Alternatives to symplr Payer

Incredable is an all-in-one configurable credentialing solution that bridges the gap between healthcare facilities, providers, and administrators. The platform streamlines the entire credentialing process, from document management and compliance tracking to credential verification. Incredable ensures that healthcare professionals remain fully compliant and prepared at all times. Trusted across the healthcare industry, Incredable reduces administrative burdens, enhances operational efficiency, and fosters seamless collaboration among all stakeholders, allowing healthcare teams to focus on delivering quality care.

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 accelerates and simplifies healthcare workforce education, compliance, and credentialing. MedTrainer’s natively built software platform provides a seamless user experience that helps healthcare organizations thrive in managing their workforce. Learning: A healthcare-specific learning management system (LMS) enriched with thousands of education courses and resources created by subject matter experts to satisfy regulatory, accreditation requirements, and provide continuing education credit. Compliance: A technology solution that combines incident reporting, document, and policy management, and highly customizable reports to improve compliance. Credentialing: An end-to-end credentialing capability with automation, workflows, and centralized data to simplify the process and reduce costly delays. From PSV to provider enrollment and privileging, everything is in one platform with complete visibility.

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.

In just a few clicks, you can create, approve, sign, and track Non-Disclosure Agreements. The best-of-breed AI is integrated into an end to end contracting platform that makes it as simple as a spreadsheet but with the enterprise-level power. You can create perfectly formatted, error-free contract templates and turn them into rich data sources. Automate the process of signing, approving and requesting contracts. This will allow you to have full control over the contract's lifecycle. AI-powered contract analysis, obligation tracking, and reporting make it easy to file your contracts quickly. AI that learns quickly about your contracts using just a few examples. Every feature has been designed with usability in mind. You can set up in minutes and import thousands upon hours. You can set up in minutes and import thousands upon hours. No matter how big or small your business is, pricing and functionality can scale with it. You can be flexible without compromising usability with powerful customisability.

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.

symplr's provider credentialing software serves as a comprehensive solution for managing provider data, effectively reducing turnaround times and streamlining revenue cycles, all while ensuring that patient safety remains a top priority. This software simplifies the processes of data collection, secure access, reporting, and maintaining ongoing compliance, making it easier for providers, credentialing teams, and internal approval committees to manage their responsibilities. Users have experienced a significant 20% decrease in the time it takes to complete credentialing, with a remarkable 50% drop in the frequency of committee review meetings. By utilizing this automated and intuitive platform, organizations can efficiently collect, verify, store, and share vital provider lifecycle information and documentation in one centralized location, leading to both time savings and cost reductions. Additionally, the software includes a payer enrollment module that facilitates the enrollment of providers with payers, allowing for easy tracking of applications throughout the reimbursement process. With advanced automation capabilities, it gathers data from numerous primary sources and conducts automatic checks for expired or suspended licenses, as well as verifying against databases such as NPDB, DEA, and SAM, thus enhancing the overall efficiency and reliability of the credentialing process. Ultimately, symplr’s software transforms the way healthcare organizations handle provider credentialing, making it a crucial tool in the industry.

CORE unites various sectors of the industry to speed up automation and enhance business processes that simplify healthcare for patients, providers, and health plans alike. By leveraging the most reliable source of provider and member information, CAQH empowers healthcare organizations to cut expenses, enhance payment accuracy, and revolutionize their business operations. In the rapidly changing healthcare environment, ongoing advancements in payment and claims processing are crucial. Healthcare providers and health plans nationwide rely on CAQH to gather and oversee professional data, verify primary sources, and keep track of sanctions. Consequently, this leads to more efficient administration, improved regulatory compliance, and superior management of provider information. Ultimately, the collaboration fosters innovation and ensures that all stakeholders benefit from a more effective healthcare system.

For thirty years, Verisys has been a trusted partner to some of the most intricate healthcare entities in the United States, managing the credentialing of over two million events each year. Our provider credentialing solutions ensure that you maintain compliance effectively. The credentialing and re-credentialing of healthcare providers is a challenging task for hospitals, health plans, and health systems alike. With physicians holding licenses in multiple states and offering telehealth services across state lines, it becomes necessary to verify licenses with each respective state board and adhere to the distinct regulations set forth by those states. Additionally, identity verification can be intricate, as many physicians share similar names, including maiden names, aliases, nicknames, or shortened versions of their names. To obtain a comprehensive understanding, it is essential to screen each physician thoroughly and validate credentials against a myriad of primary sources. Our expertise spans from conducting straightforward provider credential searches to deploying comprehensive end-to-end credentialing systems that streamline the entire process. By relying on us, you can simplify the complexities of credentialing and focus on providing quality care.

SKYGEN's Provider Data Management (PDM) is a responsive solution designed to enhance the management of provider networks and foster better relationships between healthcare payers and providers. This platform not only boosts the capacity of payers to construct effective provider networks but also elevates satisfaction levels for both providers and members while reducing administrative expenses. By leveraging cutting-edge technology, PDM addresses the demands of contemporary, tech-savvy healthcare participants. It streamlines contract acquisition costs through swift, efficient, and paperless provider recruitment and supplemental network rentals. Additionally, the solution lowers credentialing costs and enhances provider satisfaction by facilitating online credentialing processes. By automating provider self-verification, it eliminates costly outreach efforts and ensures that provider data remains accurate and verified for online directories. Ultimately, SKYGEN enables dental and vision connectivity solutions that empower clients to embrace the future with confidence, utilizing technology that fosters unmatched efficiencies and effectiveness in their operations. This innovation positions healthcare organizations to thrive in an ever-evolving landscape.

Certify offers an API-driven approach to credentialing, licensing, and enrollment tailored for payors, health systems, and fast-growing digital health enterprises. We provide essential insights that enhance the performance of clinicians, teams, and healthcare organizations alike. With our user-friendly one-click credentialing solution, you can create top-tier provider networks effortlessly. Our real-time, automated credentialing adheres to NCQA standards, making it easier to expand provider networks. We ensure continuous compliance through automated ongoing monitoring of your provider networks. By eliminating the uncertainties and administrative burdens of licensing, we enable you to expand into new markets without hassle. Join our network and expedite your reimbursement processes, allowing you to focus more on delivering care. Our streamlined approach facilitates cross-state licensure across all 50 states for any category of license, while also simplifying the payor enrollment process for providers entering new markets. Monitor your enrollment progress conveniently with our tailored dashboards, and utilize our superior methodology to refine, standardize, and enhance your provider data effectively. This comprehensive service not only supports compliance but also fosters growth in a competitive landscape.

Model N offers a comprehensive platform that enables organizations to enhance their revenue while modernizing Sales, Marketing, Channels, Finance, and Legal workflows. By utilizing Model N’s revenue management tools, businesses can transform isolated, tactical operations into cohesive end-to-end revenue processes through the power of automation and intelligent insights. Revenue Cloud effectively connects front-office and back-office functions, creating a consolidated system of record for all revenue-related activities. This platform empowers clients to effortlessly configure and quote intricate products, swiftly finalize complex contracts, and gain access to accurate, real-time channel data, enhancing transparency within their channels. Furthermore, it streamlines the management of incentive programs, helping to prevent overpayments. Additionally, Model N’s Rebate Management feature enhances channel engagement, leading to improved revenue optimization. Ultimately, this holistic approach allows companies to achieve greater efficiency and effectiveness in their revenue generation efforts.

Speed up payment processes while minimizing administrative tasks. With over 8,000 payer connections and established collaborations with more than 650 practice management vendors, our claims management solutions lead to a reduction in pending claims and decreased need for manual efforts. Efficiently and accurately send claims for various services, including professional, institutional, dental, and workers' compensation, ensuring prompt reimbursement. Tackle the evolving landscape of healthcare consumerism by delivering a smooth and transparent financial experience. Our patient engagement tools enable you to facilitate informed discussions around eligibility and financial obligations, while also lowering obstacles that could affect patient outcomes, ultimately fostering better healthcare experiences.

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

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

HealthEC offers a premier population health management platform, featuring the CareConnect™ care management module and the 3D Analytics™ module, aimed at improving the quality of care and enhancing patient experiences by tackling the most significant data challenges in healthcare. By utilizing a universal data warehouse, it effectively integrates normalized claims, clinical, and social determinants of health (SDoH) data from various sources, ensuring CMS certification for reuse. The platform minimizes workflow interruptions through customizable care plans and decision-support tools, providing comprehensive care management assistance. It fosters patient-centered care by promoting seamless coordination with community resources while addressing SDoH. With clear dashboards and point-of-care access, it empowers healthcare professionals with actionable insights at the diagnosis, provider, practice, and organizational levels. Additionally, it enhances managed care organization (MCO) performance reviews and ensures compliance with CMS interoperability rules, thereby supporting healthcare providers in delivering superior outcomes. The integration of these features leads to a transformative approach to population health management.

Our platform fosters consistency, continuity, and scalability throughout our interconnected portfolio, allowing customers to enhance their operational efficiency, make informed decisions, and achieve better patient outcomes while driving innovation in our evolving healthcare system. By leveraging advanced data and analytics alongside patient engagement and collaboration tools, the Change Healthcare platform empowers both providers and payers to streamline workflows, obtain the necessary information precisely when needed, and ensure the delivery of the safest and most appropriate clinical care possible. We facilitate seamless access to data and promote interoperability among various data sources, thereby supporting CMS patient access and interoperability regulations, which ultimately leads to real-time access to clinical documents. This approach is instrumental in managing risk adjustment effectively, boosting HEDIS scores, and ensuring timely and precise payments through quicker adjudication. Furthermore, our commitment to innovation positions us to adapt to the changing landscape of healthcare while continually improving the services we offer.

For numerous hospitals and healthcare practices, the onboarding of providers tends to be an extensive and cumbersome endeavor. The re-credentialing process can often resemble starting anew, which can be exasperating for providers, administrative personnel, and healthcare leaders alike; they increasingly recognize that poor provider data management adversely affects both patient care quality and the financial health of the organization. Regrettably, provider management solutions, whether external or internal, have seen minimal innovation over the past two decades. Many healthcare entities still rely on disjointed, labor-intensive paper processes and a reliance on informal knowledge for gathering, overseeing, and processing provider information. However, I-Enroll offers a transformative solution for organizations of all sizes, allowing them to convert fragmented provider management tasks into smooth, cohesive, and well-integrated systems. By implementing I-Enroll, various users and departments can collaborate efficiently, functioning seamlessly like a well-oiled machine. This innovation not only enhances operational efficiency but also ultimately leads to improved patient outcomes.

Reclaim precious hours in your day and save millions with our innovative automated solutions. Connect effortlessly with essential stakeholders—providers, payers, and partners—while gaining access to real-time, precise data that ensures seamless care delivery. We simplify the intricate web of thousands of payer connections, allowing you to initiate quick and straightforward enrollments with ease. Experience the unparalleled capabilities of the cloud like never before. Our centralized command system enables you to manage, store, and share provider information in real-time, ensuring connectivity wherever necessary. Verification of providers is now a hassle-free process; simply make a request, and our platform will expedite it for you, enhancing your operational efficiency. Let us help you streamline your workflow like never before.

EddyCore is a cloud-based, self-service software solution designed for credentialing, privileging, and enrollment, aimed at streamlining processes for both healthcare organizations and providers while conserving precious time and resources. Our cutting-edge software and services integrate seamlessly with EddyOne, facilitating the effortless gathering of provider data. With an unmatched implementation speed, we offer services that make the transition to our software straightforward and efficient. Users can delegate verification and enrollment responsibilities while keeping track of tasks in real-time, ensuring nothing falls through the cracks. The platform is free from modules and feature limitations, delivering the full capabilities of Eddy immediately upon access. Additionally, you can create an unlimited number of non-provider accounts without incurring extra charges and conduct multiple primary source verifications with just a click. EddyCore has been crafted by experts in credentialing and enrollment to simplify the responsibilities of those managing provider credentialing and enrollment, making it an essential tool for healthcare professionals. Ultimately, our mission is to enhance efficiency and ease in the credentialing process so that providers can focus more on patient care.

Discover the comprehensive credentialing platform designed to ensure your facility remains healthy and compliant. It simplifies labor-intensive tasks such as primary source verification and OIG monitoring, reducing the risk of errors and overlooked documentation in preparation for inspections. Say goodbye to the hassle of navigating through numerous paper files; instead, keep your credentials securely stored in the cloud, allowing you to access them anytime and anywhere. Our system will notify you of any missing or outdated credential documents through automatic reminders, ensuring you stay on top of compliance. Benefit from one-click verifications for medical licenses and certifications, and facilitate online reference requests with tailored questions. Additionally, you can implement ongoing OIG monitoring and NPDB Query logging seamlessly. By managing all credentialing tasks online, you can eliminate paperwork, effectively track providers' appointments and reappointments, and maintain detailed individual profiles that include contact information and summaries. This innovative solution not only enhances efficiency but also fosters a more organized approach to credential management.

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.

Design, issue, and manage credentials anywhere, anytime. Entrust Instant ID lets you create, issue, and manage secure IDs and credentials. It empowers organizations to meet a wide range of application requirements, from basic photo IDs to high-assurance credentials. Plus, you can easily scale from a single workstation or user to a multiworkstation, enterprise-wide application with more functionality.

Build the interoperability solution you need. Rhapsody is a flexible toolbox which allows your team to adapt to any modern environment. Rhapsody helps you provide the highest level service by ensuring healthcare data flows where, when and how your unique environment requires. Create flexible solutions for every connection requirement. Streamline workflows using a solution that's infinitely configurable, and specifically designed for healthcare. Create intricate integrations using a robust toolkit, which has been tested around the world. The platform has customers in 36 different countries. Create FHIR interfaces that are cutting edge with ease and simplicity using REST and FHIR specific JSON. Security is a primary concern, and is built into the entire product. This is to protect any protected health information that passes through the engine.

Health systems can match patients to the right providers, optimize patient access, and manage data with industry-leading solutions. Our provider search and schedule solutions, built on the Kyruus data management platform, enable health systems to optimize matching between patients and providers; boost patient acquisition and convert; and deliver a consistently positive patient experience at key points of entry. Create a digital presence that is unique with a modern access experience for patients. This allows them to easily find the best care options and book online. By equipping your agents with the necessary technology, you can connect consumers with the best providers via your call center. Providers and staff will be able to see the providers in your network, and patients can leave their appointment knowing that the next one is already booked.

SKILLS Global is a leader in web-based and mobile applications for Applied Behavior Analysis (ABA), professionals as well as educators and parents who work with individuals with ASD. Our software suite provides a single source for creating customized, research-backed treatment plans. It includes data collection, scheduling, billing, contracting, credentialing, and much more. All this is done with free ongoing support.

Door Space® streamlines your expenses and automates the credentialing process, allowing you to onboard new recruits more quickly while minimizing claim denials caused by lapsed or missing credentials. By bridging data silos within healthcare institutions, it creates network effects that lower costs, enhance predictive analytics, and boost employee retention. With Door Space®, you can keep all credentials neatly organized in a single platform! It simplifies the tracking of expiring documents and continuing education obligations, making the process of uploading new credentials as effortless as mobile check deposits. Automated notifications ensure you will never overlook a renewal deadline again. Additionally, you can synchronize your calendar for upcoming renewals and CE courses, receive SMS alerts on your phone, and grant access to employers and authorized agents, making credential management more efficient than ever. This comprehensive approach not only saves time but also improves overall operational effectiveness within your organization.

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

MD-Staff offers a cloud-based, AI-powered credentialing software solution that is both intuitive and supported by more than three decades of innovation. With a global clientele exceeding 2,000, MD-Staff streamlines the credentialing process, monitors clinical privileges, and enhances patient safety initiatives through automation. This reliable software is complemented by tailored customer service to meet the specific needs of its users. The Aiva™ Credentialing engine within MD-Staff employs advanced AI and automation techniques to significantly reduce application processing times while identifying problematic practitioner files. Additionally, MD-Staff facilitates primary source verifications via web crawlers, Pronto reference checks, and robust integrations with key primary sources including NPDB, OIG, and SAM. The platform's privileging module boasts an easy-to-use drag-and-drop interface, making the creation and management of both standard and specialized privilege delineation forms straightforward. Overall, MD-Staff stands out as an invaluable tool for healthcare organizations looking to optimize their credentialing and privileging processes.

We link healthcare systems, staffing agencies, and digital health organizations with an extensive range of data, delivering valuable insights for network development, analytics, and reporting, while significantly streamlining the onboarding and enrollment process through provider-enabled digital credentials. Axuall empowers healthcare professionals to take charge of their career identities, facilitating more intelligent and efficient strategies for network planning, credentialing, privileging, enrollment, and deployment across healthcare systems, staffing firms, telehealth organizations, and health insurance plans. By eliminating complexities and delays that hinder patient access, contribute to clinician burnout, and affect care quality, Axuall aids in generating millions in additional revenue. The company offers a holistic approach to workforce intelligence, featuring a platform of interconnected components designed to enhance decision-making and expedite provider onboarding. This results in improved and quicker choices in human capital management, ultimately fostering a more effective healthcare environment. With Axuall, organizations can navigate the complexities of the healthcare workforce with greater agility and precision.

STATCred offers clients involved in credentialing access to their data, enabling them to examine status reports, submit information, generate exports, and liaise with their Medical Staff Coordinator. For healthcare organizations with their own credentialing teams, STATCred is adaptable to fulfill their unique requirements, enhancing the efficiency and effectiveness of the credentialing process. This customization plays a crucial role in delivering STATCred’s service guarantee, ensuring optimal workflows to meet client objectives. By eliminating the need for paper, documents can be uploaded and accessed online at any time. Additionally, it includes a variety of standard management reports, the capability to design and save personalized reports, and advanced search functionalities that allow for data queries to be exported in PDF or Excel formats for further examination and evaluation. Overall, STATCred streamlines the credentialing process while providing robust tools for data management and reporting.

OpenText™ Contract Center significantly shortens contract cycle durations while enhancing operational efficiency. This platform revolutionizes contract management by shifting from fragmented document processes to cohesive and intelligent workflows. It facilitates the automation of the entire contract lifecycle, encompassing creation, negotiation, approval, management, and renewal stages. By enabling both internal teams and external partners to access all contracts, it fosters seamless collaboration. Furthermore, the system optimizes contract creation, oversees document workflows, and boosts compliance through smart automation techniques. Users can generate comprehensive reports that integrate data from various sources, including ERP and CRM systems, thereby delivering valuable insights across the organization. Additionally, the platform allows for the automatic generation of contracts filled with relevant terms tailored for distinct business scenarios, while also enabling modifications using pre-approved clauses stored in a clause library. This holistic approach not only simplifies contract management but also enhances decision-making and strategic planning within the enterprise.

Streamline the provider contract lifecycle by leveraging automation to navigate intricate care delivery models, complex regulations, and limited provider networks. Ensure compliance with regulations to mitigate the risk of incurring financial penalties. Facilitate the development and management of value-based contracts that empower providers to offer clear and consistent care to their members. Accelerate the entire contracting journey, encompassing initiation, negotiation, execution, archiving, amendments, and renewals. Utilize an automated contract creation process complemented by interview-based contracting features. Employ a smart questionnaire to produce contracts from established templates efficiently. Incorporate parallel editing, bind variables, reusable clauses, and templates to hasten the contract development process. Maintain a structured and sequential approach to managing provider credentialing while implementing case auto-routing and user-friendly checklists to minimize errors. This comprehensive strategy not only enhances efficiency but also fosters stronger partnerships with providers.

Eprovion is an advanced provider management solution tailored for payers that streamlines contract workflows across different types of providers. This system seamlessly integrates with claims processing platforms, ensuring precise contract loading while providing claims-based profiles for providers. Future iterations of eprovion are set to introduce features like claims issue resolution, enhanced business intelligence, and comprehensive disease management capabilities. As a web-based enterprise-class system, it guarantees scalability, security, robustness, and exceptional performance along with high availability. Eprovion effectively manages the entire contract lifecycle, from the initial preparation for negotiations using detailed provider profiles to scheduling negotiation timelines, overseeing contracts throughout their duration, and handling renewals or terminations. All these functionalities are housed within a user-friendly interface, complemented by strong MS-Office integration. Users can create reusable contract templates, while the system also supports annotations, versioning, and batch processing of contracts, making it an invaluable tool for efficient contract management. This comprehensive approach not only enhances administrative efficiency but also facilitates better decision-making for payers.

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.

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.

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.

Without reliable vendor policies and adaptable credentialing practices tailored to your organization's specific requirements, achieving comprehensive compliance in healthcare identity and access management can be challenging. Vendors and suppliers, regardless of whether they are present on-site, operating virtually, or functioning in a hybrid capacity, play a crucial role in healthcare service delivery. Healthcare providers face significant risks if they engage with individuals or entities excluded by the OIG, with potential fines reaching $10,000 for each violation. Establishing connections with the right, verified individuals at critical times can help reduce penalties, enhance efficiency, and ultimately make a difference in patient outcomes. By ensuring you have exceptional insight into vendor credentials, as well as their activities and backgrounds, you can maintain compliance without uncertainty. Moreover, implementing internet-free check-in systems guarantees smooth and efficient access management for everyone involved, ensuring that operational flow is never disrupted. This comprehensive approach not only safeguards against compliance issues but also fosters trust and reliability within the healthcare ecosystem.

Oversee both current and past contracts, including terms, approvals, and expiration dates for physicians, BAAs, vendors, materials, lease agreements, and additional categories. Healthcare organizations often find themselves juggling thousands of contracts and subscriptions simultaneously, each requiring its own negotiations, approvals, and compliance obligations. In the absence of a streamlined, automated system, these entities struggle to gain a comprehensive view of their contract portfolios, exposing them to potential compliance issues and mismanagement of contracts. The approach to contract management in the healthcare sector is significantly different from that in other fields, making it essential to have a customized solution that mitigates risks and conserves resources, thereby ensuring that no potential revenue is overlooked. symplr Contract offers the necessary tools, insights, and governance to facilitate effective contract lifecycle management across the entire organization. By implementing such a solution, health systems can enhance their operational efficiency and safeguard their financial interests against unforeseen challenges.

Contract data is essential for everyone in your organization involved in servicing, supporting, managing, or executing contracts. An effective contract management system provides easy access to contract data, allowing team members to obtain information independently without needing to consult legal or other departments. This self-service capability enables users to quickly locate or generate reports on vital data or terms from all contracts, thereby minimizing risks and ensuring compliance with important contractual obligations. After a contract is executed, its value is just starting; however, a staggering 90% of organizations struggle to locate their contracts. This is alarming when considering the ongoing necessity for critical details such as key terms, renewal dates, owned products or services, and pricing information. A centralized source of information ensures that teams across your organization have immediate access to accurate answers for every customer, seamlessly integrating with CRM systems. This approach fosters efficiency and reliability, as everyone can confidently access the information they need to drive business success.

androsCredentialing revolutionizes outdated systems, significantly minimizing labor hours and operational expenses by utilizing the most extensive provider data repository in the healthcare sector. Transforming the credentialing process through digitization is truly a transformative advancement. As we expand our client base and credential more providers, the platform continuously absorbs data, enhancing its accuracy, broadening our provider network, and hastening credentialing for everyone involved. Our innovative API simplifies the provider credentialing process, allowing clients to seamlessly integrate NCQA-certified credentialing into their applications and systems. This results in rapid, precise outcomes without the hassle of navigating through numerous spreadsheets and paper documents. The andros platform facilitates credentialing workflows at speeds up to ten times faster than the industry norm. Positioned far ahead of the competition, our credentialing solution not only lowers overhead but also guarantees precision at every stage of the process, making it an invaluable tool for healthcare organizations. Ultimately, androsCredentialing sets a new standard in efficiency and effectiveness within the industry.

Founded in 1990, HealthStream is a company headquartered in the United States that creates software called CredentialStream for Groups. CredentialStream for Groups offers training via webinars and videos. CredentialStream for Groups has a free trial. CredentialStream for Groups is a type of credentialing software. The CredentialStream for Groups software product is SaaS software. CredentialStream for Groups includes phone support and online support. Some competitors to CredentialStream for Groups include EchoOneApp, CredentialStream, and STATCred.

Innovit's suite of iICE Training programs is specifically crafted to equip your workforce with essential knowledge and skills. By integrating industry best practices in managing product information, you can trust that your team will enhance systems and processes for sustainable master data management. As a worldwide solution provider, Innovit focuses on areas such as Master Data Management (MDM), Product Information Management (PIM), Global Data Synchronization (GDSN), Unique Device Identification (UDI) Compliance, and New Product Introduction (NPI) Workflow Automation software. These programs not only boost individual competencies but also foster a culture of continuous improvement within your organization.

A cutting-edge provider data engine that offers instantaneous verifications and robust automation, streamlining the processes of credentialing and managing provider networks. This solution serves as a centralized hub for overseeing all provider data, workflows, onboarding, and network management tasks, along with various other related operations. By replacing traditional manual verification methods with automated solutions, organizations can enhance efficiency, reduce costs, and improve compliance by minimizing the risk of human error. Experience rapid verifications and sophisticated network oversight tailored to the specific requirements of your business. The system features advanced credentialing and compliance tracking that alerts you to potential gaps before they escalate into significant problems. Ensure that you have the most precise and current data available through our unique real-time lookups, conveniently accessible via an API designed for seamless integration. Ultimately, this healthcare API not only meets your needs but also provides a user-friendly experience, allowing for customization and effortless integration with your existing systems and workflows. Enjoy the benefits of having a powerful tool that enhances operational efficiency while maintaining high standards of accuracy.

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.

Turnkey solutions for credentialing, privileging, and performance oversight revolutionize compliance, shifting it from a mere administrative burden to actionable insights. This proactive approach to safety extends beyond merely responding to incidents, striving for a comprehensive strategy that integrates safety, risk, and quality data. By sharing risk-related information, organizations can derive actionable insights that facilitate proactive decision-making aimed at achieving zero harm. Converge embeds robust analytics and business intelligence, delivering critical safety data and tools right at your fingertips. Users can easily report near misses, incidents, feedback, or commendations directly through the EHR system. Collaborating with your implementation manager is essential to determine the optimal timeline, team composition, and project scope tailored to your organization's needs. This framework integrates Mortality Review, Safety Rounds, and Patient Launch to identify potential risks before they escalate. Furthermore, the system ensures real-time connectivity with CMS work order systems, minimizing redundancy and enhancing resolution efficiency. Solutions are introduced in a manner that is easily digestible, ensuring all team members are equipped for success. Gradual implementation of platform modules allows for seamless integration, enabling organizations to adapt progressively to new systems as needed. This thoughtful approach not only enhances safety but also fosters a culture of continuous improvement and accountability.

When facilities are prepared to meet their demands and independent professionals have the flexibility to determine their work locations and schedules, a powerful environment for advancement is created. ShiftKey bridges the gap between licensed professionals and facilities nationwide. Our innovative technology offers autonomy and foresight, alleviating stress, enhancing visibility, and creating a scalable, data-driven approach to workforce management. Professionals can bid exclusively on assignments that interest them and work at their own rhythm. They receive timely notifications about enticing new roles, choose their projects, and get compensated shortly after their work logs are validated or opt for weekly bank deposits. Our user-friendly dashboard allows businesses to post job opportunities for independent credentialed professionals while acquiring vital data to maintain a competitive edge. There are no bureaucratic hurdles, no hidden charges, and complete clarity throughout the process. With the ability to make choices that align with their personal lives, independent professionals experience noticeable improvements in their earnings, overall well-being, and their connection to work. This empowerment fosters a dynamic environment that encourages both personal and professional growth.

The Eligibility Verification Standard enhances both patient access and billing procedures by allowing staff to efficiently assign and prioritize patients, payers, and tasks throughout the eligibility verification process. This advanced technology surpasses mere eligibility checks by offering a comprehensive dashboard for confirming, managing, and archiving every inquiry made. It accelerates the verification process through automated enrichment, correcting incomplete or improperly formatted transactions from payers. Additionally, staff can conduct multiple eligibility inquiries simultaneously via batch file uploads that swiftly verify Medicaid, Medicare, and commercial coverage. Team members can be easily assigned tasks, follow-up flags can be set, and eligibility documentation can be generated for future use. Managing patients across batches and resolving issues is simplified, requiring just a few clicks. Ultimately, this cloud-based, all-payer health insurance eligibility verification software saves time and enhances coverage accuracy, while empowering staff to handle benefit inquiries in the manner that suits them best, ensuring operational efficiency. With its user-friendly design and powerful capabilities, it transforms the way eligibility verification is approached in healthcare settings.

OnBase, Hyland’s flagship product is a single enterprise platform that manages your content, processes, and cases. OnBase centralizes all your business content and delivers the relevant information to you whenever you need it, no matter where you are. Your enterprise can increase productivity, provide excellent customer service, and reduce risk. OnBase is a single platform that allows you to build content-enabled apps. It can also be used to complement your core business systems. This will bring value to both your business units as well as your IT department. Rapidly create content-enabled solutions using a low-code platform for application development. This will reduce development time, cost, and silos within your department. OnBase can be deployed in the cloud, extended to mobile devices, and integrated with existing applications. All of this while leveraging the core strengths and security inherent to the OnBase platform.