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Verisys and Health Plans + Payers


Credential your staff and provider networks before paying a claim.

See how Health Plans and Payers are using Verisys to credential their employees, credential providers in their networks and verify prescribers and providers before paying a claim.

Health Plans, Pharmacy Benefit Managers and Managed Care:

  • Verify a prescriber before delivering inventory (prescription, DME)
  • Ensure quality provider and entity networks by requiring Verisys search, verification and monitoring within network contracts
  • Continuously monitor the status of all licenses and credentials with Verified License Search and Status (VLSS )
  • Screen and monitor exclusions and debarments with Verisys’ gold standard product FACIS® – Fraud Abuse Control Information System
  • Verify a provider and entity populations with ProviderCheck®, Verisys’ real-time transaction engine that protects organizations from fines and exposure by issuing a pass/fail on provider transactions and claims
  • Easy to use CheckMedic® platform provides dashboards and creates a unique digital MedPass® to house a prescriber’s credentials
  • Screen, verify and monitor entities in networks or other suppliers through supply chain management
  1. Mal-practice and Insurance Carriers:
  • Obtain a 360° view or profile on those providers and entity populations who you are underwriting and insuring
  • Mitigate risk through continuous monitoring of those who you are insuring
  • Use data from Verisys and our MedPass to prospect and identify new insureds

How We Do It

Technology: Our technology accesses and transforms thousands of raw and disparate data sets into a usable format that our customers can consume for actionable results.

Data Platform + Matching Logic: We provide a 360° View of a provider with our data platform of over 320 Million records. We access, transform, and match each piece of data to the right provider/entity with 99.6% accuracy.

Software: Our SaaS based solutions and real time transaction engines provide our users with customizable and verified data to match their workflow and processes.

Services: We follow FCRA and act as a consumer reporting agency. We interface directly with providers on behalf of our customers to handle provider disputes and adverse event reporting.

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