Delegated Credentialing for a Successful Partnership

Delegated Credentialing

Speed, accuracy, compliance and real-time access to provider data improves the credentialing process for both provider organizations and their payer partners. CredSimple exceeds NCQA requirements, including medical board certification verification.

  1. 01. / Roster Management

    Our cloud-based platform makes it easy to keep all of your roster information centrally organized and provides a standardized, exportable file format for easy sharing and roster management.

  2. 02. / Monitor Delegated Providers

    Even with delegated providers, you’ll need to stay ahead of important network quality and safety issues through robust ongoing monitoring. We monitor all providers for federal and state level sanctions and board actions. Our built-in monitoring reports sort providers by alert type, allowing you to make proactive decisions about your network as statuses change.

  3. 03. / Easy-to-use platform that's easy to implement

    Our smart technology was created to be user-friendly and easy to implement. You won’t need IT’s help to start using our cloud-based, secure platform and training only takes a few hours. Our Client Success Team ensures that implementation and ongoing use of our software is smooth. Ongoing they are here to support your team when you need it.

Streamline Your Credentialing Process

Speed, accuracy, compliance and real-time access to provider data improves the process for both provider organizations and their payer partners

 

Competitor Analysis

  • CredSimple
  • In-House Process

  • Traditional CVOs

CredSimple

In-House Process

Traditional CVOs

Standard Turnaround: 90% of files complete in 5 days*Yes__
Efficiency: Fully automated primary source verification, no screen scraping or screen capture requirementsYes__
Practitioner Friendly: Simplified, digital application reduces completion time (or pull in data from complete CAQH applications)Yes__
Information Sharing: Real-time status available to all stakeholdersYes__
IT Overhead: Requires IT for implementation and maintenanceNot requiredYesYes
Training timeA few hours (and ongoing support)ExtensiveVaries