Credentialing Agent
Prevent credentialing delays from becoming revenue delays.
Credentialing Automation
Manage provider enrollment, renewals, and monitoring
Checking a DEA, CAQH, or state portal for provider credentials shouldn’t be on your team’s task list. The Credentialing Agent performs checks, delivers real-time updates, and reports directly into your system. This means less admin work, lower compliance risks, and faster credentialing, giving staff more time to focus on higher-priority tasks.
Available as a standalone automation agent in our Revenue Cycle Agent Platform, this technology integrates smoothly into your existing workflows.
HOW WE ENHANCE YOUR Provider credentialing WORKFLOW
Automate the busywork behind payer enrollment and credentialing
After submitting provider enrollment applications to multiple payers, tracking their status can become a tedious task. Our agents manage repetitive tasks like:
- Check if the enrollment application has been received, reviewed, approved, or denied
- Update status in real-time in the provider’s EHR
- Send alerts to the provider so that action can be taken quickly if additional information is required
With real-time alerts, proactive tracking, and automatic documentation updates, specialty providers can stay ahead of application status changes and reduce delays in patient care.
Coverage & Sources We Check
Proven credentialing automation across state portals, DEA & CAQH
The Credentialing Agent verifies provider credentials directly from primary sources, so your team doesn’t have to navigate multiple portals, logins, or formats. These sources support both initial verification and ongoing credentialing workflows.
State Licensing Boards
Automated checks against 20+ state board portals to confirm current license status and key provider details.
DEA Registration
Automated verification of DEA registration status to support controlled substance prescribing compliance.
CAQH ProView®
Automated retrieval/verification of provider profile information from CAQH ProView® to reduce manual follow-up and rework.
HOW IT WORKS
Simplifying license verification with Credentialing Agents
Our Credentialing Agent helps healthcare organizations automate the process of verifying provider licenses. Our solution ensures that license verifications are completed accurately, quickly, and in compliance with regulatory standards.
Performs regular checks
Our system deploys agents on a scheduled basis, checking the provider information for provider license verification through official licensing portals.
License verification for each provider
The agent retrieves the necessary details, including license status and demographic information for each provider.
Backup verification for missing or multiple records
If the license information is missing or multiple records are found, a second agent is triggered to perform additional verification searches across other databases.
Comprehensive summary reports
After each verification, the agent generates a final summary report with the provider’s details, license status, and screenshots of the license for secure review.
Complete audit trail
The system logs all actions in an audit trail, ensuring compliance and accountability in the license verification process.
This automated process makes it easier for your team to manage provider license verifications, taking the manual work off their plate, reducing potential mistakes, and keeping everything compliant.
state coverage
Credentialing checks automation across 20+ states and growing
Our automation covers 20+ states today, helping organizations maintain consistency as provider footprints grow.
Arizona
California
Colorado
Delaware
Idaho
Indiana
Kansas
Maryland
Massachusetts
Missouri
Nevada
New Jersey
New Mexico
North Carolina
Ohio
Oklahoma
Pennsylvania
Texas
Virginia