<p>Get member <em>identity</em> right</p>

Get member identity right

For health plans, fragmented identity data is a multi-million-dollar drain — fueling claims rework, payment errors, fraud, and risk adjustment leakage, plus CMS audit failures, Star degradation, and member churn that can run $5M–$50M a year. Every dollar traces back to one root cause: no trusted view of who is who across systems. Verato MDM Cloud™ enables health plans to create a single, trusted identity foundation across consumer, member, provider, and related data, powering exceptional member experiences and outcomes, fueling business growth, improving efficiency, and accelerating AI initiatives.

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Two colleagues discuss a member's identity data during a service call.

24%

More accurate than any alternative — independently verified

1.5B+

Identities resolved

4.9 ★

Gartner Peer
Insights rating

87%

Reduction in duplicate queues

Patented accuracy. Proprietary data. Connected everywhere.

Match more people, more accurately. Verato Referential Matching® is patented and 24% more accurate¹ than traditional probabilistic matching.

Start with better identity data. Verato Carbon® brings 300M+ curated identities² to every match.

Connect identity across organizations. Verato Identity Network™ (VIN) enables trusted identity interoperability, enrichment, governance, and stewardship across the healthcare ecosystem.

Know more than who someone is. Enrich identities with real-world context, demographics, SDOH, and other attributes that make data more useful.

Connect to the systems you already use. Out-of-the-box, bi-directional integrations with Epic®, Salesforce®, Snowflake®, Databricks®, and more.

Give AI identity it can trust. Governed, explainable identity gives AI agents and applications the context they need — with an auditable trail behind it.

Built for healthcare. Proven at scale. Trusted by 100+ healthcare organizations and rated 4.9/5.0 ★ on Gartner Peer Insights.³

Get value faster. Go live in as little as four months.⁴

Turning member identity into impact

All systems that health plans rely on break identity in their own way — core admin and claims store separate IDs for the same member, enrollment spins up duplicates due to slight demographic changes, provider data contains conflicting affiliations and statuses, and care management creates new identities when upstream matching fails. None was built to resolve identity, because identity is a different job. Verato MDM Cloud™ does that job, removing duplicates, linking records across systems, and building an enriched golden record so every system and initiative built on it delivers real value.

Deliver exceptional experiences

Member experience and trust

Reduce friction across digital, service, enrollment, and outreach channels with identity data members and teams can trust. Verato MDM Cloud™ unifies every touchpoint into one record, so members get one experience instead of three.

Population health

When one member exists as multiple records, population health models miscount cohorts and misjudge risk. Verato MDM Cloud™ links identity across care settings and payer feeds, so cohorts reflect reality and outreach reaches the right members.

Fuel business growth

Stars performance and CAHPS improvement

Plans miss the CMS Stars bonus when fragmented data hides which gaps to close before the measurement window shuts. Verato MDM Cloud™ links member identity across touchpoints, so care teams see the gap list in time.

Payment accuracy and risk adjustment

Every risk adjustment dollar depends on linking a diagnosis to the right member. Verato MDM Cloud™ resolves member identity across claims and encounter data, improving confidence in eligibility, attribution, and payment decisions.

Growth and expansion

Scale across new products, markets, acquisitions, delegated entities, and partnerships without rebuilding identity logic each time. Verato MDM Cloud™ resolves members and providers from every acquired book of business into the identity foundation you already run.

Power AI-native efficiency

Operational efficiency

Reduce manual reconciliation and identity-related rework across enrollment, claims, care, vendor, and partner systems. Verato MDM Cloud™ automates data stewardship, resolving routine member and provider matches so your stewards only touch the exceptions that need judgment.

AI and analytics readiness

Poor identity data corrupts every model built on it, skewing risk scores, utilization predictions, and outreach targeting. Verato MDM Cloud™ resolves member identity before the model runs, so your AI trains on data it can trust.

Provider directory accuracy

Provider directories go stale the moment a specialty, location, or affiliation changes, risking member complaints and No Surprises Act penalties. Verato MDM Cloud™ resolves and enriches the identity data behind every listing, keeping directories accurate.

What health plans have achieved with Verato MDM Cloud™

A health plan

90% increase in member satisfaction

A large health plan raised member satisfaction survey scores 90% after unifying member data across Medicaid, Medicare, and commercial lines of business with Verato.

A clearinghouse

75% faster rollout for member data management

A national medical billing and claims intermediary cut rollout time 75% for accurate member matching and data standardization by implementing Verato MDM Cloud™.

¹Verato MDM Cloud™ holds a 4.9/5.0 rating on Gartner Peer Insights® in the Master Data Management Solutions market (as of July 2026).

²Verato’s Referential Matching® was independently verified by the Regenstrief Institute (2022) to be 24% more accurate than competing MDM/EMPI matching approaches.

³Verato Carbon® curates 300M+ identities built over 30+ years, based on Verato’s internal platform data (as of June 2026)

⁴Verato MDM Cloud™ delivers a median time to initial value of 92 days across the customer base, based on Verato’s internal implementation data (as of January 2026).

Databricks® is a registered trademark of Databricks, Inc. Epic® is a registered trademark of Epic Systems Corporation. Salesforce® is a registered trademark of Salesforce, Inc. Snowflake® is a registered trademark of Snowflake Inc. Verato does not imply any affiliation or endorsement by use of these marks.