Verifiable

by Verifiable  · Based in United States → — The Future of AI Credentialing has Arrived
Family Medicine Hospital Medicine Internal Medicine
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Regulatory Status Disclosed

Overview

Verifiable offers an advanced AI-powered platform for healthcare credentialing and provider network management. Their flagship product, CredAgent™, is an autonomous agent designed to significantly boost team productivity and improve operating margins while maintaining audit-ready accuracy. The platform automates critical processes such as primary source verifications (PSV) by connecting to thousands of data sources in real-time, enabling parallel processing of thousands of credentialing events to handle high volumes and network expansions. CredAgent provides fully transparent AI with step-by-step decision logs and cited primary sources for every verification, ensuring full auditability. Organizations can configure the agent to adhere to their specific business rules and NCQA policies, guaranteeing that automated decisions meet unique risk standards. Verifiable’s solutions aim to transform provider credentialing into a scalable model, offering substantial cost and time savings, out-of-the-box compliance, and enterprise-grade scalability for provider networks ranging from 100 to over 1 million. The company also provides NCQA-Certified CVO services and ongoing provider monitoring to proactively manage compliance risks and license expirations. The platform is built on Salesforce, allowing for high customization and integration capabilities.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • CredAgentu2122 Autonomous AI Agent
  • Automated Credentialing Software
  • NCQA-Certified CVO Services
  • Ongoing Provider Monitoring
  • Primary Source Verifications (PSV)
  • Provider Network Operations (Enrollment, Intake, Licensing, Roster Management)
  • Backlog to Batch Processing (parallel processing)
  • Fully Transparent AI (decision logs, cited sources)
  • Custom Governance (configurable business rules/NCQA policies)
  • Salesforce API Integration

Use Cases

  • Accelerating provider onboarding
  • Reducing credentialing backlogs
  • Ensuring NCQA compliance
  • Monitoring provider licenses and compliance risk
  • Scaling provider networks efficiently
  • Improving operating margins for healthcare organizations

What Physicians Need to Know

Key Capabilities
Automated primary-source verification (PSV) across 3200+ sources, AI-powered CredAgentu2122 for end-to-end credentialing and intelligent triage, reusable 'credentials passport', provider data management, continuous network monitoring for sanctions/exclusions, and automated collection of provider demographic data for compliance.
Clinical Utility
Enhances patient safety by ensuring qualified and licensed providers, accelerates provider onboarding for faster patient access to care, helps build culturally responsible networks through demographic data collection, and minimizes network risk by continuously monitoring for adverse actions.
Integration Options
API-first architecture with robust endpoints for integration into existing HR, identity, scheduling, payer enrollment, clinical systems, ATS platforms, and CRMs. Offers a native Salesforce application and automated CAQH integration.
Compliance Status
NCQA-certified CVO for 11 out of 11 verification services and SOC 2 Type 2 compliant (as of March 2022). Ensures adherence to HIPAA and other regulations, supports new NCQA demographic data requirements, and provides audit-ready citations and decision logs.
Pricing Model
Starts at $30,000 USD/company/year for the Salesforce AppExchange solution, with discounts for nonprofits. Additional data fees apply based on verification type, frequency, and quantity. Specific pricing requires direct contact with Verifiable and scales with provider count and product selection.
User Experience
Designed for workflow automation to reduce manual tasks, offers a simplified provider application, provides real-time visibility into provider status, and has received positive feedback for ease of use and smooth onboarding, leading to improved clinician onboarding NPS ratings for customers.
Support Quality
Backed by NCQA-certified in-house credentialing and compliance experts with over 60 years of combined experience, maintaining a 100% CSAT score. Provides best-in-class support and prompt resolution of issues.
Implementation Complexity
Can be higher for multi-entity health systems with diverse existing systems, as integration effort varies by data standards and available APIs. However, a standalone web application for monitoring requires no complex implementation, and the Salesforce application is noted for easy deployment.
Evidence Base
Demonstrated results include up to a 98% reduction in credentialing turnaround times, 7-figure cost savings, and 15x faster primary source verifications. Achieved a 100% NCQA Scorecard & Audit Pass Rate. Recognized by Andreessen Horowitz as 'The New Tech Stack for Virtual First Care' and a 2024 Salesforce Partner Innovation Award Winner. Ranked #27 on the 2025 Inc. 5000 list. Supported by case studies from organizations like Humana and Modern Health.
Physician Tip

Verifiable streamlines the often-cumbersome credentialing process, significantly reducing administrative burden and accelerating onboarding. This means physicians can get in-network and start seeing patients faster, improving revenue cycles and reducing delays in care. The continuous monitoring ensures compliance and reduces personal risk, allowing physicians to focus more on patient care and less on paperwork. The 'credentials passport' concept aims to minimize repetitive document submissions across different organizations.

Verifiable is built with an API-first approach, offering extensive integration capabilities with existing healthcare IT infrastructure, including HR, identity, scheduling, payer enrollment, and clinical systems. It features a native Salesforce application for seamless data flow and automated CAQH integration. This flexibility allows organizations to embed Verifiable's credentialing and monitoring functionalities directly into their current workflows, minimizing data silos and ensuring consistent provider data across various platforms.

Details

Category Credentialing & Enrollment
Pricing Contact for pricing
  • Pricing is determined based on product selection and scales based on provider count
  • A site-level, annual license for the Salesforce managed package application starts at $30,000 USD/company/year, with additional data fees for primary source verification type, frequency, and quantity
  • Discounts are available for nonprofits
DeploymentCloud-based, API, Salesforce Application
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Not applicable AI-estimated
Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

Verifiable is a modern infrastructure for healthcare credentialing, aiming to reduce administrative waste through technology, APIs, and AI. It offers automated credentialing solutions, including software and CVO services, provider network monitoring, primary source verifications, provider enrollment, and licensing management. The platform is designed to optimize provider networks, strengthen compliance, and improve efficiency for health plans, provider organizations, and other healthcare entities.

Overall: Positive

Strengths

  • Automated primary source verification saves significant time and effort.
  • Seamless integration with existing systems, particularly Salesforce.
  • High level of customization and flexibility to fit specific workflows and compliance requirements.
  • Exceptional customer support and responsive team.
  • Improved data accuracy and workflow automation, leading to increased efficiency and better decision-making.
  • NCQA-certified CVO services ensure compliance and faster turnaround times.

Limitations

  • Some technical limitations and usability issues that can hinder efficiency.
  • Reporting features could be more streamlined.
  • Potential for unnecessary clicks in the user interface.
  • Limited public reviews available outside of G2, making a comprehensive sentiment analysis challenging.

Based on reviews from: G2, Verifiable.com, Elion Health, Capterra

Last updated: 2026-07-23

Ratings & Reviews

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Press & Coverage

Fierce Healthcare
Altman-backed startup Verifiable rolls out AI agent to automate credentialing
Verifiable, a healthcare credentialing and monitoring startup backed by Sam and Jack Altman, launched CredAgent, an autonomous AI agent designed to automate the entire credentialing process. The company claims this tool is an industry first, capable of delivering up to 10x productivity gains compared to human specialists.
2026-02
PR Newswire
Verifiable Launches CredAgentu2122, the Industry's First Autonomous AI Credentialing Agent
Verifiable announced the launch of CredAgentu2122, an autonomous AI agent for end-to-end healthcare credentialing, promising up to 10x productivity gains by automating routine tasks. This new operating model aims to help healthcare organizations move away from antiquated offshore outsourcing and regain operational control.
2026-02
Verifiable
Verifiable Announces the Launch of Provider Demographic Data Management, Empowering Healthcare Leaders to Build Culturally and Linguistically Responsible Networks
Verifiable introduced Provider Demographic Data Management, a new feature to help healthcare organizations seamlessly collect provider demographic information during application intake. This feature helps ensure compliance with updated NCQA requirements and allows for the creation of culturally and linguistically responsible networks.
2025-06
Verifiable
Verifiable Joins the Ranks of the Nation's Fastest-Growing Companies
Verifiable was named to the 2025 Inc. 5000 list of fastest-growing private companies in America, ranking #27 among software companies. This recognition highlights the company's growth and impact in modernizing credentialing and ongoing monitoring for healthcare organizations.
2025-08
Verifiable
Inside Credentialing: Where AI Delivers Measurable ROI for Health Plans
This article discusses how AI-enabled credentialing is becoming a strategic, high-return starting point for enterprise-wide transformation in health plans. It highlights Verifiable's approach to using AI for continuous, real-time verification and intelligent triage to prevent backlogs and improve efficiency.
2025-11
Verifiable
The Credentialing Compliance Environment Changed. Most Health Plans Are Still Catching Up.
This article details how four overlapping regulatory developments, including NCQA's 2025 guideline updates and the Mental Health Parity and Addiction Equity Act final rule, have reshaped the credentialing compliance environment for health plans since 2024. It emphasizes the need for modernized provider data management systems to meet these new requirements.
2026-07
Verifiable
Factors Contributing to the Cost of Credentialing Every Health Plan Should Be Thinking About
This article explores four often-unmeasured dimensions of credentialing costs for health plans: staffing, CVO and vendor fees, fraud, and claims exposure. It provides frameworks for calculating these costs to build a stronger business case for operational change and automation.
2026-07
Verifiable
Faster Medical Credentialing = Better Provider Experiences & Network Growth
This article explains how Verifiable's automated medical credentialing streamlines the process, leading to improved provider satisfaction and accelerated network growth. It highlights the benefits for both providers and payers, including reduced administrative burden and faster access to patient care.
2024-04

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Suggest an Edit → | Last Verified: 2026-04-22 | First Added: 2026-04-22
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