Provider Network

Be confident in your providers with set-it and forget-it compliance that ensures your provider network will not pose an additional risk due to malpractice, legal penalties, or disciplinary actions

Automated Provider Network Monitoring for NCQA Compliance and Beyond

We've got you covered with
3,200+ available sources

State Licenses

Never get caught off guard by a license expiration again–Verifiable directly connects to 200+ state and national license sources for provider types including:

  • Counseling/Therapists
  • Dentistry
  • Medicine
  • Nursing
  • Optometry
  • Pharmacy
  • Psychology
  • Social work
  • Speech pathology
  • and more....


Office of the Inspector General

Avoid costly civil monetary penalties by ensuring your providers are not listed on OIG’s List of Excluded Individuals/Entities – making them excluded from reimbursement via medicare, medicaid, or other federal programs.

State Sanctions and Exclusions

Comply with federal regulations by ensuring your provider network does not include individuals who have been disciplined or lost license privileges from their state’s specific enforcement agency–as this is cause for termination according to Section 6501 of the Affordable Care Act.


System of Award Management

Dodge potential fraud by checking your provider network against SAM’s list which includes individuals and entities who have been debarred, sanctioned, or excluded by a federal agency.


Drug Enforcement Administration

Prevent drug misuse and fraudulent prescriptions by ensuring the providers in your network are properly registered and not under investigation with the DEA.

Medicare Opt-Out

Avoid potential billing issues and penalties by knowing which providers in your network have chosen not to receive reimbursement from medicare.


National Provider Data Bank

Access continuous query to get notified of new flags on your providers within 24 hours of the adverse action being reported. NPDB maintains information on the following:

  • Medical malpractice payments
  • Federal and state licensure and certification actions
  • Adverse clinical privileges actions
  • Adverse professional society membership actions
  • Negative actions or findings by private accreditation organizations and peer review organizations
  • Health care-related criminal convictions and civil judgments
  • Exclusions from participation in a Federal or state health care program (including Medicare and Medicaid exclusions)
  • Other adjudicated actions or decisions


National Provider Identification

A standard set forth by HIPAA for the administrative simplification of financial transactions, a provider’s NPI should be regularly verified to avoid unexpected billing delays.


Social Security Administration Death Master File

Steer clear of fraudulent providers by conducting regular checks of your network against the social security administration's official list of deceased persons.


Office of Foreign Assets Control

Ensure the physicians you hire and the partners you work with are considered safe and trustworthy.

Empower Pharmacy up-leveled their compliance with centralized prescription intake, license monitoring, and dispensing operations for their 30,000 prescribers.

How Does Ongoing Monitoring Work?

Verifiable’s unique monitoring solution is designed to give you the most up-to-date information on the health and compliance of your provider network. By conducting an “active” monitoring approach, we empower you with near real-time data on providers who may put you at risk.

Ongoing Monitoring

  • “Listens” for changes from sources on a continuous basis
  • Alerts you in real-time of any flagged providers
  • Same-day alerts for any at-risk providers

Frequency Monitoring

  • “Scans” for changes from sources on a set schedule (typically monthly)
  • Alerts you based on set schedule of any flagged providers
  • Potential 30-day delay for alerts on at-risk providers

Used by leading healthcare organizations

See the Verifiable Difference