Provider credentialing software to streamline enrollment and compliance

A smart, friction-free approach for health systems and provider groups

<span>Provider credentialing</span> software to streamline enrollment and compliance

Why provider enrollment and credentialing are important

Bringing providers onboard a new practice as seamlessly as possible is essential to smooth payment cycles, consistent care access, and provider satisfaction. But health system teams often lack the resources to keep close watch on provider credentials – a process that is time consuming and often involves a variety of data sources and outdated systems. This essential element of due diligence requires a thorough, digital-first approach that assures health systems and payers remain compliant with all regulations and deliver excellent member experiences.

The atlas advantage

Atlas easily handles these important stages of the provider lifecycle management process. We take on the hassle of provider enrollment – from completing contracting applications to primary source verification and following up with plans – allowing health system teams to focus on more critical tasks. And we make easy, on-demand credentialing a snap, leveraging a centralized data platform to manage documents, run reporting and analytics, and prepare for annual audits.

Automating Data Collection

Atlas streamlines the traditionally manual and time-consuming process of verifying the qualifications, licenses, and professional history of healthcare providers. Our automated systems pull data from multiple sources such as state medical boards, the National Practitioner Data Bank (NPDB), and certification organizations. We also automate checking this information with licensing boards and issuing organizations, and to speed repetitive processes, creating seamless workflows.

Key Benefits:

Avoid manual verifications and long processing delays
Deliver credentialing in real time
Verify straight from the primary source

Managing the End-to-End Enrollment Process

From submission to decision, Atlas gathers all necessary provider information, including personal details, practice information, licenses, certifications, and education. We conduct primary source verification to assure that state medical licenses, training certificates, prior work history, and other key points are valid and up to date. And we incorporate any needs specific to the organizations involved to be sure all requirements are met.

Key Benefits:

Eliminate paperwork and manual workflows
Ease administrative burdens for providers

Maintaining Compliance and Accuracy

Atlas outlines clear, consistent steps for gathering, verifying, and maintaining provider credentials in real time. We regularly review essential policies and procedures to align with changing regulations. Atlas uses robust credentialing and provider enrollment management software to automate tracking, reminders, and document storage. And we confirm credentials through continued background checks and primary source verification (PSV).