Get it right before it's submitted.
85% of credentialing application delays stem from initial data errors and missing attestations. ClearPath Payer validates every record against primary source registries before filing.
10-Point Primary Source Verification Layer
NCQA and URAC aligned verification delivered in hours rather than weeks.
State Medical / Professional License
Source: State Licensing Boards APIDirect verification of primary, secondary, and compact telemedicine licenses across all 50 states.
Federal DEA & State Controlled Substance
Source: US Department of Justice / DEA RegistryVerification of active schedules, physical practice addresses, and expiration dates.
Education & Post-Graduate Training
Source: Primary Medical Schools & Residency Program OfficesDirect source attestation for LCME/COCA accredited degrees, residencies, and fellowships.
Board Certification Verification
Source: ABMS CertiFACTS & AOA Direct GatewayContinuous active status verification and maintenance of certification (MOC) tracking.
Sanctions & Exclusions Screening
Source: OIG / LEIE, SAM.gov, and State Medicaid ExclusionsAutomated daily checks against federal and state exclusion registries.
NPDB Continuous Query
Source: National Practitioner Data BankAutomated enrollment in NPDB Continuous Query for instant notification of adverse actions.
Specific Failure Modes ClearPath Payer Automatically Prevents
Manual credentialing errors create endless back-and-forth cycles. ClearPath Payer catches discrepancies before commercial payers do.
When a clinician's NPI taxonomy does not match the clinical specialty on their application, payers reject the packet automatically. ClearPath Payer synchronizes NPPES before packet dispatch.
Commercial health plan committees flag any work history gap exceeding 30 calendar days. ClearPath Payer's intake form requires structured gap explanations before file submission.
A pending application sits stalled if the provider's 120-day CAQH attestation lapses mid-review. Our automated attestation bot maintains continuous active certification.
Stop Resubmitting Rejected Credentialing Packets
Migrate your provider roster to ClearPath Payer in under 24 hours. Start your 14-day free trial today.