Digital. Dynamic. Dependable.
Hyperautomate Provider Credentialing and Configuration While Maximizing Efficiency
Efficiently manage the end-to-end provider credentialing and configuration process with our robust solution, built on NewgenONE—an AI-enabled digital transformation platform. Leverage the low-code framework and robust capabilities of the solution to hyperautomate credentialing verification and pricing, all while ensuring compliance with NCQA, CMS, and state & federal standards.
“Newgen’s Provider Credentialing and Configuration Solution helped us reduce credentialing turnaround time by 50% and improved compliance adherence by 40%.”
– Chief Operations Officer, A Renowned Health Plan
Learn What Newgen’s Credentialing and Verification Solution Can Do for You
Credentialing Verification with Scalable Business Logic
Automate the complete process for accuracy and efficiency. Receive real-time updates on verification status for timely decision-making. Integrate with the latest verification sources, including Medicaid state files, license websites, SAM.GOV, preclusion list, OIG, SSN death master, CLIA, PECOS, CAQH, NPPES, DEA, JCAHO, NPDB, and address validations. Adapt to changing NCQA, CMS, and state rules. Use the system’s low code capability for easy adjustments.
Roster Automation and Document Management
Provide a secure repository with robust tracking capabilities for all provider-related documents, enabling seamless uploading, organization, and retrieval while storing files alongside provider records or in groups. Streamline processes by transforming unstructured provider rosters into standardized formats, automating data integration into credentialing, configuration workflows, and provider data management (PDM) systems for enhanced efficiency and compliance.
Return to Provider
Facilitate seamless communication by transferring questions or requests for additional information, to a provider. Leveraging the return-to-provider capability to request more information, documents, or clarification about the provided data.
Application and Onboarding
Streamline electronic forms and workflows for faster onboarding. Enhance collaboration among stakeholders during the application process. Simplify credentialing and automate notifications.
Privileging and Credentialing Committee Management
Provide access to a centralized platform for transparent committee collaboration and decision-making. Access relevant information and documentation for informed decision making.
Provider Correspondence/Letters
Send correspondence and letters based on NCQA, CMS, State, or your requirements. Ensure providers receive transparent information.
Provider Lifecycle Management: Buy All-in-one Pack or Choose an Individual Solution
Explore Other Solutions for the Payer-Provider Journey
Claims Automation
Streamline claims with an AI-driven, low-code automation process
Provider Relations and Complaints
Enhance provider relationships while streamlining communications and driving a collaborative environment
SIU & FWA Case Management
Detect and address fraud while enhancing efficiency and ensuring compliance
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