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Built for people shipping with AI.

What is Verifiable?

Automate provider credentialing with AI agents that verify credentials against 3,200+ primary sources in seconds.

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Pricing

Contact for pricing (Custom pricing available)

Overview

Verifiable is a healthcare credentialing platform that uses AI-powered autonomous agents to automate provider verification, onboarding, and compliance monitoring. Built natively on Salesforce, it connects to over 3,200 primary source verification types to deliver audit-ready results. Its CredAgent technology handles end-to-end credentialing workflows while keeping humans in the loop for complex decisions. Backed by the Altman Fund and Craft Ventures, Verifiable serves healthcare providers, health plans, and pharma organizations like Humana, Talkspace, and Grow Therapy.

Key Features

  • CredAgent Autonomous AI Agent: The industry's first autonomous credentialing agent that processes thousands of credentialing events in parallel, delivering up to 10x productivity gains with full transparency into every decision.
  • Primary Source Verification: Connects to 3,200+ trusted verification sources, including 200+ license databases, NPDB, and DEA, automating 97% of all verifications with instant results.
  • NCQA-Certified CVO Services: Certified for 11 out of 11 NCQA verification services, offering delegated credentialing with zero backlogs, quality-checked files, and full compliance reporting.
  • Salesforce-Native Platform: The only NCQA-certified credentialing solution built for Salesforce, providing out-of-the-box compliant workflows, checklists, and audit trails alongside your provider data.
  • Real-Time Monitoring & Alerts: Continuous monitoring across sanctions, exclusions, and license expirations with proactive alerts to keep your network compliant.
  • API-First Architecture: Built API-first so third parties can integrate credentialing workflows directly into their own systems and applications.
  • CAQH-Integrated Digital Intake: Streamlined provider application process with CAQH integration that reduces friction and minimizes incomplete submissions.
  • Configurable Compliance Rules: Customize business rules and NCQA policies to match your organization's specific risk standards and credentialing requirements.

Pros

  • Dramatic Time Savings: Customers report up to 98% reduction in credentialing turnaround times, with some achieving ~1-day turnarounds compared to the industry average of 60-120 days.
  • Strong Automation: Eliminates 76% of manual credentialing work, freeing staff to focus on complex cases rather than data entry and document chasing.
  • Transparent AI Decisions: Every automated verification includes cited primary sources and step-by-step decision logs, giving compliance teams full auditability.
  • Flexible Deployment: Choose between in-house credentialing software, fully delegated CVO services, or a hybrid model depending on your organization's needs.
  • Human-in-the-Loop Safety: AI agents escalate nuanced cases like sanction reviews to human analysts, preserving compliance integrity on sensitive decisions.

Cons

  • Custom Pricing Only: No publicly listed pricing plans. You need to contact sales for a quote, which makes it harder to compare costs upfront.
  • Salesforce Dependency: The platform is built natively on Salesforce, which could be a barrier for organizations using different CRM systems.
  • Reporting Gaps: Users note that running joined reports and extracting data can require extra steps. Scheduled report delivery and console customization options are still limited.

Use Cases

  • Health Plan Provider Network Expansion: Health plans scaling their provider networks can use Verifiable to onboard providers 3x faster without proportionally increasing credentialing staff. One client reduced turnaround times by 67% while maintaining full NCQA compliance.
  • Provider Group Credentialing: Multi-site provider organizations can centralize credentialing across all locations, importing application data and running primary source verifications automatically instead of managing spreadsheets and manual outreach.
  • NCQA Accreditation Preparation: Organizations preparing for or maintaining NCQA accreditation can use Verifiable's built-in compliant workflows, verification checklists, and audit trails to meet standards without building custom processes from scratch.
  • Delegated Credentialing via CVO: Healthcare organizations that want to fully outsource credentialing can delegate to Verifiable's NCQA-certified CVO, which combines CredAgent automation with human review to deliver clean, audited provider files.
  • Continuous Compliance Monitoring: Organizations with large provider networks can set up real-time monitoring for license expirations, sanctions, and exclusions to catch compliance risks daily rather than during periodic manual reviews.
  • Replacing Offshore Outsourcing: Teams currently relying on offshore credentialing vendors can bring operations back in-house using Verifiable's AI agents, gaining better visibility, faster turnaround, and stronger quality control.

Frequently Asked Questions

What is Verifiable?

Verifiable is an AI-powered healthcare credentialing and provider network management platform. It automates the verification of provider credentials, licenses, and compliance data by connecting to over 3,200 primary sources. The platform is built natively on Salesforce and is backed by investors including the Altman Fund and Craft Ventures.

What is CredAgent?

CredAgent is Verifiable's autonomous AI agent designed for end-to-end credentialing. It can process thousands of credentialing events in parallel, verify data against primary sources, compile credentialing packets, and document every decision with cited sources and audit logs. It keeps a human in the loop for complex or sensitive cases.

Is Verifiable NCQA certified?

Yes. Verifiable is NCQA-certified for all 11 verification services, making it a fully certified Credentials Verification Organization (CVO). It is also the only NCQA-certified credentialing solution built natively on Salesforce.

How much does Verifiable cost?

Verifiable uses custom, quote-based pricing. There are no publicly listed plans or tiers. You need to contact their sales team for a personalized estimate based on your organization's size and needs.

What types of healthcare organizations use Verifiable?

Verifiable serves health plans, provider groups, staffing and recruiting firms, pharmacy organizations, and life sciences companies. Notable clients include Humana, Lyra Health, Talkspace, Modern Health, and Grow Therapy.

Does Verifiable require Salesforce?

Verifiable is available as a Salesforce-native application, but also offers an API-powered solution for organizations that want to integrate credentialing workflows into their own systems without Salesforce.

Does Verifiable replace human credentialing staff?

No. Verifiable is designed to augment credentialing teams, not replace them. Its human-in-the-loop approach means AI handles routine verifications while human analysts review complex cases, apply judgment on sanctions, and provide final oversight.

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AI-powered healthcare credentialing automation

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