Best Health Care Credentialing Software

Health care credentialing software automates and simplifies the process of vendor, facility, and insurance provider credentialing. To stay compliant with health care facility policies and requirements, credentialing software takes over the manual process of verifying, screening, and generating contracts, applications, and other forms. The software optimizes front and back health care office operations and workflows. Additionally, health care credentialing software can prepare health care organizations for audits, securely store reliable and/or up-to-date provider information, and ensure that all documents and accreditations are easy to find and remain secure.

To qualify for inclusion in the Health Care Credentialing category, a product must:

  • Maintain or provide access to updated and accurate provider information
  • Automate time-consuming processes such as primary source verification and committee review
  • Centralize and privilege patient data
  • Adhere to industry and/or facility-specific requirements
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    Direct Care Innovations (DCI) is a healthcare technology company that creates business management platforms for providers and government agencies.

    MedicsPremier is a practice management solution that has clearinghouse claims, auto-eligibility checking and auto-modifiers, patient/provider credentialing, copayment displays, and more.

    Cortex EDI is a leading clearinghouse and practice management software vendor for electronic medical transactions. Cortex EDI assists providers in every step of the revenue cycle from verifying patient eligibility to sending claims and tracking receivables.

    The Cactus Provider Management Platform is a web-based provider management solution that provides an easy and effective way to manage your provider information, from initial application, to provider credentialing & privileging, to provider enrollment, to peer review, practice benchmarking, analytics & incident reporting, all the way to recredentialing.

    Cerner Corporation's HealtheRegistries solution allows EPs/ECs to attest to MU and ACI programs Clinical Data Registry option of the Public Health Objective. HealtheRegistries provides the technology to track and manage quality measures to improve population health outcomes. To meet the Public Health Objective, EPs/ECs are eligible to electronically submit data from a Certified Electronic Health Record Technology (CEHRT) to HealtheRegistries via HealtheIntent.

    MSOW solutions allow customers to take advantage of privileging solutions that help analyze criteria across departments.

    CE and CME to help clinicians stay current, meet licensing requirements and refine skills to improve performance.

    SkillSurvey Credential OnDemand® enhances the onboarding experience for everyone by easing and speeding the credentialing process.

    TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.

    CredentialMyDoc is designed for all medical organizations with licensed providers who need to enroll with payers for reimbursement, as well apply and maintain privileges with healthcare facilities.

    Intake.io is a real-time insurance eligibility & coverage verification software.

    MD-Staff is a modular web-based credentialing system with drag-and-drop privileging capability for healthcare industry.

    Watsi is a solution that directly fund life-changing health care for people around the world by meeting a patient, donating to to fun their care, and receive updates.

    The Vistar eVIPs provider data management system is a robust workflow solution that will automate and streamline all aspects of provider data management for health plans and managed care organizations, including credentialing, contracting, network management, quality improvement, ongoing monitoring & compliance, and more.

    ABN Assistant is the triage medical necessity for Medicare and private payers prior to service delivery.It verifies medical necessity pre-service and generates ABN or private payer notices as necessary and provides full reporting, chargemaster, coding, and administration tools.

    Patient registration and quality assurance solutions for providers who want to improve data accuracy and optimize patient flow.

    AlphaMCS tracks member demographics, provider performance, applications and contracts, service referrals and provision along with provider monitoring all in one end-to-end solution.

    Practice Management solution lets you manage patient records, insurance eligibility, documents, and billing in one place to maximize staff efficiency.

    Availity solves the communication challenges between healthcare stakeholders, creating a more transparent exchange of information between health plans, providers, and technology partners.

    Better Doctor is an healthcare marketplace that provides accurate doctor data, health plan directories, consumer review and APIs.

    CheckMedic is an online credentialing and management tool. It uses trusted data to help protect patients, sustain your reputation, ensure compliance, and speed onboarding. The MedPass is created from the CheckMedic process and is an all-inclusive, portable profile.

    The PayoIQ's payor change information provides immediate and substantial revenue management benefits to your practices as you seek to improve patient outcomes.

    The Converge Platform is a comprehensive, enterprise software solution that integrates silo'd departments, facilities and systems with a secure digital workspace and workflow for high risk/high-liability data, providing the insights necessary to proactively manage governance, risk and compliance.

    Offers a provider centric approach to credentialing with a focus on Profitability, Accountability & Accessibility

    CredSimple transforms provider credentialing into a fast, compliant and cost-effective process for healthcare organizations who are dissatisfied with inefficiencies that lead to burned out employees, dissatisfied providers and missed business opportunities.

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