Provider Data Solutions

Accurate and reliable provider data is the cornerstone of healthcare compliance, credentialing, and network integrity. Our blog explores how advanced provider data solutions improve accuracy, reduce fraud risks, and enhance operational efficiency. Stay updated on the latest trends, best practices, and innovative technologies in provider data management. Learn how data-driven strategies can transform healthcare operations and ensure regulatory compliance.

Healthcare Identity Verification: Why It Matters More Than Ever

Healthcare-related identity fraud is on the rise in the United States. The 2025 National Health Care Fraud Takedown found over $10.6 billion in fraudulent claims from more than one million stolen identities across all 50 states. With this increasing potential for...

Provider Onboarding: Best Practices for Healthcare Organizations

Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out, and the department is counting on the extra coverage. However, late Friday afternoon, operations reports that they’re still missing primary source...

Provider Onboarding: Best Practices for Healthcare Organizations

Why Provider Data Validation Is Critical to Reducing Risk in Healthcare

To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable, qualified healthcare providers. Provider data helps patients choose the right healthcare professional for their needs, but it’s often inconsistent. In...

Ensuring Provider Directory Accuracy for Improved Patient Access

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care from a new specialist. However, a 2023 study found over 80% of provider directory listings across five payers demonstrated inconsistencies or...

Why Provider Data Validation Is Critical to Reducing Risk in Healthcare

Dec 30, 2025

To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable,...

Ensuring Provider Directory Accuracy for Improved Patient Access

Oct 17, 2025

Patients normally research networks and providers before they enroll in a new healthcare plan or seek medical care...

Rising Importance of Healthcare Governance in 2026

Aug 19, 2025

Governance in healthcare exists to keep the patient safe. It is the glue that keeps the different departments of the...

What is FACIS©? A Guide to the Fraud Abuse Control Information System

Apr 8, 2025

In this post, we’ll break down everything you need to know about FACIS background checks—from the baseline FACIS...

A Guide to the National Practitioner Data Bank (NPDB)

Apr 3, 2025

In healthcare, ensuring that providers meet rigorous professional standards isn’t just important—it’s essential....

The Role of AI in Healthcare Compliance

Mar 6, 2025

Technologies continue to transform the healthcare industry—the da Vinci® Surgical Robot performs precise movements...

Preventing Non-Compliance Consequences in Healthcare

Mar 6, 2025

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of...

What Is Provider Credentialing and Why It Matters in Healthcare

Mar 6, 2025

When a patient walks into a doctor’s office, they want to feel confident that the healthcare professional they’re...

Why Provider Data Quality Matters in Healthcare

Mar 6, 2025

Provider data quality is a fundamental necessity for the healthcare industry. In a high-stakes environment, like a...

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Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

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FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Decisional Data Verification

OFAC, DEA, Abuse Registry, & more: Confirm your organization makes decisions based on accurate, verified provider data.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, and licensure history for real-time workforce compliance.

Comprehensive Coverage

Verisys supports all provider and taxonomy types across all jurisdictions, from surgeons to technicians.

Connect with us →

Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

Learn more about the updated July 1st NCQA requirements and how Verisys can help maintain your compliant status.

Learn More

FACIS® Sanction & Exclusion Screening + Monitoring

Industry’s most accurate and trusted exclusion + sanction dataset.

Healthcare Credentialing

Optimize Cred processes to reduce cost, mitigate risk, and speed up time-to-network.

Credential & Certification Verification

Ensure regulatory statuses are always current with real-time alerts.

Provider Data Management

Transform incomplete, flawed provider data into comprehensive, configurable directories.

Automated Licensure with LicenseCheck

Real-time verification and monitoring of providers’ licenses.

Continuous True Monitoring

Continuously monitor credentials, licenses, and regulatory statuses for real-time confirmation of good standing.

Decisional Data Verification

Confirm your organization makes decisions based on accurate, verified provider data.

Pre-Hire & Workforce Compliance

Pre-screen medical credentials, sanctions, & license history for real-time workforce compliance.

Comprehensive Coverage

Verisys supports all provider and taxonomy types across all jurisdictions, from surgeons to technicians.

Connect With Us

Healthcare Identity Verification: Why It Matters More Than Ever

Healthcare-related identity fraud is on the rise in the United States. The 2025 National Health Care Fraud Takedown found over $10.6 billion in...

Provider Onboarding: Best Practices for Healthcare Organizations

Imagine a new provider is scheduled to start on Monday at your healthcare organization. Patients are booked weeks out, and the department is...

Why Provider Data Validation Is Critical to Reducing Risk in Healthcare

To expedite clinical progress and maximize the chances of positive outcomes, patients need to match with suitable, qualified healthcare providers....

Credentialing KPIs Every Healthcare Executive Should Track

It usually starts with a message no healthcare executive wants to see: “We can’t move this provider through credentialing until we verify their...

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November 2025 Legislative and Compliance Healthcare Updates

Welcome to the November 2025 edition of Verisys’ Legislative and Compliance Update. This month brings notable developments in federal data security oversight, Medicare enrollment, and significant state-level provider misconduct. These updates under...

Provider Data Solutions

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Is Your Organization Ready for NCQA’s 2025 Compliance Changes?

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