Verifiable
AI credentialing and provider network monitoring for healthcare payers and provider organizations
By Verifiable · 4.0/5 Value-Position score (estimate)
Positioning guardrails
Best for
- Health and dental plans that need to scale provider credentialing without adding headcount
- Provider organizations that want clinicians credentialed and in-network faster
- Credentialing teams with NCQA audit and payer-contract requirements
- Salesforce-based network operations teams that want a native credentialing app
- Organizations clearing large credentialing backlogs or seasonal volume spikes
Ideal size: 50–1,000 people · Health plan or provider network with an established credentialing function
Not for
- Companies outside healthcare credentialing and provider network operations
- Very small practices with minimal credentialing volume and no dedicated credentialing staff
- Buyers looking for a free or self-serve, low-cost credentialing tool
- Clinical EHR, claims processing, or patient-record use cases
Value metrics scorecard
Time-to-Value
~2 months
~60 days to first production value
Total Cost of Ownership
On request
Quote-based enterprise pricing; not published on the vendor site (credentialing software, NCQA-certified CVO service, or a hybrid of both)
Implementation Friction
3/5
Engineering + admin effort required
Value-Position score
out of 5 · model estimate
Full cost breakdown
Mandatory implementation fee
None
Seat tiers
Not published
Add-on costs
- None
Company & support
Who is behind Verifiable, and how your team gets help once it is live.
Company
- Founded
- Not recorded
- Headquarters
- Not recorded
How you get support
- PhoneNot listed
- EmailNot listed
- Live chatNot listed
- Support portal / ticketsNot listed
- Community forumNot listed
- Help centre / docsPlan not stated
- Dedicated account managerNot listed
- In person / on-siteNot listed
- Hours
- Not recorded
- Response time
- Not stated
Contact page directs existing customers to a Support Center staffed by the vendor's technical team; no published hours, plan tiers, or SLA.
“Not listed” means the vendor’s public pages don’t mention that channel, not that it is unavailable. Ask about it during evaluation.
Market position
Where Verifiable sits against its closest alternatives. Pick any two of cost, speed, friction and buyer score, and up to 9 companies to compare.
Quadrant view
Typical annual cost × Time-to-value
The lines cross at the median of the solutions shown, so about half sit on each side of each line.
Companies on the chart 6 / 10
- Verifiable
- Censinet
- Greenlight Guru
- Clearwater
- Qualio
- MedTrainer
Add or change companies
Up to 10 companies including Verifiable. Listed closest first.
Stack fit signal
Compatibility with standard B2B ecosystems.
No supported MCP path today, so it cannot be driven from an AI client.
AI & MCP readiness
What Verifiable ships in AI, and what it asks of your ecosystem.
AI features shipped
CredAgent is described as an autonomous agent that processes credentialing events in parallel, with step-by-step decision logs and cited primary sources for every verification, plus configurable governance rules aligned to NCQA policies.
Your data & models
- Trains on your data
- Not recorded — ask the vendor
- Runs on
- Not recorded
- AI pricing
- Not recorded
In your ecosystem
- AI connection
- Not supported
- Model key
- Not recorded
- AI usage audit
- Full audit trail
Compliance attestations
* IAPP AIGP certifies individuals, not products. It means named staff hold the credential — not that the platform does.
Bottom line
Verifiable sells AI credentialing and provider network monitoring to healthcare payers and provider organizations, plus an NCQA-certified CVO service. Its CredAgent autonomous agent processes credentialing events in parallel with per-verification decision logs and cited primary sources, and the product ships as a native Salesforce application. The vendor cites seven-figure cost savings, faster packet turnaround, and a 100% NCQA audit pass rate. Pricing is quote-based and not published.
Frequently asked questions
What does Verifiable actually do?
Verifiable automates healthcare provider credentialing and ongoing provider monitoring. Its software handles provider applications, primary source verifications, and automated packets for committee review, and it also offers an NCQA-certified CVO service where Verifiable performs the credentialing work for you or in a hybrid model with your team.
Is Verifiable SOC 2 compliant?
Yes. Verifiable's security page states that its policies, procedures, and standards follow the AICPA SOC 2 Trust Service Principles and that an independent third party audits its compliance to the SOC 2 standard annually.
How is Verifiable priced?
Pricing is not published on the vendor's website. Verifiable sells quote-based enterprise agreements that can cover credentialing software, the NCQA-certified CVO service, or a hybrid of both, so annual cost depends on your provider network size and the scope you buy. Expect a sales-led evaluation.
Does CredAgent replace our credentialing staff?
The vendor positions CredAgent as an autonomous extension of your team that clears backlogs and batch-processes credentialing events, with step-by-step decision logs and cited primary sources so committees retain auditability. Verifiable also runs an NCQA-certified CVO if you would rather have the work delivered as a service.
Which systems does Verifiable integrate with?
The vendor describes Verifiable as a pre-built native Salesforce application that extends the Salesforce platform with provider data, and customers cite that deployment path. The reviewed pages do not describe other deployment or integration options, so confirm your specific stack with the vendor.
How long until we see value?
The vendor does not publish an implementation timeline. Customer quotes describe the Salesforce application as easy and fast to deploy, but onboarding effort depends on your data, NCQA policies, and whether you adopt software, CVO services, or both. Validate scope and timeline during evaluation.