Assured for Health Plans
Credential every provider. Govern every delegate. Keep network data current.
Assured gives health plans one platform to credential providers and facilities, standardize delegated rosters, monitor network risk, and move clean data into directory, claims, and audit workflows.
01
Credentialing files ready in 48 hours
Missing documents collected. Primary-source verifications completed in parallel. Every result documented in an audit-ready file for plan review and approval.
02
Delegated rosters standardized before downstream loading
Every hospital system, IPA, and MSO roster mapped to your required schema. Missing fields, adds, terms, and demographic changes surfaced before they reach downstream systems.
03
Network risk monitored between credentialing cycles
OIG, SAM, Medicare and Medicaid exclusions, license status, DEA status, and credential expirations checked monthly across the network.
Trusted by the leading digital health companies, health systems, medical groups, and health plans
Why Assured
Why health plans prefer Assured
Without Assured
Providers, entities, TINs, locations, and network relationships connected in one record
APIs and configurable exports deliver structured data to downstream systems
APIs and configurable exports deliver structured data to downstream systems
Provider data split across credentialing, directory, and claims systems
Every handoff introduces reformatting and error risk
Every handoff introduces reformatting and error risk
Every delegate mapped to your required schema
Missing fields, adds, terms, and demographic changes surfaced at intake
Missing fields, adds, terms, and demographic changes surfaced at intake
Hospitals, IPAs, and MSOs send different templates on different schedules
Network operations cleans every file by hand
Network operations cleans every file by hand
Audit-ready credentialing files in 48 hours
Missing documents, PSV evidence, and results organized for plan review
Missing documents, PSV evidence, and results organized for plan review
Weeks of provider follow-up and manual source checks
Reviewers wait on incomplete files
Reviewers wait on incomplete files
Structured intake, document collection, verification, and review
Facility workflows managed alongside professional credentialing
Facility workflows managed alongside professional credentialing
Applications arrive through email and shared drives
Volume spikes create immediate backlogs
Volume spikes create immediate backlogs
Monthly checks across sanctions, exclusions, licenses, DEA registrations, and expirations
Results stay connected to the provider record
Results stay connected to the provider record
Separate tools produce alerts without full provider context
Staff investigate each result manually
Staff investigate each result manually
Credentialing evidence, verification results, timestamps, and monitoring logs in one place
Retrieve the complete record behind each decision
Retrieve the complete record behind each decision
Screenshots, notes, and files spread across vendors and shared drives
Every audit becomes a retrieval project
Every audit becomes a retrieval project
Every cycle tracked from due date through completion
Expiration dates, CAQH windows, and required documents visible in one workflow
Expiration dates, CAQH windows, and required documents visible in one workflow
Hundreds of dates managed in spreadsheets and calendars
Missed deadlines put network participation at risk
Missed deadlines put network participation at risk
Automation handles repeatable collection, verification, roster, and monitoring work
Staff focus on exceptions, oversight, and network strategy
Staff focus on exceptions, oversight, and network strategy
Provider growth creates more manual review and reconciliation
Headcount rises with network volume
Headcount rises with network volume
NCQA Certified CVO
Built on NCQA-certified CVO standards
Every workflow, every requirement, every check modeled on NCQA certification. Compliance isn't a setting you configure. It's how Assured works.
Credentialing service
One governed provider record across every network relationship
Connect each provider to the right entity, TIN, facility, location, specialty, product, and delegated relationship. APIs and configurable exports move approved data into directory, claims, CRM, and other downstream systems.
Bring facility credentialing out of email and shared drives
Standardize facility intake, collect required documents, complete the appropriate verifications, and track every file through review alongside professional credentialing.
Trace every credentialing decision back to its evidence
Keep source documents, verification results, monitoring history, roster changes, timestamps, and decisions connected to each provider record. When an auditor selects a file, the complete history is already there.
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Your network data should not depend on the last spreadsheet reconciliation
Credential providers and facilities, govern delegated rosters, and keep every record ready for downstream systems and audits.
48 Hr
Credentialing files ready for plan review
2,000+
Primary sources available for verification
1 platform
Direct, delegated, facility, and monitoring workflows
FAQs
Got questions?
Common questions from health plan credentialing and network operations teams
How does Assured fit into a health plan’s credentialing operation?
Does Assured support direct, delegated, and facility credentialing?
How does Assured process delegated rosters?
How does Assured monitor providers after credentialing?
How does Assured support provider directory accuracy requirements?
What documentation is available for audits?
Assured Health, Inc.
333 Seventh Ave, Suite 1701
New York, NY 10001
