Credentialing Resources From the Experts at Verifiable

From guidance on how to streamline your credentialing processes and provider data management, to tips for creating better provider experiences and operational cost-savings - our resources get you one step closer to managing your provider network smarter

Case Studies

CHA Nevada Unblocked Provider Scheduling with Credentialing Status Visibility

CHA Nevada now has confidence in their provider data accuracy and organization to seek delegated contracts with payers—something that wouldn’t have been possible without Verifiable.

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Modern Health Improved Provider Experience with a Modern Credentialing Approach

Thanks to Verifiable’s integrations and transparent approach to credentialing data, Modern Health is able to identify opportunities for increased efficiency and make their credentialing more robust.

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Grow Therapy is Making Mental Healthcare More Accessible Through Delegated Credentialing

Thanks to fast provider onboarding and delegated payer contracts, new patients can see therapists within four days.

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How Verifiable Helped Humana Dental Accelerate Credentialing Turnaround Times by 98%

Since integrating with Verifiable, Humana has seen seven-figure cost savings, increased in-house credentialing capacity, and drastically reduced credentialing packet completion times.

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Blog

Generate provider rosters in minutes –with Verifiable on Salesforce

Streamline your provider network enrollment and boost revenue with Verifiable’s Salesforce integration, simplifying delegated credentialing and roster management.

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3 Ways Health Plans Can Optimize Networks with Verifiable

Is network optimization top of mind for you? While often considered a compliance necessity, credentialing and networking monitoring, when done well, can drive significant time and cost savings as part of your overall network optimization.

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Facility Credentialing: One Solution for Credentialing all Providers

Similar to practitioners, to be credentialed as an in-network facility with a health plan, the organizational provider must have primary sources verified for various standards.

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Guides & Whitepapers

Guide to Provider Network Monitoring for Payers, Providers, and Beyond

Ongoing provider network compliance is a safeguard against exposing your organization to risk. It also makes our healthcare system and standards of care among the best in the world. While it can be a pain for care delivery networks, payers, and pharmacies, it doesn’t need to be headache-inducing.

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How to Become NCQA Accredited

NCQA accreditation helps generate significant return-on-investment by streamlining credentialing efforts, shielding provider organizations from costly risks, and maintaining the trust of key stakeholders – i.e., patients, major payers, regulators, and practitioners.

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What You Should Know About NCQA Credentialing Standards

Not only do following NCQA credentialing standards open pathways to securing and keeping the trust of payers (as well as federal and state regulators), they’re also best practices that reflect positively on the health systems and practitioners that apply them.

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How Does Primary Source Verification Work?

Primary Source Verification (PSV) is the process of verifying a provider’s qualifications and competencies by reaching out to and obtaining information from the issuing authority or original source of that information.

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The Influencing Factors of Provider Data Strategy on Provider Network Growth

Developing a provider network strategy in today’s market has never been more complicated. Siloed data, multiple information streams, and unknown credentialing statuses leave organizations open to not just compliance issues, but also a loss in providers and members.

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Guide to Insourcing Credentialing

What should operations leaders and credentialing professionals know about insourcing their processes in today’s market? Can the promise of speed and cost savings from automation carry over into credentialing, while still meeting regulatory requirements, and enhancing provider experience?

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Handbook: Everything You Need to Know About Delegated Credentialing

Increasingly, healthcare systems and payers are saying “yes” to delegated credentialing to save time, and money, and even reduce liability. Delegated credentialing leverages the expertise of other entities (internal or external) to handle this arduous process.

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Webinars & Events

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Webinar: Your Provider Network Strategy Needs
a Provider Data Strategy

Disconnected data sources and teams make it difficult to create a cohesive provider network strategy.Watch this on-demand webinar to learn about the ways you can overcome these challenges.

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Webinar: Unlocking Network Growth and Delivering a Great Provider Experience

It’s no secret, healthcare is undergoing a massive transformation. In order to thrive in this new digitized and diversified environment, organizations must rethink how their provider networks play a critical role in their ongoing success.

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Webinar: Taking on 2023 -
Time for a Check-up on Your Provider Journey?

Whether clinician shortages in the face of surging demands, limited staff to maintain operations, or the need for an efficient revenue cycle to sustain the mission  -  provider orgs must challenge their prior status quo.

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