Provider Credentialing

JSON twin: https://www.healthaidb.com/software/provider-credentialing.json

Company Name

RLDatix

Product URL

https://www.rldatix.com/en-nam/solutions/how-we-help/governance/provider-credentialing-and-privileging/

Company URL

https://www.rldatix.com

Categories

• administrative Operations
• provider Management
• workforce Management
• regulatory Compliance
• credentialing
• Administrative
• Credentialing Privileging

Summary

RLDatix Provider Credentialing is a software solution that automates provider credentialing, privileging, and payer enrollment to enhance healthcare provider management and ensure compliance.

Description

RLDatix Provider Credentialing is a module within the RLD360™ platform that centralizes provider profiles, automates credential verification and re-credentialing workflows, supports privileging and payer enrollment, integrates with other RLDatix safety/compliance modules, and can operate as an NCQA-certified Credentialing Verification Organization (CVO) service. It aims to streamline provider management processes, reduce administrative burdens, and improve data accuracy and compliance across healthcare organizations.

Api Available

unknown

Certifications

• Data centers: SSAE-16 / SAS 70

Company Founding

1997

Company Offices

• United States
• Canada

Compliance

• HIPAA
• Regional privacy and information security regulations
• NCQA requirements

Customers

• York Hospital

Data Residency

US-hosted (East Coast and West Coast datacenter locations) with option for client-hosted deployments

Data Standards

• NCQA (credentialing/delegation standards)

Deployment Model

• SaaS
• client-hosted/on-prem

Features

• Automated credentialing workflows
• License renewal automation
• Privileging management
• Digital peer reviews and committee workflows
• Provider self-service portal and progress tracking
• Integration with primary data sources (Medicare/Medicaid/OIG/regulatory boards)
• NCQA-certified CVO services
• Payer enrollment linkage and delegated enrollment support
• Provider data centralization and unified provider record
• Dashboards and real-time credentialing status reporting
• Automated primary source verification
• Onboarding automation
• Role-based access and audit trails
• Data migration and archiving capabilities
• Connected workflows with contract and payer enrollment modules

Id

SW2177

Integration Partners

• MedStack
• EPICompliance Online HIPAA & Healthcare Compliance

Integrations

• Medicare
• Medicaid
• Office of Inspector General (OIG)
• State regulatory/licensing boards
• Payer systems (for enrollment)
• RLDatix platform modules (Contract Management, Peer Review, Payer Enrollment)

Languages Supported

• English
• German
• Swedish

Last Updated

2025-10-11

License

proprietary commercial

Market Segment

• enterprise
• smb

Optional Modules

• Root Cause Analysis
• Feedback
• Claims management
• Risk Register
• Safety Huddles

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Privacy and security policies aligned to regional regulations
• Vendor/customer agreements covering data handling (BAA/region-specific agreements)
• Access minimization and workforce background checks
• Data backup and recovery controls

Product Code

SW2177

Product Name

Provider Credentialing

Ratings

• 4.5 (88) - Capterra
• 3.9 (20) - G2

Regions Available

• United States
• Canada

Related Urls

• https://elion.health/products/rldatix-provider-credentialing

Release Year

2000

Security Features

• Encryption in transit and at rest
• Unique user IDs and secure passwords
• Role-based access controls
• Audit logging and activity monitoring
• Automatic logoff/session timeout
• Incident management and monitoring/alerting
• Digital signatures for data integrity
• High-availability and backup/DR procedures

Specialties

• Multi-specialty Health Systems
• Behavioral Health
• Allied Health

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• credentialing specialists
• medical staff offices
• health system administrators
• compliance officers
• provider enrollment teams
• payers
• HR/recruiting teams

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• We originally had ConvergePoint and Policy Stat is by far superior to any other policy software we have reviewed or used here at York Hospital.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Provider Credentialing",
  "company_name": "RLDatix",
  "product_url": "https://www.rldatix.com/en-nam/solutions/how-we-help/governance/provider-credentialing-and-privileging/",
  "company_url": "https://www.rldatix.com",
  "related_urls": [
    "https://elion.health/products/rldatix-provider-credentialing"
  ],
  "product_code": "SW2177",
  "summary": "RLDatix Provider Credentialing is a software solution that automates provider credentialing, privileging, and payer enrollment to enhance healthcare provider management and ensure compliance.",
  "description": "RLDatix Provider Credentialing is a module within the RLD360™ platform that centralizes provider profiles, automates credential verification and re-credentialing workflows, supports privileging and payer enrollment, integrates with other RLDatix safety/compliance modules, and can operate as an NCQA-certified Credentialing Verification Organization (CVO) service. It aims to streamline provider management processes, reduce administrative burdens, and improve data accuracy and compliance across healthcare organizations.",
  "categories": [
    "administrative Operations",
    "provider Management",
    "workforce Management",
    "regulatory Compliance",
    "credentialing",
    "Administrative",
    "Provider Management",
    "Workforce Management",
    "Regulatory Compliance",
    "Credentialing Privileging"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "credentialing specialists",
    "medical staff offices",
    "health system administrators",
    "compliance officers",
    "provider enrollment teams",
    "payers",
    "HR/recruiting teams"
  ],
  "specialties": [
    "Multi-specialty Health Systems",
    "Behavioral Health",
    "Allied Health"
  ],
  "regions_available": [
    "United States",
    "Canada"
  ],
  "languages_supported": [
    "English",
    "German",
    "Swedish"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "proprietary commercial",
  "company_offices": [
    "United States",
    "Canada"
  ],
  "company_founding": "1997",
  "deployment_model": [
    "SaaS",
    "client-hosted/on-prem"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated credentialing workflows",
    "License renewal automation",
    "Privileging management",
    "Digital peer reviews and committee workflows",
    "Provider self-service portal and progress tracking",
    "Integration with primary data sources (Medicare/Medicaid/OIG/regulatory boards)",
    "NCQA-certified CVO services",
    "Payer enrollment linkage and delegated enrollment support",
    "Provider data centralization and unified provider record",
    "Dashboards and real-time credentialing status reporting",
    "Automated primary source verification",
    "Onboarding automation",
    "Role-based access and audit trails",
    "Data migration and archiving capabilities",
    "Connected workflows with contract and payer enrollment modules"
  ],
  "optional_modules": [
    "Root Cause Analysis",
    "Feedback",
    "Claims management",
    "Risk Register",
    "Safety Huddles"
  ],
  "integrations": [
    "Medicare",
    "Medicaid",
    "Office of Inspector General (OIG)",
    "State regulatory/licensing boards",
    "Payer systems (for enrollment)",
    "RLDatix platform modules (Contract Management, Peer Review, Payer Enrollment)"
  ],
  "data_standards": [
    "NCQA (credentialing/delegation standards)"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "Regional privacy and information security regulations",
    "NCQA requirements"
  ],
  "certifications": [
    "Data centers: SSAE-16 / SAS 70"
  ],
  "security_features": [
    "Encryption in transit and at rest",
    "Unique user IDs and secure passwords",
    "Role-based access controls",
    "Audit logging and activity monitoring",
    "Automatic logoff/session timeout",
    "Incident management and monitoring/alerting",
    "Digital signatures for data integrity",
    "High-availability and backup/DR procedures"
  ],
  "privacy_features": [
    "Privacy and security policies aligned to regional regulations",
    "Vendor/customer agreements covering data handling (BAA/region-specific agreements)",
    "Access minimization and workforce background checks",
    "Data backup and recovery controls"
  ],
  "data_residency": "US-hosted (East Coast and West Coast datacenter locations) with option for client-hosted deployments",
  "customers": [
    "York Hospital"
  ],
  "user_reviews": [
    "We originally had ConvergePoint and Policy Stat is by far superior to any other policy software we have reviewed or used here at York Hospital."
  ],
  "ratings": [
    "4.5 (88) - Capterra",
    "3.9 (20) - G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2000",
  "integration_partners": [
    "MedStack",
    "EPICompliance Online HIPAA & Healthcare Compliance"
  ],
  "id": "SW2177",
  "slug": "provider-credentialing",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/provider-credentialing.json"
  }
}