CAQH vs. TriZetto Comparison Chart

Finally, a single solution to affirm and continuously assess medical provider competency. Ensure excellence in care by offering the industry-leading software for enrolling, onboarding and privileging to continuously evaluate your providers. 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. Say goodbye to the headaches, hassles and manual processes that slow you down. Say hello to a modern, continuously updated platform, best-practice content, and industry-leading data that all works together to get your providers where they need to be— seeing patients.

MedTrainer is a healthcare software system for learning, compliance, and credentialing. Package together your perfect solution with MedTrainer. Healthcare organizations of any size will have compliance insurance and risk mitigation in the palm of their hands. Automate healthcare learning with access to 500+ courses for OSHA, HIPAA, CMS, Infection Prevention, Clinical Skills, HR, and more. Healthcare compliance is made easy and with a few keystrokes, your staff has access to their required compliance tools--we streamline SDS Management, Safety Plans, Incident Reports, Equipment Lifecycle Management, and more. Credentialing has never been easier. You can efficiently manage the multiple tasks necessary to credential accurately including Primary Source Verifications, Payor Enrollments, Provider Attestation, Privileging, and more.

CredentialingSpectrum provides a comprehensive automation for credentialing, accreditation and contract management in healthcare. Some of the key features of the software includes following 1) CAQH Integration and attestation functionality. 2) Management of Credentialing and Re-credentialing activities and reminders. 3) Digitized Insurance applications in PDF, Excel, Webforms that auto-populates. 4) Document Management for providers, locations, entity and insurances. 5) Reminders on Expiration of various credentials such as CDS, DEA, License, CAQH, Board Certification, Malpractice and any scanned documents. 6) Provides 7 layers of source verification feature added on top of basic OIG Sweep that includes exclusion search and license verification. 7) Integration with DocuSign, Fax and Secure email for seamless communications. 8) Extensive Reporting for user performance and activity tracking.

NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal.

Upvio is the most seamless and efficient practice experience platform, created to streamline workflows, eliminate repetitive admin time, and drive success in a digital-first healthcare ecosystem. Upvio’s solution in the healthcare industry targets healthcare providers across various specialties and organizations of all sizes. Upvio is perfect to streamline and automate various operations and processes, such as appointment scheduling, telehealth, messaging, patient monitoring, and payments. It is designed to meet regulatory requirements and compliance standards, such as HIPAA and GDPR, and offers features specifically tailored to the healthcare industry, such as automated reminders, customizable forms, full telehealth features, a virtual waiting room, and remote vital signs assessment. It is an affordable solution with easy integration and support for varying levels of technical expertise, including dedicated account managers for setup and ongoing support.

Elation Health is the most trusted technology platform for independent primary care. Since 2010, the company has delivered clinical-first solutions — built on an award-winning collaborative EHR platform — that help practices start, grow, communicate, and succeed in delivering the highest quality personalized care to patients. Elation Health supports primary care providers in upholding the craft of medicine while thriving in an evolving healthcare landscape. Today, Elation Health serves 32,000 active clinicians, caring for millions of Americans. Elation’s clinical-first EHR is designed and built for independent primary care practices and physicians. With Elation, practices can manage patient records, book and arrive appointments, and view provider schedules. Physicians receive and share patient information, including labs or consults, referrals to specialists, and other documentation, eliminating duplicate data entry and ensuring all information is correct and up-to date.

Service Center by Office Ally is a trusted revenue cycle management platform used by over 65,000 healthcare organizations processing more than 350 million claims annually. With it, providers can verify patient eligibility and benefits, upload and submit claims, correct rejected claims, check claim status, and obtain remits. With multiple claim types and submission options, providers can easily submit claims to any payer from any practice management system. Transactions are secure, ensuring the confidentiality of sensitive patient information. With no needed implementation, providers can quickly and effortlessly streamline their billing processes, increase their financial performance, simplify medical billing, and reduce claim rejections for faster reimbursements.

Perform your sanctions screening and PEP check obligations with dilisense. Navigating the complex landscape of AML, KYC and CTF regulations can be a challenging task for compliance officers. dilisense offers an efficient, reliable sanctions screening and PEP check solution to ensure your organization stays ahead of regulatory requirements and mitigates risk effectively. Our sanctions database covers OFAC, EU, OFSI, UN and over 120 other sanction lists. The PEP and criminal watchlist database covers global, regional and local sources. Besides providing access via REST API, we also provide the option to download the full database to your premises with multiple updates per day. With prices as low as 0.01 EUR per screening, costs play no longer a role in your compliance strategy and sanctions screening procedures. For a quick start, we also offer Batch Screenings from within MS Excel files which can be started with no integration or set-up effort.

AppSealing - the AI-powered next-gen AppShielding solution crafted to enable organizations to prevent mobile app attacks and deal with sophisticated threat landscapes with perfect precision in just 3 simple steps. AppSealing brings the benefits of DevSecOps to Mobile Apps with a ZERO-FRICTION, ZERO-CODING Approach. Get the best of Defense-in-depth security and regulatory compliance in a single solution for mobile apps AppSealing is trusted by industries like Fintech/Banking, O2O, Movie Apps, Gaming, Healthcare, Public apps, E-commerce, and others globally.

QUALO is a scalable, cloud-based software platform that addresses common data output and visualization challenges in behavioral health, community health, and healthcare, providing valuable insights without overwhelming clients, staff, administrators, and funders. The system combines data collection tools with customized evidence-based practice supports, ensuring the right information is collected at the right time. Additionally, it incorporates care coordination features that are specifically catered to meet the needs of human service providers. QUALO was built to integrate with other systems, including electronic health records, as a single point of data entry to augment the inherent data output and visualization limitations EHRs often present. Plus, QUALO’s responsive mobile friendly design ensures the platform can be accessed from any device, streamlining the entire data collection process.