Provider Credentialing

The new way to be smarter about provider credentialing; everything else is just clutter.

Provider credentialing, one of the most important processes in healthcare to ensure patient safety remains extremely complex and confusing for the best of the payers and providers. Some of the persistent challenges include varying requirements across states, confirming and updating provider information in real time and ensuring privacy and security.

Wipro’s end-to-end experience in provider credentialing validates the credentials, certifications, education, etc. for providers (every 3 years) while leveraging existing provider workflow and meeting the dynamic needs of payers. Our experience maps across the credentialing lifecycle from provider credentialing /re-credentialing to facility credentialing/ re-credentialing, helping with review committee, sanction monitoring as well as mailroom and data entry for paper forms. Our Medversant partnership delivers industry leading accuracy in provider credentialing and data management.

We have improved the credentialing cycle time by 50% - 20-30 days as against an industry average of over 60-90 days while minimizing capex investment.

Our fully automated and patented AutoVerifi™ technology integrated with evergreen credentialing warehouse has annually credentialed 4.2 M providers in the medical, dental and behavioral space.

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