

Centralized Data

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

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
NCQA-compliant credentialing & network monitoring
Meet No Surprises Act & CMS requirements

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
Catch provider issues & data inaccuracies others miss
Prevent overpayments & protect program integrity

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
Accelerate provider credentialing to ensure coverage
Promote payment integrity & preserve revenue