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
Compare Health Care Credentialing Software
Results: 43
G2 Crowd takes pride in showing unbiased ratings on user satisfaction. G2 Crowd does not allow for paid placement in any of our ratings.
Results: 43
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    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.

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

    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.

    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.

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

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

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

    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 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.

    CubHub is a platform built specifically for pediatrics, rather than a Medicare-centered program with pediatric "work arounds." CubHub's outcomes-based data will enable you to partner more closely with private insurance companies, MCOs, referral sources, and key physicians—providing data to help you negotiate better contracts, get more referrals.

    Helps you meet pressures with a full range of BPO and turnkey healthcare administration solutions, including advanced technologies and strategic consulting services designed to help you optimize member outcomes, focus on revenues, and manage risk to remain compliant

    Echo Credentialing allows customer to take advantage of additional modules that will further optimize your platform and processes.

    edgeMED provides expert revenue cycle management and intelligent technology to increase physicians' revenue and improve their operational efficiency - enabling them to stress less, make more and live more. Our Essential medical billing and collection service tracks, measures and collects more of the money you’re owed in less time than you thought possible, so you can see more patients and less paper work. Our expert U.S.-based team, located in Boca Raton, Los Angeles and New York, will not only handle your back-office workload, but we’ll help optimize your entire revenue cycle to ensure your organization is running at maximum efficiency and profitability – all without any management headaches all too commonly associated with medical billing. Plus, with our cloud-based practice management/electronic health records and telemedicine applications you can provide better patient care, while unlocking obstacles to higher reimbursement.

    Enterprise Master Provider Index helps to consolidate disparate provider data into a single source to streamline processes in credentialing, scheduling, and revenue cycle management across the enterprise.

    For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education and reporting into one easy-to-use, web-based solution. Designed by auditors, for auditors, Audit Manager allows you to audit on your terms through immediate reporting, template customization, and total oversight of your entire audit program. With Audit Manager, you will improve your auditing efficiency by up to 40%, minimize denials and identify up to 10% in missed revenue.

    The HIPS system is a comprehensive and integrated solution that covers every aspect of health insurance administration. From credentialing providers through claims reimbursement and electronic payment, HIPS is designed to maximize scalability and minimize administrative costs by working in a completely user friendly web-based environment.

    For many Hospitals and Practices, Provider onboarding is often a long and drawn out process. Even Re-credentialing can feel like the process is starting from scratch.

    Web based solution for EHR with features such as lab integration, e-prescribing, and patient health records.

    IntelliCred simplifies the complex task of managing data in an efficient manner. Gather, store, and access the critical data you need to maintain accreditation and achieve the highest reimbursement possible for provider services.

    IntelliCVO can assist your organization with other important tasks like ongoing credentialing, privileging, and specialty projects

    This product is ideal for organizations that want to outsource all, or a portion of, the credentialing and/or provider enrollment process while still maintaining autonomy of their database through the software.

    Ready Doc™ completely redefines the healthcare credentialing process by creating a Hashgraph-based solution that will instantly verify a provider’s medical credentials—cutting months’ worth of processing time to a matter of seconds.

    Keys is the first credential app built for clinicians to securely store and continuously track your licensure, certifications and other credentials, automating the process so you can focus on your patients.

    Kyruus delivers provider search and scheduling solutions that help hospitals and health systems match patients with the providers best suited to care for them. The ProviderMatch suite of cloud-based applications--for access centers, consumers, & referral networks--enables a consistent patient experience across multiple points of patient access, while helping health systems align network capacity with patient demand. Kyruus’ provider data management platform, KyruusOne, forms the foundation of its solutions, powering them with accurate data. Our products include: * ProviderMatch for Access Centers - helps access center agents efficiently and effectively match and schedule patients with the right providers for their needs. * ProviderMatch for Consumers - enables consumers to search for providers, review comprehensive provider profiles, and book appointments on a health system’s website. * ProviderMatch for Network Referrals - allows providers to search for the right provides to refer to across their network and submit referrals to them efficiently online. * KyruusOne (provider data management) - automatically integrates data from multiple sources on an ongoing basis and provides user-friendly applications for effective provider profile configuration and maintenance.

    Simplify the financial experience for both patients and the people of your organization.

    Automate your release of information process with digital fulfillment. Turn your required services into a revenue generator through automation and high quality digital release of medical records and diagnostic imaging

    OneView is a cloud-based platform that keeps your organization compliant — simply.

    Aiming Higher to Ensure your Patients Receive Competent Care from Qualified People.

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

    Naviant offers world-class Health Payer Provider Enrollment Case Management Solutions to help health payers manage the Provider Credentialing process more effectively and with a higher degree of accuracy than the manual process most companies currently use today.

    Newport Credentialing Solutions is the nation's premier provider of cloud-based software and services dedicated to the credentialing life cycle. Newport provides cloud-based workflow, analytics, and business intelligence credentialing software and cloud-enabled credentialing services to some of the largest academic medical centers, health systems, and multi-specialty group practices in the United States.

    ComplianceLine™, a leading provider of compliance hotline services, now offers SanctionCheck an online searchable database for compliance officers, human resource managers, and anyone involved in the exclusion review process. SanctionCheck allows our clients to search for individuals or entities that have been sanctioned, disbarred or otherwise excluded from participation in federally funded health care programs 24 hours a day, seven days a week, from any location throughout the world.

    Silversheet is a fresh take on credentialing software centralizing a fragmented process across complex health systems and their network of facilities.

    Supero Healthcare Solutions is a leading company that delivers provider enrollment, credentialing, and medical licensing services to healthcare providers.

    Vendor credentialing from symplr is a full-service, web-based solution that helps hospitals and other healthcare facilities manage access controls and compliance for vendor representatives.

    Healthcare providers require an accurate credentialing database operating in a secure environment to insure the highest standards of patient care and safety - even in hectic registration/scheduling departments.

    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.

    This system transforms this complex, burdensome problem into a timely, manageable task. The software is truly a unique business management tool.

    Zebu Compliance Solutions is a configurable system which lets you review claims before submission to help manage errors and denials.