Home Solutions Provider identity intelligence

Know your providers. Grow your network. Deliver better care.

Gain a complete, trusted view of every clinician, organization, location, and affiliation with Provider Identity Intelligence — unifying and enriching provider identities and network relationships across your entire ecosystem.

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Provider identity powers your most important initiatives — from expanding access and accelerating growth to delivering better care — yet across healthcare, provider data remains fragmented, outdated, and incomplete across directories, credentialing, EHRs, claims, and referral systems.

The result is real business impact: misrouted referrals, delayed onboarding, inaccurate directories, denied claims, referral leakage, and limited visibility into network performance.

Managing provider identity is inherently complex. Clinicians, organizations, locations, and affiliations are constantly changing, making it difficult to maintain the accuracy, completeness, and recency modern healthcare operations require.

Despite significant investment in systems and tools, most organizations still lack a single, trusted source of truth for provider identity. Without it, even the best digital, clinical, and growth initiatives fall short.

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Why provider identity is so hard — and why it matters

Verato delivers trusted provider identity and network intelligence faster and without the complexity of traditional data management. Managing provider data isn’t optional – it’s foundational. Verato solves this by unifying, enriching, and continuously synchronizing provider data across your systems of record, engagement, and insight, creating a single, governed source of truth for every clinician, facility, and organization.

The result is accurate directories, faster credentialing, fewer denials, smarter referrals, and clearer visibility into network performance — so your teams can deliver better experiences, accelerate growth, and operate more efficiently.

Verato Provider Data Management™

Creates a complete, trusted 360° identity for every clinician, facility, and organization by resolving duplicates and continuously synchronizing accurate provider attributes.

Outcomes:

  • Resolve duplicate and fragmented provider records across EHRs, credentialing, claims, HRIS, CRM, and digital systems
  • Keep NPIs, licenses, specialties, and locations current and accurate
  • Power reliable directories, referrals, onboarding, and claims workflows
  • Synchronize trusted provider identities across all systems in real time

Verato Provider Network Intelligence™

Adds network relationships and performance insight — affiliations, referral patterns, service volumes, payer mix, and geographic coverage — equipping you with more intelligence about the whole network landscape of providers in a given market area to drive decision making on network design and where to strategically invest in growth.

Outcomes:

  • Understand network performance and referral leakage drivers
  • Identify specialty coverage gaps and expansion opportunities
  • Optimize recruiting, contracting, and outreach strategies
  • Make smarter growth decisions with relationship-aware intelligence

 

Together, Verato Provider Data Management and Verato Provider Network Intelligence transform provider data from an operational burden into a strategic asset.

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Built for healthcare. Designed for outcomes.

Verato unifies, enriches, and continuously synchronizes trusted provider identities across systems of record, engagement, and insight, creating a single, governed source of truth for every clinician, facility, and organization.

The result is accurate data you can trust, actionable network insight, and faster time to value across your most critical workflows.

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Power Exceptional Experiences & Patient Outcomes

Deliver frictionless provider and patient experiences with a complete, trusted source of provider intelligence to improve scheduling, referrals, directories, onboarding, and digital engagement.

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Expanded Growth and Market Share

Accelerate time-to-revenue and smarter expansion through faster credentialing, improved revenue capture and attribution, and reduced network referral leakage.

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Improved Efficiency and Compliance

Streamline operations with a unified, governed source of truth that eliminates duplicates, automates stewardship, improves claims accuracy, ensures reliable directories, and maintains audit-ready provider data. Works seamlessly across networks, directories, credentialing, scheduling, HRIS, EHRs, HR, RCM, and referral management systems.