verisys-provider-credentialing

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

Company Name

Verisys

Product URL

https://verisys.com/solutions/healthcare-credentialing/

Company URL

https://verisys.com/

Categories

Summary

Verisys Provider Credentialing is a commercial credentialing and primary-source verification service that automates provider onboarding, ongoing monitoring, and compliance for health plans and health systems.

Description

A scalable credentialing solution and CVO service offering primary source verification, continuous monitoring (licenses, sanctions, DEA, NPI, SSA-DMF, OFAC+, abuse registries), provider data management and full or hybrid outsourced credentialing workflows. Verisys supplies a continuously updated "golden record" dataset to meet NCQA, URAC and The Joint Commission standards and integrates CAQH workflows to accelerate time-to-network and reduce manual effort.

Api Available

unknown

Certifications

Company Founding

1992

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1748

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial / proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing, enterprise quotes and implementation options; offers in-house, hybrid, and fully outsourced service tiers.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

1992

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Verisys",
  "company_url": "https://verisys.com/",
  "company_offices": [
    "United States",
    "India"
  ],
  "company_founding": "1992",
  "product_url": "https://verisys.com/solutions/healthcare-credentialing/",
  "categories": [
    "Credentialing, Licensing, and Enrollment",
    "Provider Data Management",
    "Continuous Monitoring",
    "Compliance / Regulatory",
    "Administrative"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://verisys.com/",
    "https://verisys.com/solutions/healthcare-credentialing/",
    "https://verisys.com/about/our-story/",
    "https://verisys.com/about/locations/",
    "https://verisys.com/standards/",
    "https://verisys.com/customer-support/",
    "https://verisys.com/privacy-policy/",
    "https://elion.health/products/verisys-provider-credentialing",
    "https://reportcards.ncqa.org/other-health-care-organization/Other_001G000001uwsRzIAI",
    "https://accreditnet.urac.org/directory/#/accreditation/CVO007322/info"
  ],
  "summary": "Verisys Provider Credentialing is a commercial credentialing and primary-source verification service that automates provider onboarding, ongoing monitoring, and compliance for health plans and health systems.",
  "description": "A scalable credentialing solution and CVO service offering primary source verification, continuous monitoring (licenses, sanctions, DEA, NPI, SSA-DMF, OFAC+, abuse registries), provider data management and full or hybrid outsourced credentialing workflows. Verisys supplies a continuously updated \"golden record\" dataset to meet NCQA, URAC and The Joint Commission standards and integrates CAQH workflows to accelerate time-to-network and reduce manual effort.",
  "target_users": [
    "credentialing specialists",
    "health plan admins",
    "hospital and health system admins",
    "compliance officers",
    "provider enrollment teams",
    "background screening organisations",
    "payer contracting teams"
  ],
  "specialties": [
    "primary care",
    "surgery",
    "nursing",
    "pharmacy",
    "allied health",
    "behavioral health",
    "telehealth",
    "ancillary services"
  ],
  "regions_available": [
    "United States",
    "India",
    "Global / international (markets served via enterprise engagements)"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing, enterprise quotes and implementation options; offers in-house, hybrid, and fully outsourced service tiers.",
  "license": "commercial / proprietary",
  "deployment_model": [
    "SaaS",
    "outsourced service",
    "hybrid"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Primary source verification (PSV)",
    "Provider profile / golden record dataset",
    "Continuous monitoring of credentials/licenses",
    "License verification & automated licensure (LicenseCheck)",
    "NPI validation",
    "DEA / CDS / abuse registry checks",
    "OFAC and sanctions screening (FACIS)",
    "Death Master File (SSA‑DMF) checks",
    "Provider data management & directory hygiene",
    "Credentialing workflow support (application gathering to committee review)",
    "Recredentialing management",
    "Outsourced credentialing services (CVO)",
    "Hybrid workflow support (in‑house + Verisys data)",
    "Real‑time alerts and status tracking",
    "Primary source data matching and verification",
    "Decisional data / data verification services",
    "Pre‑hire and workforce compliance screening"
  ],
  "optional_modules": [
    "FACIS sanctions & exclusion screening",
    "Automated licensure monitoring (LicenseCheck)",
    "Continuous true monitoring",
    "Decisional data solutions",
    "Provider directory management"
  ],
  "integrations": [
    "CAQH (application integration)",
    "Verisys Connect (customer portal/login)"
  ],
  "data_standards": [
    "NPI",
    "SSA‑DMF",
    "OFAC",
    "DEA / CDS",
    "FACIS (exclusion/sanction dataset)"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "NCQA",
    "URAC",
    "The Joint Commission",
    "SOC report (SOC for Service Organizations)"
  ],
  "certifications": [
    "NCQA CVO accreditation",
    "URAC CVO accreditation"
  ],
  "security_features": [
    "Continuous monitoring of provider data",
    "Access controls / role based access",
    "Audit logging",
    "Customer portal (Verisys Connect) / SSO support"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Privacy policy",
    "Ongoing data verification and minimization practices"
  ],
  "data_residency": "",
  "customers": [
    "MedCost",
    "UnitedHealthcare",
    "State of West Virginia",
    "Texas Health and Human Services (HHSC)",
    "Nebraska Department of Health and Human Services (Nebraska DHHS)",
    "Aperture (MedCost credentialing partner)",
    "Retail Pharmacy Chain (unnamed - referenced in case studies)",
    "Health Systems (unnamed - referenced in case studies)"
  ],
  "user_reviews": [
    "The data sources are the most comprehensive and our account representative is knowledgeable, professional, and attentive. Verisys' ability to find sanctions is the best – no other companies are able to do what Verisys can do in this respect.",
    "Shortened credentialing turnaround times; they reduced administrative burden and improved accuracy compared to our in-house process.",
    "Customer service team provides timely notifications to providers and is responsive to credentialing questions."
  ],
  "ratings": [
    "FeaturedCustomers: 4.8/5.0 (based on 1170 reference ratings)",
    "G2: High Performer (Health Care Credentialing category)",
    "TrustRadius: Listed with user reviews (profile available)"
  ],
  "support_channels": [
    "email",
    "phone",
    "ticketing",
    "documentation/FAQ",
    "contact form"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online onboarding (Verisys Connect)",
    "onsite onboarding"
  ],
  "release_year": "1992",
  "integration_partners": [
    "Enlyte",
    "Aperture",
    "Dirox Digital Solutions",
    "Sensiple",
    "Marketing Automation Corp"
  ],
  "id": "P1748",
  "slug": "verisys-provider-credentialing",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/verisys-provider-credentialing.json"
  }
}