Top Medallion Alternatives

Incredable serves as a comprehensive and customizable credentialing platform that connects healthcare facilities, providers, and administrators effectively. The solution simplifies the credentialing workflow by managing documents, tracking compliance, and verifying credentials seamlessly. By using Incredable, healthcare professionals can maintain their compliance and readiness consistently. Widely recognized in the healthcare sector, Incredable alleviates the strain of administrative tasks, boosts operational productivity, and promotes smooth collaboration among all parties involved, enabling healthcare teams to concentrate on providing exceptional patient care. Furthermore, this innovative solution adapts to various healthcare needs, making it an invaluable tool in today’s dynamic environment.

CredentialStream® utilizes innovative patented technology to facilitate the requesting, collection, and verification of provider information, ultimately creating a trustworthy Source of Truth for subsequent processes. Its cutting-edge platform is regularly enhanced and is supported by extensive content libraries and top-tier data sets, making CredentialStream the premier solution for managing the entire lifecycle of providers. Additionally, the seamless integration of these resources ensures that organizations can maintain compliance and efficiency in their operations.

CredentialingSpectrum is a secure, cloud-based software designed for managing medical credentials, facility operations, payer interactions, and contract oversight. This innovative healthcare credentialing system streamlines the credentialing process, enhancing overall efficiency for users. With its one-click comprehensive automation feature, CredentialingSpectrum stands out as a user-friendly solution, positioning itself as the premier provider credentialing software in the United States. Its robust capabilities enable healthcare organizations to focus more on patient care while minimizing the complexities of credentialing management.

Certify presents a modern, API-driven solution for credentialing, licensing, and enrollment specifically designed for payors, healthcare systems, and emerging digital health companies. We deliver crucial insights that significantly improve the efficiency of clinicians, teams, and healthcare organizations. Our intuitive one-click credentialing feature allows for the effortless creation of high-quality provider networks. The real-time, automated credentialing process we offer complies with NCQA standards, facilitating the growth of provider networks. We maintain ongoing compliance through our automated monitoring systems, ensuring your provider networks remain up-to-date. By removing the complexities and administrative tasks associated with licensing, we empower you to effortlessly tap into new markets. Becoming part of our network accelerates your reimbursement processes, enabling you to dedicate more time to patient care. Our efficient system supports cross-state licensure for all types of licenses across the United States, while also simplifying the enrollment process for providers looking to expand into unfamiliar territories. You can conveniently track your enrollment status with our customized dashboards, and leverage our advanced techniques to effectively refine, standardize, and improve your provider data. This all-encompassing service not only guarantees compliance but also encourages growth in an increasingly competitive healthcare environment. Ultimately, with Certify, you can navigate the complexities of healthcare credentialing and licensing with confidence and ease.

Modio Health OneView was created by professionals in credentialing and practicing physicians. This platform facilitates a streamlined and centralized approach to managing the credentials of your entire healthcare provider team. OneView efficiently gathers essential information about providers, including their NPI, DEA, and license numbers. By ensuring compliance, OneView allows your providers to concentrate on delivering quality clinical care without distraction. This innovative tool enhances the overall efficiency of healthcare operations, making it an invaluable asset for any medical organization.

Cut costs, eliminate data silos, and improve member outcomes through a unified and automated provider data solution. symplr Payer acts as a dependable single source of truth for provider data, ensuring regular reconciliation and verification against primary sources. This system greatly enhances data quality, accessibility, and transparency, while also reducing provider frustrations by removing unnecessary information requests. By adopting symplr Payer as the core repository for provider data throughout the organization, payers can share accurate and timely information with multiple downstream systems. Our thorough and flexible provider data management solution supervises all pre-contract and renewal negotiations. You can optimize and standardize your contracting workflows while carefully documenting contract details such as sentinel events, trigger dates, process steps, fee schedule information, and beyond. Moreover, the innovative architecture of symplr Payer allows your organization to seamlessly integrate contracting and credentialing processes. This not only simplifies management but also significantly boosts overall efficiency in handling provider data, paving the way for more streamlined business operations. In doing so, your organization can foster stronger relationships with providers and ensure a more effective service delivery.

For three decades, Verisys has been a reliable collaborator for some of the most complex healthcare organizations across the United States, overseeing the credentialing process for more than two million occurrences annually. Our credentialing solutions are designed to help you achieve compliance seamlessly. The tasks of credentialing and re-credentialing healthcare providers present significant challenges for hospitals, health plans, and health systems. Given that many physicians hold licenses in various states and provide telehealth services across state borders, it is crucial to verify their licenses with each state board and adhere to the unique regulations applicable in those regions. Furthermore, identity verification can be quite complicated, as numerous physicians may have similar names, including maiden names, aliases, and shortened versions. To gain a thorough understanding, it is vital to conduct an extensive screening of each physician and validate their credentials against a wide range of primary sources. Our proficiency ranges from performing basic provider credential searches to implementing comprehensive credentialing systems that optimize the entire process. With our assistance, you can navigate the complexities of credentialing more easily, allowing you to concentrate on delivering exceptional care to your patients. Ultimately, our commitment to excellence ensures your organization remains compliant and capable of addressing the evolving needs of healthcare delivery.

Accelerate payment procedures while reducing administrative burdens. With a network of over 8,000 payer connections and partnerships with more than 650 practice management providers, our claims management solutions significantly decrease the number of pending claims and lessen the reliance on manual processes. Claims for a wide range of services, such as professional, institutional, dental, and workers' compensation, can be sent efficiently and accurately, ensuring timely reimbursements. Address the changing landscape of healthcare consumerism by providing a seamless and transparent financial experience for patients. Our tools for patient engagement help facilitate informed conversations about eligibility and financial responsibilities, while also minimizing barriers that could negatively impact patient outcomes, ultimately enhancing the overall healthcare experience. By improving transparency and communication, we contribute to a more patient-centered approach in the healthcare industry.

CORE brings together diverse sectors within the industry to accelerate automation and improve business processes, making healthcare more accessible for patients, providers, and health plans. By utilizing the most trustworthy source of provider and member information, CAQH enables healthcare organizations to reduce costs, improve payment accuracy, and transform their operational frameworks. In the fast-evolving landscape of healthcare, continuous improvements in payment and claims processing remain essential. Across the nation, healthcare providers and health plans depend on CAQH to collect and manage professional data, confirm primary sources, and monitor sanctions effectively. This approach results in streamlined administration, enhanced regulatory compliance, and better oversight of provider information. Moreover, the partnership stimulates innovation, resulting in a more efficient healthcare system that benefits all stakeholders involved. As a result, stakeholders can expect to see a significant transformation in how healthcare services are delivered and managed.

We connect healthcare systems, staffing agencies, and digital health organizations through a comprehensive range of data, providing crucial insights that assist in developing networks, performing analytics, and generating reports, all while simplifying the onboarding and enrollment process via provider-enabled digital credentials. Axuall empowers healthcare professionals to take control of their career identities, leading to smarter and more efficient network planning, credentialing, privileging, enrollment, and deployment across various healthcare entities, including staffing firms, telehealth companies, and health insurance providers. By removing barriers and delays that impede patient access, contribute to clinician burnout, and compromise care quality, Axuall helps generate millions in additional revenue. The organization adopts a comprehensive approach to workforce intelligence, presenting a platform made up of interconnected components that are aimed at improving decision-making and accelerating provider onboarding. This approach culminates in faster and more effective human capital management decisions, which ultimately leads to a more productive healthcare environment. With Axuall, organizations gain the ability to navigate the complexities of the healthcare workforce with enhanced agility and precision, ensuring that they are better equipped to meet the challenges of a rapidly evolving industry. Thus, the overall impact of Axuall extends beyond immediate efficiencies, fostering a culture of continuous improvement and adaptability in healthcare delivery.

MantraComply provides a comprehensive platform designed for the credentialing and enrollment of healthcare providers. Our wide array of services encompasses provider credentialing, payer enrollment, license verification, hospital privileging, and management of healthcare compliance. Trusted by a multitude of providers, health plans, payers, group practices, and digital health companies, MantraComply accelerates the onboarding process for providers, reduces denial rates, and strengthens regulatory compliance. We utilize AI-powered insights and offer customizable credentialing workflows, along with 24/7 expert support, allowing healthcare organizations to uphold compliance while focusing on delivering quality patient care. Furthermore, our significant $15 million investment from Impanix Capital underscores our dedication to advancing innovation within the healthcare industry. Our goal is to optimize processes and enhance efficiency for all participants in the healthcare delivery system, ultimately improving overall patient outcomes. By leveraging technology and expertise, we aim to transform the landscape of healthcare credentialing and enrollment.

SKYGEN's Provider Data Management (PDM) offers a dynamic solution aimed at improving the oversight of provider networks while strengthening the ties between healthcare payers and providers. This innovative platform not only enhances the ability of payers to develop robust provider networks but also increases satisfaction for both providers and members, all while minimizing administrative costs. By incorporating advanced technology, PDM meets the expectations of modern, tech-savvy healthcare participants. It simplifies the costs associated with contract acquisition by promoting a rapid, efficient, and paperless approach to provider recruitment and supplemental network rentals. Furthermore, the system reduces credentialing expenses and boosts provider satisfaction through its streamlined online credentialing processes. By automating the self-verification of providers, it eliminates the need for expensive outreach efforts and guarantees that provider data is both accurate and verified for online directories. Ultimately, SKYGEN facilitates seamless dental and vision connectivity solutions, empowering clients to confidently navigate the future by utilizing technology that drives unparalleled efficiency and effectiveness in their operations. This forward-thinking innovation strategically positions healthcare organizations to excel in a continuously changing landscape while adapting to emerging challenges.

symplr’s provider credentialing software is a holistic solution designed to manage provider information, effectively minimizing turnaround times and optimizing revenue cycles, while prioritizing patient safety at all times. This innovative software simplifies data collection, ensures secure access, enhances reporting capabilities, and maintains continuous compliance, making it easier for credentialing teams, providers, and internal approval committees to fulfill their duties. Users have reported an impressive 20% reduction in the duration needed to finalize credentialing processes, coupled with a notable 50% decrease in the frequency of committee review meetings. By leveraging this automated and user-friendly platform, organizations can efficiently gather, validate, store, and distribute essential provider lifecycle data and documents from a single, centralized hub, resulting in both significant time savings and lowered costs. Furthermore, the software incorporates a payer enrollment module, streamlining the enrollment process for providers with payers, which allows for seamless tracking of applications during the reimbursement journey. With its sophisticated automation features, the platform collects data from a variety of primary sources and performs automatic checks for expired or suspended licenses, while also cross-verifying with databases like NPDB, DEA, and SAM, thus significantly boosting the reliability and efficiency of the credentialing process. In essence, symplr’s software revolutionizes the way healthcare organizations approach provider credentialing, establishing itself as an indispensable asset within the industry. The adaptability and comprehensive nature of this solution ensure that it meets the evolving needs of healthcare providers and their administrative teams alike.

RedVector, a leading name within Vector Solutions, is recognized for delivering exceptional online training and educational tools across multiple industries, including architecture, engineering, construction, industrial, facilities management, and IT and security. Their suite of technological solutions features a sophisticated learning management system, incident tracking tools, management for licenses and credentials, competency evaluations, and a wide array of additional capabilities. Designed to be a holistic learning and talent management platform, the RedVector LMS specifically addresses the challenges and needs of modern learners. By integrating this platform with their high-quality training materials, organizations gain a robust solution that effectively manages safety, compliance, licenses, and credentials, among other critical functions. RedVector operates as a key division of Vector Solutions, which provides educational resources and software for businesses in the AEC sector, while also focusing on delivering valuable educational content to individual students. With a steadfast dedication to innovation and quality, RedVector consistently works to refine its offerings, ensuring they meet the evolving demands of their varied clientele and contribute to workforce development. In doing so, they not only enhance learning experiences but also empower professionals with the skills necessary for success in their respective fields.

Develop the interoperability solution tailored to your needs with Rhapsody, a versatile toolbox that empowers your team to seamlessly adapt to any contemporary healthcare environment. By leveraging Rhapsody, you can ensure that healthcare data is transmitted precisely where and when it is needed, tailored to your unique operational requirements, thereby enhancing the quality of service you provide. Craft adaptable solutions to meet every connection necessity, and optimize workflows through a solution designed specifically for the complexities of healthcare. Utilize a powerful toolkit to create intricate integrations, backed by global testing and proven effectiveness in 36 countries worldwide. Effortlessly design state-of-the-art FHIR interfaces using REST and FHIR-specific JSON, ensuring modern compliance and functionality. Recognizing the importance of security, Rhapsody incorporates robust measures to safeguard any protected health information that traverses the system, ensuring the privacy and integrity of sensitive data throughout its lifecycle. This commitment to security not only meets regulatory standards but also fosters trust with your clients and stakeholders.

Credential Agent is an economical software solution designed for the secure storage and management of employee and supplier credentials. This dedicated document management system was crafted to simplify the handling of critical credentials such as licenses, certifications, immunizations, background checks, HR documentation, insurance papers, and other essential records that may have time constraints. Operating under a Software as a Service (SaaS) model, Credential Agent eliminates the need for any software or hardware installation while ensuring high-level security for all stored information. Furthermore, companies can opt for our services to take complete responsibility for updating and verifying credentials, benefiting from our specialized team and advanced technology. By employing Credential Agent, organizations can significantly reduce the risk of legal issues while improving their readiness for audits, thereby allowing them to concentrate on other vital initiatives. This affordable software ensures that your employee and vendor credentials remain up-to-date and compliant at all times. Investing in Credential Agent is a proactive decision that not only protects your organization’s reputation but also enhances its operational efficiency and effectiveness. Ultimately, it empowers businesses to maintain a competitive edge in their respective industries.

Credentially helps healthcare organizations streamline the credentialing and onboarding processes by implementing automation, which significantly diminishes inefficiencies. As a result, both employers and healthcare professionals can dedicate more time to patient care and enhancing safety standards. Remarkably, the onboarding process with Credentially takes just 5 days for customers to complete, a stark contrast to the typical 60-day timeframe seen in the industry. This efficiency not only benefits healthcare providers but also leads to improved patient outcomes and satisfaction.

HealthStream offers support for the EchoOneApp, which is considered a legacy system. For new clients, however, CredentialStream is the preferred option for optimal performance and modern features.

CredentialMyDoc is an online application designed to simplify the process of enrolling providers and generating credentialing documents. By enhancing data entry and validation, it minimizes form errors, optimizes billing processes, and ultimately boosts provider satisfaction, making it a valuable tool for organizations. Furthermore, its user-friendly interface ensures that users can navigate the system with ease, further supporting efficient operations.

Successful teamwork in patient care relies heavily on ongoing connectivity and access to current information. It is becoming ever more important to facilitate the flow of this information with insurance companies. Availity streamlines the collaboration with payers, assisting providers from the initial step of confirming a patient's eligibility all the way to resolving reimbursements. Healthcare professionals seek quick and easy access to details regarding health plans. With Availity Essentials, a free service supported by health plans, providers can take advantage of real-time data exchanges with many of the payers they regularly interact with. Moreover, Availity offers a premium service called Availity Essentials Pro that is designed to enhance revenue cycle performance, reduce claim denials, and secure patient payments more efficiently. By utilizing Availity as your reliable source for payer information, you can concentrate your efforts on providing high-quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions allow providers to seamlessly incorporate HIPAA transactions and other vital functions into their practice management systems, leading to improved operational efficiency. This holistic method not only supports healthcare providers in their operational tasks but also reinforces their ultimate goal of prioritizing patient well-being and satisfaction.

Optimize your operations and cut expenses using tools designed for healthcare workforce scheduling, secure communication, credential management, and other essential services. By centralizing all medical credentials in one accessible location, you enhance convenience and efficiency. Stay informed with notifications about new credentialing requirements and keep track of credentials nearing expiration. Float Care not only automates your referral processes, ensuring smooth transitions and handoffs, but also connects vital care providers, allowing patients to secure appointments before they depart from the facility. This improved collaboration among provider teams contributes significantly to better patient outcomes. Managing a vast array of over 150 different credentials for healthcare professionals, including doctors and nurses, can be daunting; however, Float Care’s credentialing platform streamlines the process, offering seamless access to essential records, licenses, and certifications, thereby promoting enhanced compliance and credential management. With this all-encompassing solution, healthcare organizations can save invaluable time and resources, paving the way for more effective patient care. Ultimately, the integration of these services not only improves operational efficiency but also contributes to a more organized and responsive healthcare environment.

Our platform cultivates uniformity, ongoing improvement, and scalability across our interconnected portfolio, enabling customers to optimize operational efficiency, make data-driven choices, and enhance patient outcomes while fostering innovation within the dynamic healthcare landscape. By utilizing cutting-edge data analytics and integrating patient engagement and collaboration tools, the Change Healthcare platform empowers both providers and payers to refine workflows, access essential information exactly when it's required, and guarantee the provision of the safest and most appropriate clinical care available. We ensure smooth access to data and advocate for interoperability among various data sources, which aligns with CMS regulations on patient access and interoperability, ultimately facilitating real-time access to clinical documents. This method plays a crucial role in effectively managing risk adjustment, improving HEDIS scores, and guaranteeing timely and accurate payments through expedited adjudication processes. Additionally, our dedication to innovation enables us to swiftly adapt to the evolving healthcare environment while consistently enhancing the quality of services we provide. As we continue to advance our platform, we remain focused on delivering exceptional value to our customers and the patients they serve.

EddyCore is an innovative cloud-based software solution that empowers healthcare organizations and providers by streamlining the processes of credentialing, privileging, and enrollment, thereby saving valuable time and resources. Our state-of-the-art platform integrates effortlessly with EddyOne, allowing for the smooth collection of provider information. With an unparalleled speed of implementation, we ensure that transitioning to our software is both simple and effective for users. The system allows for the delegation of verification and enrollment tasks while providing real-time tracking to ensure that no aspect of the process is overlooked. Free from the constraints of modules and feature limits, EddyCore grants users immediate access to its full range of capabilities upon sign-up. Moreover, you can generate an unlimited number of non-provider accounts at no additional cost and execute multiple primary source verifications with ease. Designed by specialists in credentialing and enrollment, EddyCore simplifies the burdens faced by those responsible for managing provider credentials, making it an indispensable resource for healthcare practitioners. Ultimately, our goal is to improve efficiency and simplify the credentialing journey, allowing providers to dedicate more time to quality patient care while enhancing the overall healthcare experience. With EddyCore, the future of credentialing is not just efficient; it is also user-friendly and adaptable to the needs of the healthcare landscape.

STATCred provides clients engaged in credentialing with access to their data, allowing them to review status reports, submit necessary information, create exports, and communicate with their Medical Staff Coordinator. For healthcare organizations that have their own credentialing teams, STATCred is flexible enough to cater to their specific needs, significantly improving the efficiency and effectiveness of the credentialing process. This level of customization is vital for delivering on STATCred's service promise, ensuring streamlined workflows that align with client goals. By removing reliance on paper, users can upload and access documents online at their convenience. Furthermore, the platform features various standard management reports, the ability to craft and save custom reports, and sophisticated search options that enable users to export data queries in PDF or Excel formats for in-depth analysis. In summary, STATCred not only simplifies the credentialing process but also equips users with powerful tools for effective data management and comprehensive reporting, contributing to overall operational excellence. Ultimately, this combination of features makes STATCred an invaluable resource for organizations aiming to enhance their credentialing practices.

symplr Directory is a comprehensive provider data management platform built to help healthcare systems and organizations operate more efficiently by centralizing provider data in one location. By consolidating accurate and up-to-date information, symplr Directory ensures that healthcare providers and staff can access reliable data, eliminating duplication and reducing errors across different departments and systems. The platform facilitates the digital transformation of healthcare operations by enabling patient-friendly provider search options and allowing for easy appointment scheduling directly through the provider directory. Integration with EHRs accelerates the onboarding process and improves revenue cycles by reducing billing delays. With features such as automated provider outreach, clinical taxonomy for better patient-provider matching, and comprehensive reporting tools, symplr Directory empowers healthcare systems to improve service quality and deliver a better experience for patients. Moreover, the platform's flexibility allows healthcare organizations to reduce call center volume, automate communications, and expand their reach through a robust, scalable digital front door.

Introducing an innovative provider data engine that delivers immediate verification capabilities and extensive automation, significantly simplifying the credentialing and management of provider networks. This sophisticated solution operates as a centralized platform, allowing organizations to efficiently manage all aspects of provider data, onboarding, workflows, and various related activities. By transitioning from conventional manual verification processes to automated systems, businesses can improve their operational efficiency, cut down on expenses, and bolster compliance by lowering the chances of human errors. Experience swift verification capabilities and advanced oversight of networks customized to fit the unique needs of your organization. The platform includes state-of-the-art credentialing and compliance tracking features that notify you of potential discrepancies before they develop into major issues. Access the most accurate and up-to-date data effortlessly through our unique real-time lookups, which are conveniently available via an API that ensures seamless integration. Ultimately, this healthcare API not only fulfills your requirements but also offers an intuitive user experience, enabling customization and easy incorporation with your existing systems and workflows. By leveraging this powerful tool, you can enjoy enhanced operational efficiency while upholding exceptional standards of accuracy, which is vital in today’s fast-paced healthcare environment. With such capabilities at your disposal, you can confidently navigate the complexities of provider management.

HealthStream continues to provide support for MSOW, acknowledging it as a legacy system. For new clients, however, the recommended choice is CredentialStream, which offers updated features and enhanced capabilities.

OurRecords offers a comprehensive, cloud-based platform tailored for the management of credentials and documents, particularly for companies in the food, mortgage, and healthcare industries. This advanced solution enables businesses to effectively store, categorize, and control access to verified records and credentials from one convenient location. Notable features of OurRecords include management of suppliers and vendors, workforce prerequisite programs, timely notifications, document distribution, centralized documentation, and automated reporting capabilities. Organizations can simplify the sharing of vital compliance documents with customers, auditors, and regulatory bodies related to their operations and products. It also acts as a centralized resource for all essential compliance documents, such as Standard Operating Procedures, policies, quality programs, certifications, and production specifications. Moreover, the system's automated notifications keep suppliers, vendors, contractors, and staff updated on current and upcoming compliance matters that require attention, thus boosting operational efficiency and ensuring adherence to regulations. By utilizing OurRecords, businesses can greatly minimize the likelihood of compliance issues while enhancing overall workflow management. This makes it an invaluable tool for any organization aiming for excellence in regulatory compliance and operational effectiveness.

HealthEC provides an advanced population health management platform that includes the CareConnect™ care management module and the 3D Analytics™ module, designed to enhance care quality and improve patient experiences by addressing key data challenges in the healthcare sector. Through a universal data warehouse, it seamlessly combines normalized claims, clinical, and social determinants of health (SDoH) data from multiple sources, guaranteeing CMS certification for reuse. The platform is equipped to reduce disruptions in workflow with its customizable care plans and decision-support tools, facilitating thorough care management assistance. By encouraging patient-centered care, it promotes effective collaboration with community resources while also addressing SDoH factors. Clear dashboards and point-of-care access enable healthcare professionals to gain actionable insights at various levels, including diagnosis, provider, practice, and organization. Furthermore, it strengthens managed care organization (MCO) performance evaluations and ensures adherence to CMS interoperability regulations, thereby aiding healthcare providers in achieving better outcomes. This combination of features results in a revolutionary strategy for managing population health, ultimately leading to more efficient and effective healthcare delivery. As a result, HealthEC not only improves individual patient care but also enhances the overall healthcare ecosystem.

When facilities are equipped to fulfill their needs and independent professionals enjoy the flexibility to choose their work settings and hours, an impactful atmosphere for progress emerges. ShiftKey effectively connects licensed professionals with facilities across the country. Our cutting-edge technology fosters autonomy and insight, reducing stress, increasing transparency, and establishing a scalable, data-informed strategy for managing the workforce. Professionals have the opportunity to bid exclusively on assignments that pique their interest and can set their own pace. They receive prompt alerts about appealing new roles, can select their projects, and are compensated swiftly after their work logs are verified, or they can opt for weekly bank transfers. Our intuitive dashboard empowers businesses to post job openings for independent credentialed professionals while gathering essential data to sustain a competitive advantage. There are no administrative obstacles, no concealed fees, and total transparency throughout the entire process. By having the freedom to make choices that resonate with their personal circumstances, independent professionals witness significant enhancements in their earnings, general wellness, and their connection to their work. This sense of empowerment not only cultivates a vibrant environment but also stimulates continuous personal and professional development, ensuring that both individuals and organizations thrive.