Verifiable

Verifiable builds software and services for healthcare credentialing and provider network operations. Its platform automates primary source verification (PSV), credentialing packet generation, ongoing provider monitoring, provider enrollment, licensing, and roster management, positioning these functions as a single system of record across the provider lifecycle. The company states it connects to more than 3,200 primary source verification types, with 97% of sources returned instantly, and that it operates an API-first architecture with endpoints for programmatic provider data management, real-time verifications, and audit-ready documentation. A pre-built native Salesforce application allows customers to run credentialing and monitoring workflows inside Salesforce.

The company's current product focus is CredAgent, which it describes as an autonomous agent for credentialing that performs batch processing of credentialing events, produces step-by-step decision logs and cited primary sources for auditability, and can be configured to follow customer-specific business rules and NCQA policies. Alongside software, Verifiable operates an NCQA-certified credentials verification organization (CVO), which customers can use instead of or alongside the software; the company cites sub-three-day turnaround times, a 0% error rate on file quality review, and a 100% NCQA audit pass rate for the CVO. Its roster management offering is framed as addressing "ghost network" inaccuracies by reconciling credentialing and roster data against provider directories.

Verifiable frames its market context around administrative cost pressure in US healthcare: it has cited research that administration can account for up to 25% of total US healthcare costs, roughly $7,600 in manual cost per credentialed provider, and credentialing turnaround times of 60 to 120 days that delay provider revenue.

Business model

Verifiable sells credentialing and provider network operations software to healthcare organizations, and separately offers NCQA-certified CVO services; customers can use software, the CVO, or a hybrid of both. Products are modular — credentialing automation, monitoring, enrollment, licensing, roster management, PSVs, APIs, and a native Salesforce application — and can be purchased individually or combined.

Sources do not state pricing or contract structure beyond the sale of software products and CVO services to healthcare organizations.

Traction

Company-reported customer outcomes include 7-figure cost savings and a 98% improvement in credentialing packet turnaround for one customer, a 67% reduction in turnaround times (3x faster provider onboarding) for another, 1-2 day turnaround for credentialing nurse practitioners while expanding across all 50 states, onboarding of 1,000+ new providers per month at one customer, and automated generation of credentialing packets averaging 250+ pages. The company reports a 100% NCQA scorecard and audit pass rate and, as of 2023, said its internal CVO team achieved efficiency gains of over 150% over the prior two years. Its about page cites $47 million in total funding.

Latest developments

The company's current messaging centers on CredAgent, described as the first autonomous agent for credentialing, offering batch processing of credentialing events, transparent decision logs with cited primary sources, and configurable governance aligned to customer and NCQA policies.