What it does: Credentialing, privileging, enrollment and committee workflow for medical staff offices.
Best for Large hospitals & health systems
Enterprise credentialing and privileging suite for medical staff offices. Cactus (merged 2016) and IntelliCred (acquired 2019) are now part of symplr.
✓ What’s great
- Credentialing, appointments, privileging, enrollment and committee work in one system
- Large privilege library (9,600+ privileges) to build delineations faster (vendor)
- Optional NCQA-certified symplr CVO if you want to outsource verifications
- Reviewers call it a “one-stop shop” for medical staff credentialing (Capterra)
! Watch out for
- Mixed reviews: Capterra 3.6/5 from 117 reviews (checked Oct 23, 2026)
- Reviewers mention a cluttered screen, lots of scrolling and hard report setup
- Some reviewers report slow support and a heavy implementation
PSV automationNCQA-certified CVOPrivilegingOPPE/FPPEPayer enrollmentProvider portal / online appOngoing monitoringAPI / integrations
Pricing: Quote-based (not published)
sProvider users: symplr says symplr Provider integrates peer review, OPPE, FPPE and privileging data, and lists symplr Quality Practice Evaluation for OPPE/FPPE scorecards and symplr CVO for ongoing sanctions and license monitoring. Ask your symplr rep which of these your contract includes.
History: symplr + Cactus merged April 2016; symplr acquired IntelliSoft (IntelliCred) April 2019. A 2024 VA contract notice lists it as “Symplr Credentialing, Sprovider”.
Sources: symplr Provider · symplr CVO · Capterra reviews (vendor site) · Cactus merger (2016) · IntelliSoft acquisition (2019) · VA contract notice (2024) · symplr Quality Review (OPPE/FPPE)
Last verified Oct 31, 2026
MD-Staff (by ASM (Applied Statistics & Management))
Hospital MSO
What it does: Credentialing, privileging, peer review and enrollment suite for medical staff offices.
Best for Hospital medical staff offices wanting one long-established suite
Family-owned credentialing and privileging software (company founded 1982) with modules for online applications, privileging, peer review and enrollment.
✓ What’s great
- Full MSO toolkit: MD-App online applications, E-Priv privileging, Virtual Committee
- MD-Stat covers OPPE, FPPE, proctoring and peer review
- Managed care and enrollment module, plus a CVO setup for multi-facility groups
- Reviewers praise support and easy reports: Capterra 4.8/5, but from only 5 reviews (checked Oct 23, 2026)
! Watch out for
- Very few public reviews, so ask for references from similar hospitals
- A reviewer noted search can be slow (Capterra)
- Pricing isn’t published; MD-Staff sells software to CVOs but doesn’t list its own NCQA certification
PSV automationPrivilegingOPPE/FPPEPayer enrollmentProvider portal / online appOngoing monitoring
Pricing: Quote-based (not published)
History: Made by ASM since 1982; still family-owned.
Sources: MD-Staff · MD-Staff for CVOs · Capterra reviews (vendor site)
Last verified Oct 31, 2026
What it does: Credentialing, privileging, enrollment and OPPE/FPPE across multiple facilities.
Best for Multi-facility health systems, especially on Epic
HealthStream’s provider lifecycle platform for credentialing, privileging, enrollment and practitioner evaluation across many facilities.
✓ What’s great
- Credentialing, multi-facility privileging, enrollment and OPPE/FPPE (Evaluate) in one place
- APIs for Epic and HR systems; HITRUST r2 certified (vendor)
- HealthStream CVO is NCQA-certified; OneClick CVO sends files out and back
- Self-service provider portal for appointments and reappointments
! Watch out for
- Mixed reviews: Capterra 3.9/5 from 120 reviews (checked Oct 23, 2026)
- Reviewers mention lots of clicks, slowdowns and reports that are hard for beginners
- One 2026 reviewer flagged high paid-training costs for new staff (Capterra)
PSV automationNCQA-certified CVOPrivilegingOPPE/FPPEPayer enrollmentProvider portal / online appOngoing monitoringAPI / integrations
Pricing: Quote-based (not published)
History: Built from Sy.Med (2012), HealthLine Systems (2015) and Morrisey (2016), branded VerityStream in 2018, now sold as HealthStream CredentialStream.
Sources: CredentialStream · HealthStream CVO · Capterra reviews (vendor site)
Last verified Oct 31, 2026
Medallion (acquired Andros (Sept 2026))
Paid (quote)Hospital MSOPayor & CVOOffice & Groups
What it does: Credentialing, payer enrollment, licensing and monitoring, with done-for-you CVO service.
Best for Groups, digital health & health systems that want software plus done-for-you service
Credentialing, payer enrollment, licensing and monitoring platform with its own NCQA-certified team; added hospital privileging and bought Andros in Sept 2026.
✓ What’s great
- One platform for credentialing, payer enrollment, state licensing and monitoring
- NCQA-certified on all 11 elements (renewed Aug 2026, through Aug 2029)
- Privileging workflows for hospitals and health systems (newer product)
- Reviewers praise ease of use and responsive support: Capterra 4.7/5 from 9 reviews (checked Oct 23, 2026)
! Watch out for
- Pricing is custom and not published
- A reviewer wanted more customization of profiles, reports and fields (Capterra, Jan 2025)
- Speed claims (e.g. “3.5x faster than legacy CVOs”) are the vendor’s own figures
PSV automationNCQA-certified CVOPrivilegingPayer enrollmentProvider portal / online appOngoing monitoringAPI / integrations
Pricing: Quote-based (vendor pricing page asks you to contact sales)
History: Acquired Andros (formerly CredSimple) on Sept 15, 2026.
Sources: Medallion · Privileging · NCQA renewal (Aug 2026) · Andros acquisition · Pricing · Capterra reviews (vendor site)
Last verified Oct 31, 2026
Payor & CVOOffice & Groups
What it does: API-first PSV and monitoring software, native in Salesforce.
Best for Health plans, telehealth & large groups on Salesforce or APIs
API-first credentialing and monitoring software that runs natively in Salesforce, with an optional NCQA-certified CVO service.
✓ What’s great
- Automated PSV; vendor says 97% of verifications return instantly
- Native Salesforce app plus open APIs
- NCQA-certified CVO with a vendor-reported packet turnaround under 3 days
- Continuous license and sanctions monitoring, enrollment and licensing tools
! Watch out for
- Not built for hospital privileging or OPPE/FPPE
- A reviewer reported false “change” alerts and alerts on archived providers (Elion, Sept 2023)
- Pricing not published; a reviewer described a per-provider monthly fee
PSV automationNCQA-certified CVOPayer enrollmentOngoing monitoringAPI / integrations
Pricing: Quote-based (not published)
Verifiable reports a 4.7/5 G2 rating (vendor blog, Aug 2026; not independently checked).
Sources: Product · CVO services · G2 rating (vendor blog) · Elion review (2023)
Last verified Oct 31, 2026
What it does: API-first credentialing and provider data platform for health plans.
Best for Large health plans needing API-first provider data
API-first provider data and credentialing platform built for payers, with an NCQA-certified credentialing service.
✓ What’s great
- NCQA report card: certified on all 11 elements, next review March 2029
- APIs connect to 600+ primary sources (vendor)
- Credentialing, monitoring and provider directory/roster data in one hub
- Vendor says 8 of the 10 publicly listed U.S. health plans are clients
! Watch out for
- Payer-focused: no hospital privileging or OPPE/FPPE
- Few independent user reviews found (Oct 2026), so ask for references
- API-first design: plan for IT time to integrate it with your systems
PSV automationNCQA-certified CVOPayer enrollmentOngoing monitoringAPI / integrations
Pricing: Quote-based (not published)
History: NCQA-certified since July 2022.
Sources: Platform · NCQA report card
Last verified Oct 31, 2026
Andros (formerly CredSimple; now part of Medallion)
Payor & CVO
What it does: Network-building platform and CVO for health plans.
Best for Health plans already using it (now part of Medallion)
Network-building platform (Arc) and CVO for health plans. Rebranded from CredSimple; acquired by Medallion on Sept 15, 2026.
✓ What’s great
- NCQA-certified CVO that also holds URAC CVO accreditation (May 2025)
- Arc platform covers recruiting, contracting, credentialing and monitoring
- Built for building and managing health-plan networks at scale
! Watch out for
- Now owned by Medallion, so ask how your contract and roadmap will change
- A 2023 reviewer who switched away found the platform slow and not user-friendly (Elion)
- Pricing not published
PSV automationNCQA-certified CVOOngoing monitoring
Pricing: Quote-based (not published)
History: CredSimple bought Glenridge Health (2020), rebranded as Andros, then was acquired by Medallion (Sept 2026).
Sources: Arc platform · URAC + NCQA (2025) · CredSimple rebrand · Medallion acquisition
Last verified Oct 31, 2026
What it does: Credentialing and provider data management for health plans.
Best for Health plans wanting enterprise provider data management
symplr’s credentialing and provider-data platform built for health plans; pairs with the NCQA-certified symplr CVO.
✓ What’s great
- Automated PSV with expirables and sanctions monitoring
- Tracks CMS, NCQA and No Surprises Act directory requirements
- APIs to claims, enrollment and member systems; HITRUST and SOC 2 Type II (vendor)
! Watch out for
- Enterprise-oriented: a small-group reviewer said symplr cost far more than Modio (Capterra, 2023)
- Pricing not published; few public reviews specific to the payer product
PSV automationNCQA-certified CVOPayer enrollmentOngoing monitoringAPI / integrations
Pricing: Quote-based (not published)
Sources: symplr Payer · symplr CVO · Modio review mentioning symplr (vendor site)
Last verified Oct 31, 2026
Office & GroupsHospital MSO
What it does: Tracks provider credentials, expirations and payer enrollment.
Best for Small–mid practices & groups tracking credentials and enrollment
Cloud credentials tracker that gathers provider data, tracks payer enrollment and sends expiration alerts. Part of CHG Healthcare since 2019.
✓ What’s great
- Auto-gathers NPI, DEA, license and other data from 100+ sources
- Payer enrollment tracking, DocuSign e-signatures and expiration alerts
- Reviewers love ease of use, training and support: Capterra 4.9/5 from 30 reviews (checked Oct 23, 2026)
! Watch out for
- Not positioned as an NCQA-certified CVO; a reviewer wanted deeper PSV for delegated work (Capterra, 2022)
- Some bulk tasks, like adding a payer to many providers, were one at a time (Capterra, 2023)
- Pricing not published
PSV automationPayer enrollmentOngoing monitoring
Pricing: Quote-based (not published)
History: Acquired by CHG Healthcare in October 2019.
Sources: Modio Health · Capterra reviews (vendor site) · CHG acquisition (2019)
Last verified Oct 31, 2026
Paid (published pricing)Office & Groups
What it does: Done-for-you payer enrollment and credentialing service.
Best for Small practices that want enrollment done for them
Managed credentialing and payer-enrollment service, not software you run yourself. One of the few with public pricing.
✓ What’s great
- Published pricing: $149, $139 or $119 per payer application depending on volume; no setup fee
- Managed plans: $499/month + $129 per provider (3–10) or $999/month + $99 per provider (11–24)
- Handles applications and follow-up for you
! Watch out for
- A service, not software, so in-house teams get less control
- Not for hospital privileging; we didn’t find an NCQA CVO claim on its site
- Managed plans require an annual agreement
Payer enrollment
Pricing: Public: $119–$149 per payer application; managed plans from $499/month + per-provider fee (annual agreement)
Sources: Pricing
Last verified Oct 31, 2026
CAQH ProView (CAQH now operates as DataSpring)
Free for providersOffice & GroupsPayor & CVO
What it does: Providers enter credentialing data once and share it with health plans.
Best for Every provider (most health plans use it)
Not credentialing software: a free profile where providers enter their data once and authorize health plans to view it. Included here because nearly every team works with it.
✓ What’s great
- Free for providers
- Enter data once and share it with every plan you authorize
- Supporting documents (license, DEA, COI) live in one place
! Watch out for
- Providers must re-attest every 120 days (180 days in Illinois) or plans can’t use the profile
- It doesn’t do PSV, privileging or enrollment for you
Provider portal / online app
Pricing: Free for providers; organizations pay to participate
History: CAQH rebranded as DataSpring; ProView logins still work at proview.caqh.org.
Sources: ProView · Quick reference guide (PDF)
Last verified Oct 31, 2026
What it does: Credentialing, privileging and provider performance monitoring for medical staff offices.
Best for Hospitals & health systems wanting credentialing inside a wider safety/compliance suite
RLDatix’s provider management platform for credentialing, privileging and performance monitoring; part of its RLD360 platform alongside payer enrollment, contracts and peer review.
✓ What’s great
- Automated workflows for license renewals, privileging and digital reviews (vendor)
- Vendor says it connects with 3,000+ primary sources, including Medicare, Medicaid, OIG and boards
- Self-service provider portals and status tracking (vendor)
- RLD360 adds payer enrollment, contract management and peer review
! Watch out for
- Pricing isn’t published
- We didn’t check independent review scores; ask for references from similar hospitals
- Verge Health product names (e.g. Converge) may still appear in older documents
PSV automationPrivilegingPayer enrollmentProvider portal / online appOngoing monitoring
Pricing: See vendor site (not published)
History: RLDatix acquired Verge Health; RLDatix says the Verge brand rolled into RLDatix.
Sources: Credentialing & Privileging · RLDatix acquires Verge Health · RLD360 platform
Last verified Oct 31, 2026
Monitoring & ExclusionsPayor & CVOHospital MSO
What it does: Provider compliance data: exclusion/sanction screening, licensure verification, monitoring and credentialing.
Best for Organizations that want exclusion, license and sanction data plus CVO services
Healthcare provider compliance solutions for informed hiring, ongoing monitoring and provider credentialing (vendor).
✓ What’s great
- FACIS sanction data, licensure verification and continuous monitoring (vendor)
- Describes itself as an NCQA-accredited CVO; confirm on NCQA Report Cards
- Serves health plans, hospitals and health systems, pharmacies and government (vendor)
! Watch out for
- Pricing isn’t published
- Accuracy and speed figures on its site are the vendor’s own
PSV automationNCQA-certified CVOOngoing monitoring
Pricing: See vendor site (not published)
Sources: Verisys
Last verified Oct 31, 2026
Monitoring & ExclusionsPayor & CVOHospital MSO
What it does: Automated exclusion monitoring and license & credential verification.
Best for Teams monitoring exclusions and licenses for providers, employees and vendors
Verifies and continuously monitors eligibility data for every provider, employee and vendor in an organization (vendor).
✓ What’s great
- Exclusion and sanction monitoring across providers, employees and vendors
- License and credential verification with ongoing monitoring
- Data by API, integrations or its own platform (vendor)
- Vendor says its payer solutions are HITRUST-certified, NCQA-certified and SOC 2 Type II-compliant
! Watch out for
- Pricing isn’t published
- Monitoring tool, not a privileging or committee system
PSV automationNCQA-certified CVOOngoing monitoringAPI / integrations
Pricing: See vendor site (not published)
Sources: ProviderTrust
Last verified Oct 31, 2026
What it does: Exclusion and sanction screening software with ongoing monitoring.
Best for Compliance and HR teams screening rosters against exclusion lists
One-stop portal for exclusion screening: OIG LEIE, state exclusion lists, license monitoring, sanction screening, Death Master File and NPI Registry (vendor).
✓ What’s great
- Vendor says it scans primary sources for new exclusions hourly and alerts within minutes
- Covers OIG LEIE, state exclusion lists, license monitoring and the Death Master File
- Professional and Enterprise versions (vendor)
! Watch out for
- Pricing isn’t published on the home page
- Screening tool, not full credentialing or privileging
Ongoing monitoring
Pricing: See vendor site
Sources: Streamline Verify
Last verified Oct 31, 2026
Payor & CVOOffice & Groups
What it does: AI-driven credentialing, payer enrollment, monitoring, rosters and licensing.
Best for Digital health, groups, health systems and health plans automating enrollment
Provider network management platform where AI agents handle credentialing, payer enrollment, rosters and monitoring (vendor).
✓ What’s great
- Vendor says credentialing packets are committee-ready in under 48 hours
- Payer enrollment, roster management and multi-state licensing in one platform
- Monitors licenses, sanctions, exclusions, expirations and CAQH changes (vendor)
! Watch out for
- Pricing isn’t published
- Speed claims are the vendor’s own; not built for hospital privileging
PSV automationPayer enrollmentOngoing monitoring
Pricing: See vendor site (not published)
Sources: Assured
Last verified Oct 31, 2026
Paid (low fee)Free & GovernmentHospital MSOPayor & CVO
What it does: Year-round NPDB monitoring: emails you within 24 hours of a new report on an enrolled practitioner.
Best for Any eligible organization that queries the NPDB
Federal NPDB service. Continuous Query meets legal and accreditation requirements for querying the NPDB (NPDB).
✓ What’s great
- Email notification within 24 hours of a new report (NPDB)
- Meets legal and accreditation querying requirements, like One-Time Query (NPDB)
- $2.50 per enrolled practitioner per year (NPDB)
! Watch out for
- On Dec 4, 2026, One-Time Query and Continuous Query merge into NPDB Query; enrollments transfer automatically (NPDB)
- Practitioners only, not organizations
PSV automationOngoing monitoring
Pricing: $2.50 per enrolled practitioner per year (NPDB)
Sources: Continuous Query · NPDB fees
Last verified Oct 31, 2026 · See it in our directory
NPPES (CMS NPI system)
FreeFree & GovernmentHospital MSOPayor & CVOOffice & Groups
What it does: CMS system where providers apply for and update their National Provider Identifier (NPI).
Best for Anyone applying for, updating or looking up an NPI
CMS’s National Plan and Provider Enumeration System; the public NPI Registry lets you look up NPI data.
✓ What’s great
- Apply for or update an NPI online
- Free public NPI Registry lookup
! Watch out for
- Data is self-reported by providers; verify against primary sources
Pricing: Free
Sources: NPPES · NPI Registry
Last verified Oct 31, 2026 · See it in our directory
PECOS (CMS Medicare enrollment)
Free & GovernmentOffice & GroupsHospital MSO
What it does: CMS’s online system for Medicare provider enrollment, changes and revalidation.
Best for Teams enrolling or revalidating providers with Medicare
Provider Enrollment, Chain and Ownership System: the Medicare enrollment system run by CMS.
✓ What’s great
- Submit and track Medicare enrollment applications online
- Manage reassignments and revalidations
! Watch out for
- Requires an I&A (Identity & Access) login
Payer enrollment
Pricing: See CMS site
Sources: PECOS
Last verified Oct 31, 2026 · See it in our directory
FreeFree & GovernmentHospital MSOPayor & CVOOffice & Groups
What it does: Free ABMS lookup of whether a doctor is board certified.
Best for Quick board-certification checks
ABMS’s free public search tool for board certification across its specialties and subspecialties; no log-in required (ABMS).
✓ What’s great
- Free, no log-in required (ABMS)
- Search by name, state and specialty
! Watch out for
- For credentialing-grade PSV, use the ABMS options listed on our PSV page
Pricing: Free
Sources: Certification Matters
Last verified Oct 31, 2026 · See it in our directory
Free & GovernmentHospital MSOPayor & CVO
What it does: AMA database of education, training and certification data used to verify physician credentials.
Best for Verifying physician education and training
Current and historical data on more than 1.5 million physicians, residents and medical students in the U.S.; used across the industry to verify credentials (AMA).
✓ What’s great
- Covers MDs and DOs, including international medical graduates (AMA)
- Used for credentialing under accreditation standards (AMA)
! Watch out for
- Organizational access (e.g. AMA Physician Profiles) is sold by AMA; check AMA for terms
PSV automation
Pricing: See AMA site
Sources: AMA Physician Professional Data
Last verified Oct 31, 2026 · See it in our directory
Free & GovernmentPayor & CVOHospital MSO
What it does: NCQA’s public lookup of accredited and certified organizations, including credentialing (CVO) certification.
Best for Checking a CVO’s or vendor’s NCQA certification
Public NCQA search for health plans, providers and other organizations, including credentials verification organizations.
✓ What’s great
- Confirm a vendor’s NCQA status and certified elements yourself
! Watch out for
- Shows status, not product quality
Pricing: See NCQA site
Sources: NCQA Report Cards
Last verified Oct 31, 2026 · See it in our directory
Free / PaidFree & GovernmentHospital MSOPayor & CVO
What it does: DocInfo: free physician license and discipline lookup. FCVS: paid lifetime file of primary-source verified credentials.
Best for License/discipline lookups (DocInfo) and portable verified credentials (FCVS)
DocInfo is FSMB’s free public database of physician licensure and disciplinary information. FCVS stores primary-source verified education, training and exam credentials for physicians and PAs (FSMB).
✓ What’s great
- DocInfo is free to the public (FSMB)
- FCVS credentials can be used for licensure, hospital privileges and employment; FSMB says FCVS is NCQA-accredited
- FCVS fees are published: $395 initial / $99 subsequent for physicians (FSMB)
! Watch out for
- FCVS is paid by the applicant; extra verification fees may apply
PSV automation
Pricing: DocInfo free; FCVS $395 initial / $99 subsequent for physicians, $170 / $65 for PAs (FSMB)
Sources: DocInfo · FCVS · FCVS fees
Last verified Oct 31, 2026 · FSMB sites block automated checks; checked by search. · See it in our directory
What it does: AI assistant inside Word, Excel, Outlook and Teams for drafting, summarizing and analyzing work content.
Best for Teams already on Microsoft 365 wanting help with drafting and summarizing
Copilot connects with your work content and the apps you already use (Microsoft). Not credentialing software.
✓ What’s great
- Works inside Word, Excel, PowerPoint, Outlook and Teams (Microsoft)
- Can help draft letters, summarize policies and build trackers
! Watch out for
- Keep PHI and provider personal data out of prompts unless your organization has approved Copilot for that use
- Always check AI output against primary sources
Pricing: See Microsoft plans and pricing
Sources: Microsoft Copilot
Last verified Oct 31, 2026
✓ = the vendor lists this on its site (directly or through its own CVO service). — = not offered or not listed publicly. Swipe sideways on a phone.
