AI agents that run provider credentialing, end to end.
CREDSClinic verifies, files, follows up and enrolls your providers with 200+ payers. Agents do the work; credentialing specialists step in when a payer needs a human. Providers become billable in about 30 days, not 90.
- Average turnaround
- 30 days, against an industry range of 30 to 90
- Coverage
- All 50 states and DC, every provider type
- Self-serve pricing
- From $99.80 per credential, no subscription
Credentialing file
Illustrative: nurse practitioner, Texas
Verification score
74 / 80
- 09:14Verified
Pulled the NPI record from NPPES
Agent
- 09:14Imported
Imported the CAQH profile and attestations
Agent
- 09:15Clear
Checked the OIG LEIE exclusion list
Agent
- 09:15Active
Verified the license with the Texas Board of Nursing
Agent
- 09:16Active
Checked Medicare enrollment in PECOS
Agent
- 09:16Active
Confirmed DEA registration
Agent
- 09:31Submitted
Filed enrollment with 6 payers through Stedi
Agent
- 11:42Needs specialist
A payer asked for a malpractice face sheet not in the packet
Agent
- 13:05Resubmitted
Uploaded the face sheet and resubmitted to the payer
Credentialing specialist
Every step is timestamped, tied to the source it queried, and exportable for audits.
How it works
Three steps, two of them done by agents. The third is where a person belongs, and you can watch all of it in the log.
Step 1
Hand us the provider
Enter the NPI, connect CAQH, or upload what you already have. Agents pull the NPPES record, the CAQH profile, licenses and board certifications, then list exactly what is still missing.
Step 2
Agents verify and file
Every credential is checked at its primary source across 442+ boards and databases. Applications go to payers through Stedi, payer portals, fax and email, and agents chase each follow-up until the payer answers.
Step 3
Specialists take the exceptions
When a payer asks for something unusual, or a source disagrees with the file, an agent flags it and a credentialing specialist resolves it. Rejected applications are corrected and resubmitted at no extra cost.
What you can see, at any time
- The timestamp of every action
- The source queried and what it returned
- Documents sent, and to which payer
- Whether an agent or a specialist acted
- The provider's verification score as it changes
When a specialist steps in
- A payer requests something outside the standard packet
- A primary source disagrees with the provider's file
- An application is returned or rejected
- Anything an agent cannot resolve from primary sources
Credentialing for every provider type, in all 50 states.
The same agents, the same log and the same primary sources, whichever board licenses your providers.
- PhysiciansMD, DO
- State medical and osteopathic board verification, board certification, DEA, PECOS enrollment and commercial payer panels.
- Nurses and APRNsRN, NP, CRNA, CNS
- Verification across 52 nursing board sources, DEA where it applies, Medicare enrollment and commercial panels.
- Behavioral healthLCSW, LPC, LMFT, psychologists, psychiatrists
- Where CREDSClinic started. Medicaid and commercial panels, plus ABPN verification for psychiatry.
- Physician assistantsPA-C
- PA board verification, DEA and PECOS enrollment, and commercial payer panels.
- Payer enrollment
- Medicare through PECOS, Medicaid, and 200+ commercial payers through Stedi. Returned applications are corrected and resubmitted at no extra cost.
- License and expirables monitoring
- Licenses, DEA, board certifications and other expirables watched continuously, with reminders before anything lapses and recredentialing when it is due.
- Groups, health systems and staffing
- Roster and provider management, CVO workflows, privileging, NPDB reports, a document vault and audit logs for every provider on the roster.
Not sure which line you fall under? Tell us the provider type and state and we will map it.
442+ primary sources, queried by agents rather than by hand.
Fifty-one state medical boards, every nursing board, the osteopathic and PA boards, and 14 federal databases. Each one is checked at the source on every file.
Every state board, including the District of Columbia, is a primary source in the catalog.
- 51
- state medical boards
- 52
- nursing boards
- 5
- osteopathic boards
- 2
- physician assistant boards
- 14
- federal databases
- 442+
- verification sources in total
Federal databases and enrollment rails
Queried directly by the agents on every file, not copied from a provider's own paperwork.
- NPPES
- Identity, taxonomy and practice locations behind the NPI
- OIG LEIE
- Exclusion from federal healthcare programs
- PECOS
- Medicare enrollment status
- Medicare opt-out
- Whether the provider has opted out of Medicare
- DEA
- Controlled-substance registration
- Board certification
- Specialty certification, including ABPN for psychiatry
- Medicare utilization
- Claims activity under the NPI
- FSMB
- License history across state medical boards
- CAQH ProView
- Profile import and portal automation
- Stedi
- Enrollment with 200+ payers
How the verification score is built
Each provider file carries a score out of 75 points, or 80 when FSMB license history is queried. Sources that do not apply to a provider are left out of the denominator, so the score is relative to what was actually checked.
| Source | Points | Clear when |
|---|---|---|
| NPPES identity | 10 | NPI verified |
| OIG LEIE | 10 | Not on the exclusion list |
| Medicare enrollment (PECOS) | 10 | Active enrollment |
| Medicare opt-out | 5 | Not on the opt-out list |
| State medical license | 10 | Active license |
| DEA registration | 10 | Active registration |
| Board certification | 10 | Certified |
| Medicare utilization | 5 | Claims activity found |
| FSMB license history | 5 | License history found |
| Maximum | 75 | 80 with FSMB |
What the agents work inside, and what your team can log into.
Every capability below is part of one provider file. Nothing lives in a spreadsheet on the side.
- CAQH import and portal automation
- Profiles pulled in and attestations kept current, with the portals worked by agents rather than by your staff.
- Payer enrollment through Stedi
- 200+ payers, Medicare through PECOS, Medicaid and commercial plans, submitted and tracked from one file.
- Ongoing monitoring and expirables
- Licenses, DEA, board certifications and other expirables watched continuously, with reminders before they lapse.
- NPDB reports
- Ordered and attached to the provider file so committee and payer questions are answered from the record.
- CVO workflows
- Primary-source verification packets prepared for delegated credentialing and committee review.
- Privileging
- Facility privileges tracked alongside payer credentials, on the same expirables calendar.
- Roster and provider management
- Every provider, location and payer relationship in one roster you can filter and export.
- Fax and email submission
- Payers that still want paper get it, sent and logged automatically with the rest of the file.
- Document vault
- Licenses, certificates, malpractice and identity documents stored encrypted and attached to each provider.
- Audit logs
- Every action by an agent or a specialist, timestamped and exportable.
Built for protected health information from the first file.
The agents handle licenses, identity documents and payer records all day. The controls around them are not optional.
- HIPAA compliant
- Built and operated to HIPAA requirements for handling protected health information.
- BAA included
- A business associate agreement is signed with every clinic before any provider data moves.
- Encrypted at rest and in transit
- Provider files, documents and credentials are encrypted in storage and on every connection.
- Audit logs on every action
- Agents and specialists leave a timestamped record you can export for payer or accreditation audits.
- Primary-source verification
- Each credential is confirmed with the issuing board or database, never taken from a copy.
Check a provider's NPI now.
A free NPPES check with no account. For the full 442-source verification and score, run a lookup.
Pricing you can read before you talk to anyone.
Most credentialing services quote by phone. Ours is published, per credential, with no subscription.
Single
One provider, one payer. The way to try us.
$149
$149 per credential
3-pack
Most popular
A small practice onboarding a few providers at once.
$399
$133 per credential
5-pack
Best value
Growing clinics with credentialing on the calendar every quarter.
$499
$99.80 per credential
One credential is one provider credentialed with one payer. No subscription and no contract. If a payer rejects an application, it is corrected and resubmitted at no extra cost.
Frequently asked questions
Straight answers about who does the work, how long it takes and what it costs.
Who actually does the credentialing work?
How long does credentialing take?
Can I see what the agents did?
Which provider types and states do you cover?
Do you handle Medicare and Medicaid enrollment?
What happens if a payer rejects an application?
Is CREDSClinic HIPAA compliant?
What does it cost?
Put an agent on your next provider file.
Book a demo and we will walk through a live file: what the agents check, where a specialist steps in, and what you see in the log.