Best Credentialing Software in the USA - Page 2
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Compare the Top Credentialing Software in the USA as of January 2026 - Page 2
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androsCredentialing
andros
androsCredentialing streamlines antiquated processes and drastically reduces person-hours and operating costs by drawing on the healthcare industry’s largest provider data resource. Digitizing the credentialing process is an absolute gamechanger. The more clients we serve and the more providers we credential, the more data the platform ingests, making it more accurate, increasing our provider roster, and accelerating credentialing for all. With our new API, clients can credential providers easier than ever, as well as integrate NCQA-certified credentialing into their apps and platforms. You get the speedy, error-free results you need, all without looking at endless spreadsheets and paper forms. The andros platform enables credentialing workflows up to 10 times faster than industry averages. Light years ahead of the market, our credentialing service reduces overhead and ensures accuracy every step of the way. -
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Medallion
Medallion
Medallion is the first solution for healthcare companies to fully offload their clinician operations—state license management, payor enrollment, credentialing, and more—in one modern management platform. By empowering digital health companies, hospitals, payers, and other organizations to credential, license, and monitor their providers with ease from one modern platform, they eliminate time-consuming and laborious tasks that ultimately increases accessibility of care to millions of patients nationwide. Since inception in 2020, Medallion has saved over 100,000 administrative hours for leading healthcare companies like Cerebral, Ginger, MedExpress, Oak Street Health, and hundreds more, and has raised $50M from leading investors like Sequoia Capital, Spark Capital, Optum Ventures, Elad Gil, and Peter Reinhardt. -
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Certify
Certify
Certify delivers API-first credentialing, licensing, and enrollment to payors, health systems, and rapidly-scaling digital health companies. We unlock insights and power performance for clinicians, teams, and organizations. Build best-in-class provider networks with our one-click credentialing solution. Real-time, automated NCQA-compliant credentialing to scale provider networks. Automated ongoing monitoring to ensure your provider networks remain compliant. We take the guesswork (and paperwork) out of licensing–so you can scale to new markets, seamlessly. Get in the network and get reimbursed faster, so you can get back to care. Streamlined processes for cross-state licensure in all 50 states for any license category. Streamlined payor enrollment process to get providers in-network in new markets. Track enrollment progress with our individualized dashboards. Leverage our best-in-class methodology to clean, normalize, and enhance your provider data. -
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ROC-P
ROC-P
ROC-P is a comprehensive, cloud-based system that makes candidate, certification, and credentialing management more efficient for boards and organizations. ROC-P's purpose-built platform consolidates data and features that used to be kept across multiple platforms into a single, intuitive portal. Its core functionalities include: • Certified Individual & Candidate Management • Application Management • Continuing Education Tracking • Exam Scheduling & Registrations • Third Party Integrations • Dues & Renewals Scheduling & Registration • Candidate & Board Communication Tools • On-Demand Reporting • Flexible Dashboard & Watchlists • Full System Tracking & Logging Users can add features, such as oral exam management, messaging automation, and text communications, allowing the platform to scale with them. ROC-P can integrate with existing systems or act as a standalone platform for certification management, giving organizations flexibility in building their workflows. -
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Credential Sentry
Credential Sentry
Check the professional license status of your employees and business partners on autopilot to stay informed about license suspension, protect your reputation, and avoid unnecessary financial losses. Verify credentials accurately, and hire only fully certified professionals - whether contractors or employees - to avoid financial and reputational damage. Automating the verification process for contractors and employees has never been easier: with a few clicks, you can look up current credentials information, screening an unlimited number of names at once. Streamline your professional license search by validating any number of records as many times as you need, saving both time and money while also boosting productivity.Starting Price: $30 per user per month -
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Axuall
Axuall
We connect health systems, staffing firms, and digital health groups to a vast array of data, providing insights for network planning, analytics, and reporting, while dramatically reducing onboarding and enrollment time via provider-enabled digital credentials. Axuall puts healthcare professionals in control of their career identity, enabling smarter and more efficient network planning, credentialing, privileging, enrollment, and deployment among healthcare systems, staffing firms, telehealth groups, and health plans. Axuall helps capture millions in additional revenue by eliminating complexities and delays that impact patient access, clinician burnout, and quality of care. Axuall provides a comprehensive approach to workforce intelligence, including a platform of integrated components for driving better decisions and onboarding providers quickly. Drives better and faster decisions for human capital management. -
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symplr Payer
symplr
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing. -
8
Verisys
Verisys
For three decades, Verisys has served some of the largest and most complex healthcare organizations in the United States, credentialing more than two million events annually. Our provider credentialing services get and keep you compliant. Credentialing and re-credentialing providers is a complex process for health plans, hospitals, and health systems. Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance with that state’s unique regulations. Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names. To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources. We can help you do anything from a simple provider credential search to implementing a full end-to-end credentialing solution. -
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RFX
RFX Solutions
Go beyond the archaic manual processes for managing your facilities' regulatory compliance. RFX puts credentialing, compliance logs, binders, contracts, and staff records at your fingertips. There are tens of thousands of documents critical to your regulatory compliance as a healthcare facility. Manually managing these documents is inefficient, prone to mistakes, and leaves you open to risk. Work seamlessly as a team with system wide role-based access. Utilize simple workflows with unlimited storage, limitless users and scalability. Achieve consistent survey readiness. Ensure up-to-date compliance logs, credentialing, staff records and contracts with our simple and intuitive tools. Automatic notifications allow for timely alerts and reviews of documents, logs & agreements. Providing better compliance, managed resources, & cost. -
10
TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
11
CAQH
CAQH
CORE brings the industry together to accelerate automation and develop business processes that streamline healthcare for patients, providers and health plans. Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes. In the ever-evolving landscape of healthcare, continuous improvements in payment and claims processing systems are vital. The nation’s providers and health plans trust CAQH to collect and manage professional information, verify primary sources, and monitor for sanctions. The result, is streamlined administration, greater regulatory compliance, and better provider data management. -
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Inovalon Eligibility Verification
Inovalon
Eligibility Verification Standard streamlines patient access and billing workflows by enabling staff to assign and prioritize patients/residents, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry. Speed up eligibility verification processes with automated enrichment of incomplete or incorrectly formatted transactions from the payer. Perform multiple eligibility inquiries at once with batch file uploads that verify Medicaid, Medicare, and commercial coverage quickly and efficiently. Easily assign tasks to team members, apply follow-up flags, and create eligibility documentation for future reference. Manage patients between batches and resolve issues with just a few clicks. Save time and ensure coverage accuracy with one cloud-based, all-payer health insurance eligibility verification software that empowers staff to manage benefit inquiries however, works best for them. -
13
CredentialStream for Groups
HealthStream
CredentialStream for Groups is an automated, cloud-based credentialing and enrollment software that helps organizations optimize their provider data management without hassle or high costs. In the dynamic healthcare landscape, small medical groups face the constant challenge of managing provider data effectively. With the overwhelming administrative duties and the high cost of most software solutions, it’s easy for these practices to feel left out of the technological advancements. CredentialStream for Groups changes the game by providing a solution that is not only cost-effective but designed to optimize the work of smaller practices by understanding their unique needs. A free 30-day trial for CredentialStream for Groups is available! -
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Provider Passport
Provider Passport
Provider Passport is an all-in-one healthcare administration tool that centralizes and automates critical provider management functions including payer enrollment, credentialing, privileging, and provider data management using its TruMation AI automation engine. It aggregates provider data into unified profiles, automatically tracks expiring credentials and licenses, monitors sanction databases in real time, and shares data securely with other systems via APIs or standard messaging protocols while reducing manual data entry and error risk. Provider Passport’s credentialing tools run primary source verifications from hundreds of integrated sources in seconds, enable customizable workflows for different provider types, and help expedite onboarding by automating re-credentialing and approval processes. Its AI-powered payer enrollment engine evaluates criteria across thousands of payer plans, automates application submission and follow-ups, and accelerates enrollment approval. -
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Entrust Instant ID
Entrust
Scale from a single workstation or user to a multi-workstation enterprise-wide application with more functionality. Entrust™ Instant ID Software is a solution for creating, issuing, and managing secure ID cards and credentials allowing organizations to meet a wide range of application requirements — from basic photo ID cards to high-assurance credentials. Design ID cards anytime, anywhere with intuitive, drag-and-drop templates and workflows. Create custom design templates and workflows and unique user profiles. Modular solutions can be added to existing systems to provide new technologies with minimal investment. Install and license on a single server, then remotely deploy and manage users and data. Access pre-built smart card configurations and comprehensive reporting. Engineered to integrate with Entrust printers, supplies and support as well as third-party printers. -
16
MD-Staff
Applied Statistics & Management
MD-Staff is a cloud-based, AI-enabled, and user-friendly credentialing software solution backed by over 30 years of innovation. Over 2,000 clients world-wide use MD-Staff to automate credentialing, track clinical privileges and advanced patient safety initiatives. MD-Staff is an industry proven software solution backed by personalized service. MD-Staff’s Aiva™ Credentialing engine uses AI and deep automation to slash application processing times while flagging practitioner files with issues. MD-Staff automates primary source verifications using web crawlers, Pronto reference verifications, and deep integrations with many primary sources such as the NPDB, OIG and SAM. MD-Staff’s privileging module provides a simple drag-and-drop user interface for creating and managing both core and laundry list-style privilege delineation forms. -
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Credential Agent
Credential Agent
Credential Agent is inexpensive software designed to help store and keep updated, employee or supplier credentials. This document management software was specifically built to reduce the amount of time and improve the accuracy of, important credentials such as licenses, certifications, immunizations, background checks, human resource forms, insurance, and other documents that expire. Credential Agent works in a Software as a service (Saas) environment which requires no downloading of software or hardware and is super secure. Credential Agent can also be contracted with so that we take full responsibility of keeping your credentials updated and verified using our software and staff. By using Credential Agent, you can reduce the risks of lawsuits, be better prepared for audits, and gain more time to work on other key company initiatives. Our inexpensive software ensures your employee or vendor credentials are kept up to date. -
18
CredHQ
Agilutions
CredHQ is a full-featured, certification management solution packaged with the technical and credentialing expertise of Agilutions. CredHQ is more than just technology and was designed specifically to help credentialing organizations manage their certification programs with ease, using advanced technology, that is attainable and economically priced. The flagship product created by the credentialing experts at Agilutions, serves as a checklist manager for all your program management needs. From the initial application, to renewal and maintenance, the process of managing your credentialing program has never been easier or more efficient. Designed to handle your organization’s invoicing, cash receipts and other financial transactions, including deferrals and credits. Built with complete management functionality to track every detail of your event—Whether it’s for your annual meeting, regional conference, or workshop. -
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Skills
SKILLS Global
SKILLS Global is a leading provider of web-based and mobile application solutions for Applied Behavior Analysis (ABA) professionals, as well as educators and parents working with individuals with ASD. Our comprehensive software suite is a one-stop resource for creating tailored, research-backed treatment plans following personalized assessments, data collection and scheduling, billing, practice management with contracting and credentialing and more—all with free, ongoing training and support. -
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Credentially
Credentially.io
Credentially helps healthcare providers reduce organizational inefficiencies of credentialing and onboarding through automation. Thus, employers and physicians can spend more time taking care of patients and improve patient safety. Credentially's customers take 5 days to sign-up, validate and onboard clinicians compared to an industry average of 60 days. -
21
Float Care
Float Care
Save time and money with solutions including healthcare workforce scheduling, secure messaging, credentialing, and beyond. Organize and keep track of all medical credentials in one spot. Be alerted of new requirements and credentials that are near their expiration. Float Care automates your referrals and completes all your handoffs 100% of the time. Float Care connects all the necessary care providers to automate referral workflows and ensure patients get appointments before they leave. Seamlessly connect provider care teams for better patient treatment. With over 150 possible credentials for nurses, doctors, and all other medical professionals, it is a job in itself to keep track of it all. Float Care’s credentialing platform allows for easy access to all of your records, licenses, certifications, and more. -
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Triple E Medical Solutions
Triple E Medical Solutions
Triple E Medical Solutions LLC, provides some of the most innovative and powerful solutions in the market today: online, and in real-time. Our CMS, HIPAA, and Meaningful Use Certified Electronic Solutions provide you with control, and give you and your staff complete access from any computer with Internet access. Our medical billing system is state of the art and cuts your reimbursement time to a matter of 7-14 days. -
23
Converge
Verge Health
Turnkey credentialing, privileging and performance monitoring. Transforms compliance from administrative to actionable. Proactive safety strategy, that goes beyond events. Take proactive systems to approach to unify safety, risk, and quality data. Share risk data and gain actionable insights for proactive decision-making to achieve zero harm. Powerful analytics and business intelligence embedded within Converge providing key safety information and tools. Initiate near misses, events, complaints, or compliments from the EHR. Work with your implementation manager to identify your organization’s ideal timeline, team, and scope. Combine Mortality Review, Safety Rounds, and Patient Launch to proactively identify risk. Real-time integration with CMS work order systems to reduce redundancy and drive resolution. Implement, train, and introduce solutions in a digestible way. Stagger platform roll-outs, implementing modules as appropriate. -
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MantraComply
MantraComply
MantraComply is a provider credentialing and enrolment platform. We deliver comprehensive services in provider credentialing, payer enrollment solutions, license verification, hospital privileging, and healthcare compliance management. Trusted by thousands of providers, health plans, payers, group practices, and digital health companies, MantraComply ensures faster provider onboarding, reduced denials, and improved regulatory compliance. Our model integrates AI-driven insights, customizable credentialing workflows, and 24/7 expert support, enabling providers and organizations to stay compliant while focusing on patient care. MantraComply is proudly backed by $15M in funding from Impanix Capital. -
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symplr Access
symplr
Without tested and proven vendor policies and credentialing practices that flex with your organization’s unique needs, it's tough to check every box for compliant, risk-averse healthcare identity and access management. Vendors and suppliers—whether on-site, virtual, or hybrid—are an essential part of healthcare operations and delivery. However, healthcare providers are liable for employing or contracting with an OIG-excluded person or entity—risking fines of $10,000 per item or service in violation. Connecting the right, verified people at the right moment can mitigate penalties, save time, improve outcomes, and ultimately impact lives. Gain unmatched visibility into vendor credentials, on-site and virtual activities, and backgrounds so you’re never in the dark when it comes to ensuring compliance. Internet-free check-ins and passes mean reliable, painless access management for all parties involved.
