ProviderIQ

JSON twin: https://www.healthaidb.com/software/provideriq.json

Company Name

Medversant

Product URL

https://www.medversant.com/provideriq/index.html

Company URL

https://www.medversant.com

Categories

• administrative Operations
• credentialing
• compliance Management
• clinical Data Management
• network Management
• clinical Review
• healthcare It
• health Plans
• government Solutions
• pharmacy Benefit Management
• Administrative
• Compliance
• Provider Data Management
• Network Adequacy
• Peer Review
• Public Sector
• Pharmacy Benefit Managers

Summary

ProviderIQ™ by Medversant is a comprehensive provider data management platform that automates credentialing, verification, and compliance processes to ensure accurate and up-to-date provider information.

Description

ProviderIQ™ streamlines provider data management by automating credentialing, verification, and compliance processes. It offers real-time provider directory updates, a co-branded interface for provider self-updates, and pre-population of data from CAQH or internal databases. The platform ensures compliance with state and federal standards, including CFR 422.111(b)(3)(i) and 422.112(a)(1), and provides monthly Medicare reconciliation. It also features a Virtual Review Committee Solution for peer review meetings and a Network Adequacy Solution to meet federal and state network adequacy standards. Medversant, founded in 1999, is an NCQA-certified and URAC-accredited Credentials Verification Organization (CVO).

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001
• SOC 2 Type II
• HITRUST CSF Risk-based 2-year (r2)

Company Founding

1999

Company Offices

• United States

Compliance

• HIPAA
• SOC 2
• ISO 27001
• GDPR
• HITECH
• SOC 2 Type II
• HITRUST CSF Risk-based 2-year (r2)

Customers

• Medversant Technologies
• ProviderIQ
• Medversant
• Medversant Technologies, Inc.

Data Residency

US-only

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Real-time provider directory updates
• Automated data collection and verification against primary and secondary sources
• Co-branded interface for provider self-updates (demographics, specialty, affiliations, languages spoken)
• Pre-population of data from CAQH or internal databases
• Customizable data verification elements and frequencies
• Matching of products/plans to appropriate providers
• Generation of date-stamped images for each verification
• Monthly Medicare reconciliation, including opt-in/opt-out matching
• Compliance with state and federal provider directory standards (e.g., CFR 422.111(b)(3)(i), 422.112(a)(1))
• Enhanced member and provider satisfaction
• Rapid implementation

Id

SW1805

Integration Partners

• Epic Systems
• Cerner Corporation
• Allscripts Healthcare Solutions
• McKesson Corporation
• Athenahealth
• NextGen Healthcare
• eClinicalWorks
• Greenway Health
• GE Healthcare
• Meditech
• Kareo
• Practice Fusion
• AdvancedMD
• DrChrono
• NueMD
• CareCloud
• MDTech
• CompuGroup Medical
• e-MDs
• HealthFusion

Integrations

• CAQH
• Medicare ID systems

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• health plans
• public sector
• pharmacy benefit managers

Optional Modules

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1805

Product Name

ProviderIQ

Ratings

• 4.5 out of 5 stars on G2
• 4.2 out of 5 stars on Capterra
• 4.0 out of 5 stars on HealthCareITNews

Regions Available

• United States

Related Urls

• https://elion.health/products/medversant

Release Year

2010

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• Healthcare Provider Data Management
• Credentialing
• Verification
• Compliance
• Network Adequacy
• Peer Review
• Provider Directories
• Medicare Reconciliation
• Pharmacy Data Verification

Support Channels

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

System Requirements

Target Users

• health plans
• public sector agencies
• pharmacy benefit managers
• providers
• healthcare administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• ProviderIQ has streamlined our credentialing process, reducing errors and improving efficiency.
• The user interface is intuitive, making it easy for our team to manage provider data.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "ProviderIQ",
  "company_name": "Medversant",
  "product_url": "https://www.medversant.com/provideriq/index.html",
  "company_url": "https://www.medversant.com",
  "related_urls": [
    "https://elion.health/products/medversant"
  ],
  "product_code": "SW1805",
  "summary": "ProviderIQ™ by Medversant is a comprehensive provider data management platform that automates credentialing, verification, and compliance processes to ensure accurate and up-to-date provider information.",
  "description": "ProviderIQ™ streamlines provider data management by automating credentialing, verification, and compliance processes. It offers real-time provider directory updates, a co-branded interface for provider self-updates, and pre-population of data from CAQH or internal databases. The platform ensures compliance with state and federal standards, including CFR 422.111(b)(3)(i) and 422.112(a)(1), and provides monthly Medicare reconciliation. It also features a Virtual Review Committee Solution for peer review meetings and a Network Adequacy Solution to meet federal and state network adequacy standards. Medversant, founded in 1999, is an NCQA-certified and URAC-accredited Credentials Verification Organization (CVO).",
  "categories": [
    "administrative Operations",
    "credentialing",
    "compliance Management",
    "clinical Data Management",
    "network Management",
    "clinical Review",
    "healthcare It",
    "health Plans",
    "government Solutions",
    "pharmacy Benefit Management",
    "Administrative",
    "Credentialing",
    "Compliance",
    "Provider Data Management",
    "Network Adequacy",
    "Peer Review",
    "Healthcare It",
    "Health Plans",
    "Public Sector",
    "Pharmacy Benefit Managers"
  ],
  "market_segment": [
    "enterprise",
    "health plans",
    "public sector",
    "pharmacy benefit managers"
  ],
  "target_users": [
    "health plans",
    "public sector agencies",
    "pharmacy benefit managers",
    "providers",
    "healthcare administrators"
  ],
  "specialties": [
    "Healthcare Provider Data Management",
    "Credentialing",
    "Verification",
    "Compliance",
    "Network Adequacy",
    "Peer Review",
    "Provider Directories",
    "Medicare Reconciliation",
    "Pharmacy Data Verification"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "1999",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Real-time provider directory updates",
    "Automated data collection and verification against primary and secondary sources",
    "Co-branded interface for provider self-updates (demographics, specialty, affiliations, languages spoken)",
    "Pre-population of data from CAQH or internal databases",
    "Customizable data verification elements and frequencies",
    "Matching of products/plans to appropriate providers",
    "Generation of date-stamped images for each verification",
    "Monthly Medicare reconciliation, including opt-in/opt-out matching",
    "Compliance with state and federal provider directory standards (e.g., CFR 422.111(b)(3)(i), 422.112(a)(1))",
    "Enhanced member and provider satisfaction",
    "Rapid implementation"
  ],
  "optional_modules": [],
  "integrations": [
    "CAQH",
    "Medicare ID systems"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2",
    "ISO 27001",
    "GDPR",
    "HITECH",
    "SOC 2 Type II",
    "HITRUST CSF Risk-based 2-year (r2)"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001",
    "SOC 2 Type II",
    "HITRUST CSF Risk-based 2-year (r2)"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US-only",
  "customers": [
    "Medversant Technologies",
    "ProviderIQ",
    "Medversant",
    "Medversant Technologies, Inc."
  ],
  "user_reviews": [
    "ProviderIQ has streamlined our credentialing process, reducing errors and improving efficiency.",
    "The user interface is intuitive, making it easy for our team to manage provider data."
  ],
  "ratings": [
    "4.5 out of 5 stars on G2",
    "4.2 out of 5 stars on Capterra",
    "4.0 out of 5 stars on HealthCareITNews"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2010",
  "integration_partners": [
    "Epic Systems",
    "Cerner Corporation",
    "Allscripts Healthcare Solutions",
    "McKesson Corporation",
    "Athenahealth",
    "NextGen Healthcare",
    "eClinicalWorks",
    "Greenway Health",
    "GE Healthcare",
    "Meditech",
    "Kareo",
    "Practice Fusion",
    "AdvancedMD",
    "DrChrono",
    "NueMD",
    "CareCloud",
    "MDTech",
    "CompuGroup Medical",
    "e-MDs",
    "HealthFusion"
  ],
  "id": "SW1805",
  "slug": "provideriq",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/provideriq.json"
  }
}