Credentialing, Licensing, and Enrollment

Credentialing, Licensing, and Enrollment are products and services for verification of providers qualifications, acquisition of necessary licenses, and enrolling in insurance networks and healthcare plans. These solutions automate and manage complex, time-consuming tasks of validating educational backgrounds, professional training, certifications, and legal authorization to practice, ensuring that providers meet all regulatory and industry standards for licensure and enrollment with payers.

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Medallion logo
Medallion
Claimed

Medallion

Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 5
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
4 Reviews
Security and Compliance Certifications: SOC 2 Type 2
Medallion offers a comprehensive platform for healthcare provider network operations, focusing on provider data management, credentialing, payer enrollment, and licensing. Its capabilities include automated credentialing compliant with NCQA, intelligent payer search for enrollment, cross-state licensing, and ongoing monitoring to ensure data accuracy.
Verifiable logo
Verifiable
Claimed

Verifiable

Company Info
Founded: 2021
Headcount: 51-200
Customers
Verified Customers: 8
Customers Served: Digital Health Provider, Hospital / Health System, Health Plan, Government
Product Overview
3 Reviews
Security and Compliance Certifications: SOC 2 Type 2
Verifiable provides automated credentialing solutions for healthcare organizations, including credentialing software and services, provider network monitoring, primary source verifications, provider enrollment, and licensing management. Their technology platform helps healthcare organizations manage credentialing processes efficiently, ensuring compliance with NCQA standards. Verifiable's technology enables real-time, automated verifications and alerts, reducing manual tasks and speeding up provider onboarding.
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Blueshift Licensing
Claimed

Blueshift Licensing

Company Info
Founded: 2021
Headcount: 1-10
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Blueshift Licensing offers concierge licensing services for clinicians, including physicians, nurses, counselors, and dental professionals. Services encompass new license applications, renewals, and credentialing across all states, with specific support for Interstate Medical Licensure Compact (IMLC) applications. Additional services include Continuing Medical Education (CME) tracking, DEA certification, and CAQH profile maintenance.
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KarmaCheck
Claimed

KarmaCheck

Company Info
Founded: 2019
Headcount: 51-200
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, PBSA
KarmaCheck offers a healthcare credentialing platform designed to expedite the process of verifying and maintaining healthcare staff credentials. Its capabilities include background checks, drug testing, education and employment verification, and identity verification.
Certify logo
Certify

Certify

Company Info
Founded: 2021
Headcount: 51-200
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
2 Reviews
Security and Compliance Certifications: SOC 2 Type 2
CertifyOS specializes in API-first credentialing, licensing, and enrollment for payors, health systems, and digital health companies. The platform automates provider credentialing and licensing, integrating with multiple data sources to ensure accuracy and efficiency. It also offers comprehensive network monitoring capabilities. Additionally, the platform ensures automated, real-time compliance with standards such as those set by the National Committee for Quality Assurance (NCQA).
Andros logo
Andros

Andros

Company Info
Founded: 2013
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Government
Product Overview
1 Reviews
Andros is a provider network management platform, focusing on recruiting, contracting, and provider credentialing, as well as continuous monitoring and management of provider networks. The platform uses a proprietary database for credentialing, reducing time and inaccuracies in provider applications. It caters to payors and telehealth organizations, offering tools to minimize operating costs and streamline administrative processes. Andros also simplifies the application process for healthcare providers.
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Modio Health

Modio OneView

Company Info
Founded: 2014
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
1 Reviews
Modio OneView is a cloud-based credentialing platform designed for healthcare providers and organizations. It offers a centralized system for managing credentials, licenses, and other key documents, using primary source verification to ensure data accuracy. The platform includes features such as automated alerts for expiring credentials, document storage, compliance tracking, and pre-filled forms for electronic signatures. OneView also supports Continuing Medical Education (CME) tracking and provides real-time reporting and workflow management tools to help healthcare teams stay compliant and organized.
Symplr CVO logo
Symplr

Symplr CVO

Company Info
Founded: 2006
Headcount: 1001-5000
Customers
Verified Customers: 25
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
1 Reviews
Symplr CVO provides comprehensive credentialing and payer enrollment services to healthcare organizations. It handles primary source verification, licensure applications, and payer enrollments, ensuring compliance with regulatory requirements. Symplr CVO offers full transparency with a live portal for real-time updates on application statuses. Additionally, it supports committee management, delegated credentialing agreements, and the hospital privilege application process to streamline administrative tasks and expedite provider onboarding.
Acorn Credentialing logo
Acorn Credentialing

Acorn Credentialing

Company Info
Founded: 2015
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System
Product Overview
Acorn Credentialing offers a comprehensive platform designed to automate and streamline the medical credentialing and payer enrollment processes. Key features include credentialing as a service, blockchain for secure data sharing, data migration from legacy systems, virtual medical staff management, and a mobile scanner for easy document uploads.
Assured logo
Assured

Assured

Company Info
Founded: 2024
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
Assured is a comprehensive platform designed to streamline healthcare provider network management by automating credentialing, licensing, and payer enrollment processes. It offers real-time provider verification from multiple sources, facilitates licensure applications and renewals across all U.S. states, and manages payer enrollment with transparent tracking of application statuses. The platform also provides continuous monitoring of provider data to ensure compliance and audit readiness.
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Axuall

Axuall

Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Axuall is an identity network that helps people collect and manage their verified credentials from authorized issuers and present them to employers and partners who can trust them as authentic. The company's developed network enables practitioners to manage and share their credentials with healthcare organizations on an ongoing basis while staying up-to-date on the changes that can affect their authorization to work in their field. Its encrypted digital ledger technology provides the ability for these subscribers of a practitioner's credentials to have up-to-date information regarding their status.
Baton Health logo
Baton Health

Baton Health

Company Info
Founded: 2022
Headcount: 1-10
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Baton Health provides an advanced platform for primary source verification and credentialing of healthcare practitioners. Its system performs real-time verification and monitoring of licenses across all states, notifying users of status changes and sanctions.
Credentially logo
Credentially

Credentially

Company Info
Founded: 2016
Headcount: 11-50
Customers
Verified Customers: 4
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: GDPR, ISO 27001
Credentially provides customizable automation software for healthcare providers and recruiters, focusing on speeding up pre-employment checks, onboarding processes, and credentialing. Their platform integrates with various ATS, HRIS, and CRM systems, and helps organizations maintain compliance by automating credentialing and reference checks. Credentially aims to reduce the onboarding process from 60 days to just 5 days, enhancing efficiency and ensuring compliance with regulatory standards.
CredentialStream logo
HealthStream

CredentialStream

Company Info
Founded: 1990
Headcount: 1001-5000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider
Product Overview
CredentialStream by HealthStream offers comprehensive software solutions for credentialing, privileging, and enrollment management in healthcare. The platform automates the collection, verification, and continuous monitoring of provider credentials, ensuring compliance and reducing administrative burden. Features include real-time alerts, primary source verification, document management, and streamlined workflows for onboarding and ongoing credential management.
Credsy logo
Credsy

Credsy

Company Info
Founded: 2021
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
Credsy provides comprehensive licensing and credentialing services for clinicians, handling tasks such as initial state licensing, automated renewals, payor enrollment, and compliance tracking. The platform offers features like secure document storage, DEA and Controlled Substance Registration, and IMLC licensing support.
Madaket logo
Madaket

Madaket

Company Info
Founded: 2012
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Madaket Health is provider data management platform. It helps automate administrative tasks like credentialing and payer enrollment and offers analytical tools for interacting with provider data.
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MDStaff

MDStaff

Company Info
Founded: 1982
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
MDStaff is a credentialing software platform designed to automate and streamline credentialing, privileging, and enrollment processes in healthcare organizations. It features automated primary source verifications, real-time status updates, customizable workflows, and reporting tools. The platform integrates with various healthcare databases and regulatory bodies to ensure compliance and accuracy in credentialing.
MedicalLicensing.com logo
MedicalLicensing.com

MedicalLicensing.com

Company Info
Founded: 2011
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Hospital / Health System, Ambulatory Practice
Product Overview
MedicalLicensing.com offers medical licensing and credentialing services, including initial medical licensing, renewals, licensing by endorsement, and interstate compact licensure. They also assist with DEA registration, commercial insurance provider enrollment, hospital privileging, and CAQH profile management. The platform provides a secure dashboard for license management, regular updates, and dedicated licensing specialists through the entire licensing process.
Medtigo logo
Medtigo

Medtigo

Company Info
Founded: 2014
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider
Product Overview
Medtigo provides medical licensing services for state license applications and payor enrollment. The service includes completing initial applications, obtaining necessary documents, and continuous follow-up until completion. It features real-time application tracking, progress notes, and updates accessible through their app.
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
MedTrainer Credentialing centralizes provider management, automates exclusion checks, and simplifies provider enrollments. Key features include automated reminders for license expirations and recredentialing, customizable credentialing reports, and CAQH provider profile management to minimize data entry duplication. The platform offers real-time status updates and notifications, reducing administrative workload and error potential. Managed credentialing services are also available for organizations seeking external management of their credentialing processes.
Medversant logo
Medversant

Medversant

Company Info
Founded: 1999
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System
Product Overview
Medversant provides technology solutions for healthcare provider data management, focusing on credentialing, verification, and compliance services. Its platform, ProviderIQ, automates the continuous monitoring and verification of licenses, certifications, and other credentials to ensure data accuracy and regulatory compliance.
Company Info
Founded: 2020
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
OpenLoop Licensing and Credentialing provides services to expedite and manage the licensing and credentialing process for healthcare providers. They handle state board and DEA licenses, as well as hospital, healthcare facility, and payer plan credentialing, including Medicare and Medicaid. The service also includes background checks, education and work history reviews, and ongoing monitoring and maintenance to ensure compliance and credential accuracy. The licensing process typically takes 6-8 weeks, while credentialing takes 2-4 weeks.
Ply Health logo
Ply Health

Ply Health

Company Info
Founded: 2024
Headcount: 1-10
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Ply Health provides a platform to automate the payer enrollment and credentialing process for healthcare providers. It allows users to input data once and submit to multiple payers with a single click. The system offers real-time tracking of enrollments, AI-powered submissions, and programmatic follow-up, helping providers reduce the time to become in-network. It is designed to support a variety of healthcare practices, improving efficiency and provider satisfaction.
ProCredEx logo
ProCredEx

ProCredEx

Company Info
Founded: 2018
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
ProCredEx offers a blockchain-based digital credentialing solution for healthcare professionals. It creates collaborative networks that connect compliance ecosystems, enabling secure data sharing and eliminating repetitive tasks. The platform ensures data reliability, enhances process efficiency, and provides comprehensive audits and reporting.
Company Info
Founded: 2006
Headcount: 501-1000
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
QGenda Credentialing is a cloud-based solution designed to streamline the healthcare provider credentialing process. It automates primary source verifications, privileging, payer enrollment, and ongoing monitoring to improve data accuracy and compliance. The platform reduces the time required for credentialing by eliminating manual data entry and providing advanced automation features.
Company Info
Founded: 1997
Headcount: 1001-5000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
RLDatix Provider Credentialing offers a software solution for credentialing, privileging, and payer enrollment that includes automated credential verification, compliance tracking, and risk profile creation. The platform allows for a paperless credentialing process, integrates with other RLDatix safety and compliance solutions, and supports NCQA certified credentialing verification organization (CVO) functions.
Company Info
Founded: 2016
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
SteadyMD Licensing and Credentialing offers services for clinician credentialing, state licensing, and payer enrollment. Their platform includes primary source verification, automated re-credentialing, and handling of DEA and CSR licensing. They use a universal application form to reduce administrative burdens and support enrollment with commercial insurers and government programs.
Verisys Provider Credentialing logo
Verisys Corporation

Verisys Provider Credentialing

Company Info
Founded: 2008
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Health Plan, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Verisys Provider Credentialing offers both a managed services CVO, in addition to a software solution that includes primary source verification, continuous monitoring, and detailed reporting to help organizations maintain compliance and mitigate risks.