Efficient Credentialing Has Never Been More Important for Medicaid Plans

The healthcare industry is facing unprecedented challenges. Medicaid plans, in particular, are navigating significant increases in enrollment and new strains on their time and resources. Your credentialing primary source verification process (PSV) shouldn’t add to your burden.

VeriFide™ is seamlessly integrated into CAQH ProView, which is used by more than 1.6 million providers to exchange professional information with payers for commercial, Medicare and Medicaid programs.

VeriFide enables users to:

• Achieve 98.5% PSV file accuracy and completeness through greater automation, diligent CAQH follow-up and improved provider responses.
• Shorten the credentialing cycle, returning 95% of the initial files within 11-14 days, and 100% of re-credentialed files 60 days before the provider’s target date.
• Reduce time from initial credentialing to network participation and payment.
• Lower costs and reduce outreach by aligning the timing of provider credentialing events across organizations.

The Medicaid screening service that is built into VeriFide performs Death Master File, National Provider and Plan Enumeration System (NPPES), and state exclusion research.