Alternatives to Incredable

CredentialStream® incorporates patented technology that provides everything necessary for requesting, gathering, and validating information about a provider, all to establish a reliable Source of Truth for downstream processes. With a modern platform that is continuously updated, along with best-practice content libraries and industry-leading data sets, CredentialStream stands out as the most comprehensive provider lifecycle management solution available.

MedTrainer is a healthcare system that allows for compliance, learning, and credentialing. MedTrainer allows you to create your ideal solution. Any size healthcare organization will be able to access compliance insurance and risk mitigation right from their fingertips. Automate healthcare learning with 500+ courses for OSHA and HIPAA, CMS. Infection Prevention, Clinical Skills. HR. Healthcare compliance is easy. With just a few keystrokes your staff can access their required compliance tools. We streamline SDS Management and Safety Plans, Incident Reports and Equipment Lifecycle Management. Credentialing has never been simpler. You can manage all the tasks required to credential accurately, including primary source verifications, payor enrollments, provider attestation, privileging and payer enrollments.

CredentialingSpectrum is a secured, cloud-based medical credentialing software for facility, payer and contract management. It is a healthcare credentialing system that simplifies the process and increases efficiency. CredentialingSpectrum is a one-click comprehensive automation system that makes it convenient and the best provider credentialing software available in the USA.

Modio Health OneView was developed by credentialing experts and physicians. It allows for easy, centralized credentials management for your entire healthcare provider team. OneView automatically collects information about providers such as NPI, DEA and license numbers. OneView helps you keep your team compliant while your providers can focus on providing clinical care.

NextGen Healthcare is a leader in healthcare software and services that enables the transformation of ambulatory health care. NextGen Office (1-10 doctors) and NextGen Enterprise (10+ doctors) are smart electronic health record solutions that help ambulatory practices reduce the burden of documentation, improve clinical outcomes, connect to other health systems, increase provider and patient satisfaction, streamline revenue cycles, and foster healthier communities.

You can save time and money by using solutions such as healthcare workforce scheduling, secure messages, credentialing and more. Organize all your medical credentials and keep them in one place. Be alerted to new requirements and credentials nearing expiration. Float Care automates referrals and completes handoffs in 100% of the cases. Float Care connects the necessary care providers in order to automate referral workflows. This ensures that patients receive appointments before they depart. Connect seamlessly provider care teams to improve patient treatment. It is difficult to keep track of all the credentials that are available for doctors, nurses, and other medical professionals. There are over 150 different credentials. Float Care’s credentialing platform provides easy access to your records, licenses and certifications.

Train employees. Demonstrate Competency. Mitigate Risk. Competency Manager is an enterprise learning solution that enables professional development and reduces compliance risk. For medium-sized to large companies in manufacturing, education, and healthcare. How it works for managers, employees, and SMEs. Competency Manager allows Subject Matter Experts to create learning activities or request documentation. Managers can assign activities to individuals and teams and can track and reward progress. Employees learn and improve their skills through learning activities. Benefits -Manage competence -Train with an LMS built in -Track credentials will automatically be notified about expirations and renewals -Reduce risk throughout the organization -Deploy as an on-premise or cloud-based application -Integrate other software products as required Simple Setup -Create groups -Assign Users -Assign Tasks

RFX is a modern alternative to manual processes that manage regulatory compliance. Credentialing, compliance records, contracts and staff records are all at your fingertips with RFX. As a healthcare facility, you have tens and thousands of documents that are critical to your regulatory compliance. Manually managing documents is inefficient and prone to errors, leaving you exposed to risk. With system-wide role-based access, you can work seamlessly as a group. Use simple workflows that allow for unlimited storage, unlimited users and scalability. Achieve consistent survey readiness. Our intuitive and simple tools will help you maintain up-to date compliance logs, credentials, staff records, and contracts. Automatic notifications provide timely alerts, allowing for the review of documents, logs and agreements. Better compliance, cost management, and resource management.

Verisys has been credentialing events for more than 2 million healthcare organizations in the United States annually, for over 30 years. Our provider credentialing service will keep you compliant. Credentialing is a complex task for health plans, health systems, and hospitals. Physicians may be licensed in more than one state and provide telehealth across state borders. This requires licensing verification with each state board, and compliance with the unique regulations of that state. Due to the fact that physicians may have the same maiden name, alias name, nickname, or abbreviated name, identity matching can be difficult. To get an accurate picture, every physician must be screened and their credentials checked against thousands of primary sources. We can assist you with anything from a simple search for provider credentials to implementing an end-to-end credentialing system.

HealthStream supports MSOW as a legacy platform. CredentialStream is recommended for new customers.

Turnkey credentialing, privileging, and performance monitoring. Transform compliance from being administrative to being actionable. A proactive safety strategy that goes beyond the events.

Eligibility Verification standard streamlines patient access workflows and billing workflows. Staff can assign and prioritize payers, patients/residents and tasks during eligibility confirmation. This technology goes above and beyond basic eligibility requirements, providing a dashboard that confirms, manages, and stores every inquiry. Automated enrichment of incomplete and incorrectly formatted payer transactions will speed up the eligibility verification process. Batch file uploads allow you to verify Medicaid, Medicare and commercial coverage at the same time. Assign tasks to team members easily, create eligibility documentation and apply follow-up flags. Manage patients in batches and resolve issues by using just a few mouse clicks. Save time and ensure accuracy with a cloud-based health insurance eligibility verification tool that allows staff to manage benefit inquiries in the way that works best for them.

Credentially assists healthcare providers in reducing the organizational inefficiencies associated with credentialing and onboarding by automating. Employers and physicians can now spend more time caring for patients and improving patient safety. It takes Credentially customers 5 days to sign up, validate, and onboard clinicians. This compares to the industry average of 60 days.

Door Space®, reduces costs and automates the credentialing process. You can get new recruits credentialed quicker and reduce claims denials due to expired or missing credentials. We connect data silos within healthcare organizations, creating data network effects that reduce costs, unlock predictive analytics capabilities, and improve employee retention. All your credentials can be kept in one place. Door Space®, makes it easy for you to keep track of expiring documents and continue education requirements. Uploading a new credential is as simple as depositing a mobile cheque. Expiring notifications are automatically sent so you don't miss a renewal deadline. You can sync your calendar with CE courses and renewals, add your phone to receive SMS notifications, and enable access for employers or designated agents.

CredentialMyDoc is a web-based software that makes it easy to enroll providers and create credentialing documents. It streamlines data entry and validation, reduces errors on forms, streamlines billing and increases provider satisfaction.

All-in-one credentialing software that will help you keep your facility healthy and compliant. Reduce time-consuming processes such as OIG monitoring and primary source verification. Silversheet prevents mistakes and missing documents from falling through the cracks, preparing for inspections. No more fumbling through multiple paper folders. You can store credentials in the cloud, and access them from any device at any time. With automatic reminders, we will let you know which credential documents are missing and/or outdated. One-step verifications of medical licenses and certifications. Online reference request and completion with customizable questions. You can set up OIG monitoring and NPDB query logging. Logging and managing credentials online can eliminate the need for paper. Log in to manage and log out providers' appointments and reappointments. Complete profiles with summary and contact information.

Modern Credentialing & Enrollment Software EddyCore, a cloud-based self-service software for credentialing. Prileging and enrollment are all possible with EddyCore. We offer best-in-class software that assists both healthcare providers and organizations, saving time and money. Integrated with EddyOne to facilitate seamless collection of provider information. Services to simplify your transition. Industry-leading implementation speed You can delegate enrollment verification and tracking actions in real-time. No modules. No feature limitations. You get the full power of Eddy straight out of the box. No additional fees for creating unlimited non-provider account. With a click, you can run multiple primary source verifications. EddyCore was created by credentialing experts and enrollment specialists to make it easier for anyone who manages provider credentialing or enrollment.

A unified, automated solution for provider data can help you save money, eliminate data silos and provide better outcomes for your members. symplr pays provides a unified source of truth that is always reconciled with primary sources. It improves data access, transparency, and quality. It also eliminates the need for multiple requests for information and reduces frustration among providers. Payers can use symplr as the enterprise-wide hub to feed accurate and timely information to downstream systems by using symplr as the enterprise data hub. Our end-to-end, highly configurable provider data management solution handles all pre-contract and contract renewal negotiations. Standardize and streamline contracting processes while capturing contract information such as sentinel event, trigger dates and configuration efforts. The unique design of symplrPayer allows your organization's contracting and credentials to be consolidated.

MD-Staff, a cloud-based, AI enabled, and user-friendly credentialing solution, is supported by more than 30 years of innovation. MD-Staff is used by more than 2,000 clients worldwide to automate credentialing and track clinical privileges. It also supports advanced patient safety initiatives. MD-Staff is a trusted software solution that has been proven in the industry and offers personalized service. MD-Staff's Aiva™, Credentialing Engine uses AI and deep automation to reduce application processing times and flag practitioner files with issues. MD-Staff automates primary sources verifications using web crawlers, Pronto references verifications, and deep integrations to many primary sources like the NPDB OIG, SAM, and SAM. MD-Staff's privileging module is a drag-and-drop interface that allows you to create and manage both core privilege delineation forms and laundry list-style privilege lines.

Certify provides API-first licensing, credentialing, and enrollment to payors and health systems as well as rapidly-growing digital health companies. We provide insights and enable organizations to achieve high performance. Our one-click credentialing solution helps you build best-in-class provider network. Automated, real-time NCQA-compliant credentialing for scaling provider networks. Automated monitoring to ensure compliance of provider networks. We take the guesswork and paperwork out of licensing so you can scale to new markets seamlessly. You can join the network to get reimbursed quicker so you can get back on your feet. Streamlined processes to cross-state licensure for all license categories in all 50 US states. Streamlined enrollment for payers to allow providers to be in-network in new market. Our dashboards allow you to track enrollment progress. Our best-in-class method will clean, normalize, or enhance your provider data.

Over 500 healthcare professionals trust their enrollment processes to WCH Service Bureau. Try this all-in-one tool to keep track of your participation contracts, insurance panels, revalidations, and so much more. CredyApp allows you to allocate tasks among your staff based on specifics and complexity. CredyApp features make managing credentialing processes of any size and employees assigned to clients' workflows easier. All-in-one client portal: Portal designed for profile maintenance, insurance status, and document management. Credentialing made easy - Keep track of client's insurance renewal dates. CredyApp makes it easy for you to streamline your enrollment process, whether you're a seasoned credentialer or a novice.

Surglogs is a complete suite of regulatory compliance software that provides healthcare facilities with the ability to replace pen-and-paper documentation with a simple-to-navigate digital platform. Surglogs automates regulatory compliance, the administration of logbooks and supplies, narcotics and in-services, as well as the administration of drills in healthcare facilities. Surglogs has helped save thousands of dollars in labor and storage expenses for ambulatory surgery centres and hospitals across the United States by improving clinical compliance calculations and providing administrative and clinical staff with security for future accreditation surveys.

Real-time monitoring of immunizations and screenings, workplace medical surveillance testing, training, illnesses, certifications, and exposures allows you to determine your compliance status. Immuware's intuitive dashboards make it easy to see your entire organization at all levels. This will help you quickly identify compliance gaps and get compliance in place faster. Track vaccinations online. Employees can be empowered to share responsibility for compliance, which can help save time and reduce administrative errors. Different levels of permission-ed access to the online employee portal enable employees to self-report using documentation upload. Supervisors can monitor employees and Admins can automate approval workflows, configure reminders, and view multi-level reports.

androsCredentialing streamlines outdated processes and dramatically reduces operating costs and person-hours by drawing on the largest provider data source in the healthcare industry. Digitizing credentialing is a game changer. The more clients we serve, the more providers we credentialed, the more data that the platform ingests. This makes it more accurate, increases our provider list, and accelerates credentialing for all. Clients can now credential providers with our API. They can also integrate NCQA-certified credentialing in their apps and platforms. You get the fast, accurate results you need without having to look at endless spreadsheets or fill out paper forms. Credentialing workflows can be completed up to 10x faster than the industry averages using the andros platform. Our credentialing service is light years ahead of the market. It reduces overhead and ensures accuracy at every step.

Credential Agent is a low-cost software that helps to store and maintain supplier or employee credentials. This document management software was designed to make it easier to manage important credentials like licenses, certificates, immunizations and background checks, insurance, forms and other documents that may expire. Credential Agent is available as a Software as a Service (SaaS) environment that does not require downloading any software or hardware. It is extremely secure and safe. Credential Agent can be contracted so that we are fully responsible for keeping your credentials up-to-date and verifying them using our software and staff. Credential Agent can help you reduce the risk of lawsuits, prepare for audits and allow you to spend more time on other important company initiatives. Our software is affordable and will keep your vendor or employee credentials current.

STATCred gives STAT credentialing clients access to their data. They can view status reports, upload data and export reports, as well as communicate with their Medical Staff Coordinator. STATCred is customizable to fit the needs of healthcare companies with their own credentialing teams. This allows them to manage credentialing more efficiently and effectively. This is the key to STATCred’s service guarantee. It ensures that you get the best workflow to reach your goals. You can upload your documents and view them online. It includes several pre-defined management reports, the ability of creating and saving custom reports, and the ability run queries using advanced search features. These queries can then be exported as PDF or Excel for further analysis and review.

HealthStream supports EchoOneApp, a legacy platform. CredentialStream is recommended for new customers.

RedVector, a Vector solutions brand, is the premier provider of online education for a wide variety of industries, including architecture, engineering and construction, industrial, facilities management, IT and security. Technology solutions include a state of the art learning management system, incident tracking software and license and credential management tools. Competency assessments are just a few. RedVector LMS is an all-in-one learning system and talent management system that meets the needs of today's learners. This platform, combined with RedVector's best in class training content, gives organizations a robust solution to manage safety, compliance, licenses/credentials, and many other aspects.

Medallion is the first solution for healthcare companies to fully offload their clinician operations—state license management, payor enrollment, credentialing, and more—in one modern management platform. Since inception in 2020, Medallion has saved over 100,000 administrative hours for leading healthcare companies like Cerebral, Ginger, MedExpress, Oak Street Health, and hundreds more.

Many Hospitals and Practices find that provider onboarding can be a lengthy and tedious process. Even Re-credentialing can feel as though the process is completely new. For Providers, administrators, and healthcare executives, it can be difficult to onboard a Provider. Inefficient Provider data management capabilities can impact the quality of patient care and the bottom line. Provider Management solutions, both internal and external, have not changed much over the past two decades. Siloed, manual-intensive paper-based processes remain the norm. For collecting, managing, or processing Provider data, healthcare organizations still rely on tribal knowledge. I-Enroll empowers large and small organizations to transform siloed Provider Management into streamlined, intuitive, and finely integrated processes. Multiple users and departments can now work together with I-Enroll.

Ringo's VMS technology is an industry leader that can help you increase productivity and drive engagement. All this and more in one platform that makes it easy to source talent, automate timekeeping, eliminate risks, and gain visibility into realtime data. Transparency with real-time dashboards and workflows, including candidate and credentialing status. You can source talent, log and monitor hours and track payments all in one easy solution. It is available with both web- and app-based platforms. This will ensure that your team is always on top of their staffing game. A VMS technology developed by staffing professionals for staffing professionals will increase internal transparency and profitability, as well as enhance external relationships. It's now easier to engage locum and temporary healthcare workers. Ringo's VMS technology allows healthcare providers to automate timekeeping and credentialing, allowing them to reduce cost and eliminate risk while focusing on their top priority... providing quality patient care.

TrackMy Verivax is an easy-to use online portal that provides vaccine verification to your employees and non-employees. Staff can log in and verify their demographic information within minutes. Organizations can manage compliance and reduce administrative workload for pre-hiring, employee health and more. TrackMy Vaccines streamlines both one-on-one and event style vaccinations. Ensure that your staff has an exceptional experience. Organizations have the ability to offer online booking and the ability of electronically capturing consents and signatures. TrackMy's bi-directional integrations with state immunization registries will ensure compliance and eliminate manual data entry.

Find out the document expiration date tracking software modern teams use to track status, scan documents, and send automatic notifications. This software is used to issue employee certificates, certificates of insurance, contracts and licenses, as well as agreements, licenses, and agreements. All expiration dates, reminders, and replies are automatically tracked. Spend less time chasing up and more time adding value. Never open spreadsheet after spreadsheet trying to find out what's new. Don't send emails anymore. Let others get back to you with updated information. Expiration Reminder will notify the appropriate people about upcoming renewals, keeping everyone on the same page. Logging into Expiration Reminder will give you a single view of all your current and expired information, as well as who has responded to reminders. This is the best tool to track expiration dates. Customers all over the globe rate this tool highly.

Hyperstack is a credential platform used by some of the world's top universities, non-profits, accelerators, online Ed-tech and training providers, medical / health care organizations, certification bodies, etc to issue certificates and badges to recipients.

CredHQ is a fully-featured certification management system that integrates the technical and credentialing expertise from Agilutions. CredHQ is more that technology. It was created to help credentialing agencies manage their certification programs using advanced technology that is affordable and attainable. Agilutions' flagship product, which was created by credentialing experts, is a checklist manager that can handle all your program management needs. The process of managing your credentialing program is easy and efficient. This software is designed to manage your organization's cash receipts, invoicing, and other financial transactions. It features complete management functionality that allows you to track every detail of any event, whether it's an annual meeting, regional conference or workshop.

Active, ongoing monitoring is essential to managing the risks inherent in today's healthcare. Workforce Validate is an expert solution that can help you with this task. Reduce the time spent manually checking sites for exclusions and sanctions during the hiring process or auditing. -Receive automatic alerts about compliance issues before they affect patients. -Keep your site checks, flags for the workforce and notes in a single digital profile

To avoid financial losses and keep you informed about license suspensions, check the professional license status for your business partners and employees on autopilot. To avoid reputational and financial damage, verify credentials and only hire certified professionals - contractors or employees - It's easier than ever to automate the verification process for contractors or employees. With just a few clicks you can check current credentials information and screen unlimited numbers of names simultaneously. You can simplify your professional license search by validating as many records as you need. This will allow you to save both time and money, while increasing productivity.

We connect healthcare systems, staffing companies, and digital health groups with a vast array data. This allows us to provide insights for network planning and analytics, as well as reporting. We also reduce onboarding and enrollment times dramatically by using digital credentials enabled by providers. Axuall gives healthcare professionals control over their career identity. It enables smarter and more efficient network plans, credentialing and privileging among healthcare systems, staffing companies, telehealth groups and health plans. Axuall can help capture millions of dollars in additional revenue through the elimination of delays and complexities that affect patient access, clinician burnout and quality care. Axuall offers a comprehensive approach to workforce analytics, including a platform with integrated components that helps drive better decisions and onboard providers quickly. Improves and accelerates the decision-making process for human capital management.

BlueSky Medical Staffing Software allows users to manage their productivity, labor costs, and more. Software that is completely vendor-neutral, with integrated recruiting functionality, staff scheduling, competency testing and compliance management, payroll, billing, time logs, attendance, custom dashboards and permission control.

It's difficult to achieve a risk-averse, compliant healthcare identity and access control without tested and proven vendor policy and credentialing practices. Vendors and Suppliers--whether they are on-site, hybrid, or virtual--are essential to healthcare operations and delivery. Healthcare providers can be fined up to $10,000 per item of service if they hire or contract with an OIG excluded person or entity. By connecting the right people at the right time, you can reduce penalties, save money, improve outcomes and even save lives. You'll have unmatched visibility of vendor credentials, virtual and on-site activities, and backgrounds. This will help you ensure compliance. Check-ins and passes that don't require internet access mean a reliable, painless management of access for all parties.

Modern provider data engine that delivers real-time verifications and powerful automation. This will simplify credentialing as well as provider network management. All your provider data, workflows, onboarding, network management, as well as everything else, can be managed from one place. Automation can replace manual verification processes and save time, money, and help you be more compliant. You can deploy lightning fast verifications and advanced network surveillance wherever your business requires. Advanced credentialing and compliance monitoring will alert you of any gaps before they become a problem. Our proprietary real-time lookups provide the most current and accurate data. All delivered via an API that integrates wherever needed. Finally, a healthcare API that's easy to use. You can customize the API to meet your specific needs and integrate seamlessly with your existing systems and workflows.

PureOHS™ allows you to increase your operational efficiency while remaining OSHA compliant. PureOHS is UL's Occupational Medical Record system. It supports occupational health initiatives in critical areas like regulatory compliance and surveillance. PureOHS allows you to track and distribute information to the appropriate people and programs. You can track cases, including the diagnosis, injury cause, appointment scheduling, treatment plans, medical notes, and treatment plans. Record, manage, report, and record incidents, near misses, and other conditions that could cause injury or illness. You can easily export the required forms to OSHA so that they can be uploaded to OSHA. This will also help you identify areas where safety improvements could be made. PureOHS can streamline medical recordkeeping, whether you are a manufacturer, a hospital, a municipality or any other organization that struggles to track employees' compliance with OSHA, CDC or internal regulations.

Buzz was designed with healthcare professionals in mind. Buzz Medical Messenger has many features that will dramatically improve your communication. You can create a trusted network of healthcare professionals who are part of your daily work flow. You can create groups or teams that mirror your normal workflow, allowing information to flow seamlessly and efficiently. Buzz allows for in-context integration of conversations to get Lightning™, fast answers via Skyscape’s extensive portfolio of gold-standard medical data trusted by more than 1 million healthcare professionals. Buzz has a strong track-record in hospitals, home health, physical therapy and other agencies involved in the transition of care. Case studies from customers show improved patient experience, higher provider satisfaction, and lower hospital readmission rates.

Communication and teamwork are essential for providing quality healthcare to patients. A study found that ineffective communication between care team members was the cause of 66% of medical mistakes. Collaboration is key for healthcare providers in order to ensure that treatment plans and diagnosis are coordinated amongst the care team. Charmconnect allows providers and stakeholders to communicate more effectively with each other by providing instant access health information about patients. Discussions can then be organized around this information. External chat allows providers and other providers to securely chat with each other to discuss a particular patient or to exchange medical records. The care team can enable Patient channels for selected patients or patient caregivers. This allows patients to chat with care team in a seamless manner, resulting to quicker attention to health problems. It reduces the health risks associated with communication delays.

ROC-P is a comprehensive, cloud-based system that streamlines candidate, certification, and credentialing management right out of the box. ROC-P's purpose-built platform consolidates features that used to be kept across multiple platforms into a single, intuitive portal. It helps secure your organizational data, and adds smart automations that can save thousands of labor hours each year. ROC-P's Certifcation Core features include: • Certified Individual & Candidate Management • Application Management • Continuing Education Tracking • Exam Scheduling & Registrations • Third Party Integrations • Dues & Renewals Scheduling & Registration • Candidate & Board Communication Tools • On-Demand Reporting • Flexible Dashboard & Watchlists • Full System Tracking & Logging Users can add features, such as oral exam management and messaging automation, allowing the platform to scale as their needs grow. ROC-P can also integrate with existing IT stacks, so there's no need to overhaul your existing processes. ROC-P also offers full support and a proven onboarding approach that makes transferring data into the system easy.

Patients can receive automated reminders for appointments, procedure prep and screening questions in the language and modality that they prefer. This allows them to connect with each other. With digital rounding, you show patients that you care about each patient's unique needs. Post-discharge, call or text patients using personalized scripts to confirm compliance with care plans and address any questions before they escalate. This will ensure smoother transitions of care. Your staff's well-being and compassion can be compromised if you are unable to provide compassionate, patient-centered healthcare. Find out how to engage your staff in meaningful ways that keep patients happy and healthy. Hospital leaders are under greater pressure to find new revenue streams and keep patients coming back to their doors. Learn how you can save money while driving sustainable growth with one modernized patient engagement platform.

To provide the best care, it is important to have a trusted environment. When it comes to patient care, caregivers and staff must be decisive. It's hard to execute when you don’t have the right information and the right systems. The SEC3URE Ethos was created to ensure that all healthcare professionals in your facility are credentialed, competent, and trusted to provide support for patients. The SEC3URE Ethos creates trust between all parties across the continuum of care. Patients can trust their doctors, providers can trust their hospitals, and hospitals can be confident that their reimbursements will be protected because they know their vendors and practitioners are compliant.

CloudApper CliniCheck, a robust web- and mobile app that helps healthcare facilities to be more prepared for challenges such as the COVID-19 epidemic, is available. According to the World Health Organization (WHO), "In a pandemic, an outbreak, or any other emergency, hospital administrators must ensure the initiation a relevant generic priority action." The CliniCheck app is a compact tool that aids frontline teams in performing their duties efficiently during this critical time. This pandemic demands rapid response times to ensure the best possible outcomes. CliniCheck allows users to easily document and share best practices, including short video clips. This helps reduce communication delays and ensures patient safety during emergencies such as outbreak relief efforts. Healthcare providers are used coping in an environment where employee and patient health are top priorities.

HIPAA-compliant AI chat solutions, API access, and enterprise-grade tools—powered by Anthropic’s Claude—Hathr AI enables healthcare providers, insurers, and professionals handling HIPAA-regulated data to streamline workflows while maintaining strict data security. Built within AWS GovCloud’s FedRAMP High environment, Hathr AI ensures all data interactions remain private and safeguarded from unauthorized access. Users can automate key processes like patient note summarization, pre-authorization drafting, and insurance claim submissions, all within a secure and intuitive platform. By leveraging advanced models such as Claude 3.5 Sonnet, Hathr AI delivers a private AI environment tailored for HIPAA compliance. Teams can efficiently extract and summarize data from complex medical records, supporting more informed clinical and administrative decisions.

CORE brings together the industry to accelerate automation and develop processes that streamline healthcare services for patients, health plans and providers. CAQH, a healthcare organization's trusted source of member and provider data, helps reduce costs, improve payment accuracy, and transform business processes. In an ever-changing healthcare landscape, it is vital to improve payment and claim processing systems. The new and updated CAQH CORE operating rules represent a significant advance in our ongoing efforts to improve efficiency.