AI-Powered Provider Credentialing with Complete Compliance
Comprehensive credentialing lifecycle management with AI document processing, automated verification, multi-payer enrollment, OPPE/FPPE tracking, and continuous compliance monitoring.
Complete Credentialing Visibility
Track every provider through the complete credentialing lifecycle with real-time status updates and automatic workflow progression.
Enterprise Credentialing Platform
Comprehensive credentialing workflow with AI-powered optimization at every step.
AI Document Processing Pipeline
Azure Document Intelligence OCR combined with OpenAI extraction for automated parsing of licenses, certifications, board certificates, DEA registrations, and malpractice policies.
Automated Primary Source Verification
Real-time verification against NPPES, OIG exclusion list, SAM.gov, NPDB, DEA, state licensing boards, and board certification databases for comprehensive provider validation.
Multi-Payer Parallel Enrollment
Simultaneous provider enrollment across multiple payer portals with CAQH ProView integration, RPA-driven form submission, real-time status tracking, and automated follow-up.
OPPE & FPPE Evaluation Management
Joint Commission compliant ongoing and focused professional practice evaluation tracking with customizable metrics, privilege-specific criteria, and automated reporting.
Continuous Compliance Monitoring
Automated expiration tracking across all credential types with multi-tier alerts at 90, 60, 30, and 7 days, auto-initiated re-credentialing workflows, and compliance dashboards.
Streamlined Credentialing Process
From application to enrollment, every provider follows an optimized credentialing path.
Application Received
Provider submits
Documents Verified
AI + primary source
Committee Review
Credentialing committee
Privileges Granted
Board approval
Enrolled
Payer enrollment
Complete Credentialing Ecosystem
Beyond document processing - manage automation, analytics, and practice coordination.
Configurable Automation Modes
Three modes: Manual (human reviews all), AI-Assisted (AI extracts, human confirms), AI-First (AI processes, human reviews exceptions) with per-case configuration.
Credentialing Analytics Dashboard
Comprehensive analytics with turnaround time metrics, compliance rates, bottleneck analysis, and payer enrollment scorecards for operational optimization.
Practice-to-Back-Office Bridge
Seamless handoff workflow between practice managers and credentialing staff with full status visibility, document sharing, and SLA tracking.
Why Choose Our Credentialing Solution
Purpose-built for healthcare organizations that demand transparent, AI-powered provider credentialing.
Transparent AI Processing
See exactly how documents were parsed and verified
Regulatory Compliance
Built for CMS, Joint Commission, and NCQA standards
Immutable Audit Trail
SHA-256 hash chain for tamper-proof compliance records
Multi-Provider Support
MD/DO, APP, allied health, nursing - all provider types
OPPE/FPPE Analytics
Ongoing and focused evaluation tracking with metrics
Flexible Automation
Choose your automation level per credentialing case
Optimize Your Credentialing Workflow
- Reduce credentialing turnaround time with AI-assisted document processing
- Eliminate compliance gaps with automated expiration tracking and alerts
- Accelerate payer enrollment with parallel multi-portal submission
- Automate document verification with primary source validation
- Ensure survey readiness with continuous compliance monitoring
Standards & Compliance
Ready to Transform Your Provider Credentialing?
See how our AI-powered credentialing platform can improve compliance and efficiency. Schedule a personalized demo today.
