Simplify Provider Credentialing with Expert-Driven Solutions

Ensure Accuracy, Compliance, and Faster Onboarding

Simplify
Simplify

Ensuring Timely Delivery of High-Quality Care

Solve the Challenge of Verifying Provider Credentials

Provider credentialing shouldn’t be a roadblock to care—but the demands of this process, required every two to three years, can seriously delay valuable care when organizations are forced to rely on outdated, time-consuming credentialing methods.

Vālenz Health® makes the process simple and quick with Valenz Credentialing.

Solve the complex and labor-intensive challenge of verifying and maintaining provider credentials with our comprehensive solution. Ensure timely compliance with industry standards and regulatory requirements, allowing providers to see patients and receive payments as soon as possible, by partnering with Valenz today.

Your Comprehensive Approach to Provider Compliance

Seamlessly Streamline the Credentialing Process

Ensure your organization has accurate, up-to-date, and verified provider information with Valenz Credentialing. Fully adaptable to evolving industry standards, our solution streamlines the credentialing process and integrates seamlessly with the Valenz platform, supporting a comprehensive approach to provider data management and compliance.

Valenz Credentialing Features

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Provider credentialing and re-credentialing

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Primary source verification

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Continuous monitoring of credentials and licensure

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Credentialing and payer enrollment processes often take 90–180 days, resulting in delays that cost healthcare organizations approximately $600,000 in revenue per physician during a 90-day onboarding period.

Valenz cuts that down to 12–25 days.

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Your Credentialing Benefits

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Expert service and support from our team as a URAC-accredited, NCQA-certified Credentials Verification Organization (CVO)

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Provider application automation

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Immediate notification of provider sanctions and other license/disciplinary concerns

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Weekly electronic reporting

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Secure data exchange and storage

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Comprehensive Credentialing Support

How Valenz Credentialing Saves You Time and Money

We Provide

Online provider forms for credentialing applications.

Online credentialing status of all network providers.

Online access to completed credentialing reports.

Compliance across multiple credentialing standards (including NCQA, URAC, CMS, JC, and AAAHC) and/or custom standards.

Continuous monitoring of expirable credentials, such as licenses, DEA registrations, insurances, and more.

Sanction monitoring.

Facility credentialing, Death Master File checks, and dental anesthesia permits.

SOC 2 Type II security certification.

You Receive

Easy provider submission of application.

Ability to view all in-network providers and their status in one place.

On-demand access to detailed credentialing reports, including images of all required elements, safely stored by Valenz.

Assurance that the credentialing process is conducted in accordance with required credentialing standards.

Confirmation that your provider network is constantly monitored and updated to remain in compliance.

Provider sanctions alerts sent to you in real time, enabling you to quickly take action.

Additional services to cater to client needs.

Minimized risk of data breaches and other costly vulnerabilities.

Our Credentialing Process

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Application

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Data Entry and Screening

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Primary Source Verification

04

Quality Review

FAQs

Yes. We have designed a healthcare application for client use at initial credentialing and a separate application for use at re-credentialing. As part of our services, Valenz Credentialing can mail out the application to providers on your behalf. The application to check healthcare qualifications is also available for download from our website.

We will perform credentialing to meet your company’s specific needs, whether that be for full URAC or TJC standards or for a customized package. Our services are tailored to you.

Valenz Credentialing makes three requests for information prior to contacting the client and discussing alternative methods to check healthcare provider qualifications, if possible.

Absolutely. Currently, we have many clients located outside of California who check healthcare provider credentials. There is no delay in processing credentials, and when needed, expedited mailing/shipping services are used to check providers’ qualifications and credentials.

Yes. We make up to three requests for missing information from a provider to ensure a complete application packet is returned to you. We pride ourselves on exhausting all resources to check providers’ credentials, and we are always in constant communication with the client to determine any special course of action that should be taken on a difficult file.

Yes. Through our secure website, clients wishing to check provider credentials may log in with their personal username and password to access any of our CS Reports and provider profiles, view in-process work, and download their provider data for use in designing custom reports or for inclusion into their own databases.

Additional Features Available

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Continuous Credential Monitoring

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Info Box

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OIG Exclusion and CMS Monitoring
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Info Box

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Provider Staff Sanction Monitoring

Valenz Credentialing is URAC-accredited as a Credentials Verification Organization. It is also NCQA-certified as a Credentials Verification Organization.

Credentials Verification Organization
08/01/2025
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All Your Health Insurance Solutions on One Platform

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Seamlessly unite member experience, payment integrity, provider quality, and plan performance with our integrated platform. Discover how we optimize the utilization of high-value healthcare across the entire member journey.

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