Health Plan Credentialing & Network Management Platform | Assured
Credentialing made simple for health plans
Automate provider verification, maintain accurate directories, manage delegated credentialing, and ensure audit-ready compliance-without the operational chaos.
Trusted by leading provider groups, payers, health systems and digital health companies
Credentialing and provider management tailored to suit every health plan
Commercial plan
For commercial plans looking to streamline credentialing, we help with:
- Automated primary source verification
- Delegated and non-delegated entity/provider monitoring.
- Compliance reporting
- Automate re-credentialing and credentialing
- Reduce CVO costs with automation
Third-party administration
For TPAs managing multiple client requirements, we help with:
- Configure unique credentialing workflows per client
- Manage multi-client credentialing efficiently
- Scale operations without adding overhead
- Set client/provider-specific verification rules
- Generate custom reporting per client
Medicare advantage
For Medicare Advantage plans looking to ensure CMS compliance and efficiency, we help with:
- Automated primary source verification
- Real-time provider directory accuracy maintenance
- Automated quarterly provider attestations
- Continuous exclusion/sanction monitoring (OIG/SAM)
- Streamlined FDR oversight and delegation management
Reduce costs, improve compliance, and automate manual work
Credential providers in less than 2 days, not 60 days. Cut costs by 60% and automate compliance with healthcare's most powerful all-in-one platform.
Get providers credentialed in days, not months
- Complete 1000's of primary source verifications in seconds
- Handle any credentialing model-from direct to delegated
- Track every step of the credentialing process in real-time
- Configure custom workflows for every delegation scenario
Maximize efficiency, minimize costs
- Cut manual workload by 80% with automated data capture during onboarding
- Streamline provider engagement with automated outreach and tracking
- Scale operations without expanding your team
Seamless integration with your ecosystem
- Connect seamlessly with your existing CRM- Salesforce
- Enable secure cross-department data sharing
- Connect instantly with provider data management and delegated entities
- Maintain a single source of truth for all provider data
Eliminate directory errors and maintain accuracy
- Achieve directory accuracy with automated roster management
- Real-time provider data tracking and verification
- Easily manage delegated and non-delegated rosters
Stay compliant without the complexity
- Stay compliant with NCQA, state, and CMS requirements automatically
- Monitor license and credential expirations in real-time
- Automate all compliance reporting-from monthly updates to quarterly reviews
In-House vs Assured: The smart choice for health plans
| In-house | Assured |
|---|---|
| High costs for skilled personnel and technology | Half the cost, saving up to $50,000 annually per specialist |
| Scalability | Seamless scalability, scale up or down in 1 month |
| Requires ongoing training; $5000 per employee annually | Immediate access to specialized expertise |
| Over 50 days for credentialing | Less than 2 days, improving efficiency by 95% |
| Significant investment needed, $20,000 annually | Access to advanced tools without additional investment |
Caught In A Credentialing Backlog?
Join leading health plans who have modernized their operations with our platform.