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50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-submission Approval Rate     |     25% Higher Provider Satisfaction Score     |    

“Newgen’s Provider Credentialing and Configuration Solution helped us reduce credentialing turnaround time by 50% and improved compliance adherence by 40%.”

– Chief Operations Officer, A Renowned Health Plan

Learn What Newgen’s Credentialing and Verification Solution Can Do for You

Credentialing Verification with Scalable Business Logic

Automate the complete process for accuracy and efficiency. Receive real-time updates on verification status for timely decision-making. Integrate with the latest verification sources, including Medicaid state files, license websites, SAM.GOV, preclusion list, OIG, SSN death master, CLIA, PECOS, CAQH, NPPES, DEA, JCAHO, NPDB, and address validations. Adapt to changing NCQA, CMS, and state rules. Use the system’s low code capability for easy adjustments.

Roster Automation and Document Management

Provide a secure repository with robust tracking capabilities for all provider-related documents, enabling seamless uploading, organization, and retrieval while storing files alongside provider records or in groups. Streamline processes by transforming unstructured provider rosters into standardized formats, automating data integration into credentialing, configuration workflows, and provider data management (PDM) systems for enhanced efficiency and compliance.

Return to Provider

Facilitate seamless communication by transferring questions or requests for additional information, to a provider. Leveraging the return-to-provider capability to request more information, documents, or clarification about the provided data.

Application and Onboarding

Streamline electronic forms and workflows for faster onboarding. Enhance collaboration among stakeholders during the application process. Simplify credentialing and automate notifications.

Privileging and Credentialing Committee Management

Provide access to a centralized platform for transparent committee collaboration and decision-making. Access relevant information and documentation for informed decision making.

Provider Correspondence/Letters

Send correspondence and letters based on NCQA, CMS, State, or your requirements. Ensure providers receive transparent information.

Provider Lifecycle Management: Buy All-in-one Pack or Choose an Individual Solution

Provider Data Management

Maintain a well-organized directory of providers within the network for superior member experience and ensure compliance for marketing materials and the “No Suprises Act”

Provider Credentialing

Hyperautomate credentialing verification and pricing process in compliance with NCQA, CMS, and state and federal standards

Provider Contracting

Streamline end-to-end contracting process, from single case agreements to contracts and amendments to value-based contracts—ensuring a robust network that drives optimal care outcomes

Self-service Portal

Empower your providers to submit, update, and view their information on a transparent and innovative portal
Explore Other Solutions for the Payer-Provider Journey

Provider Disputes Resolution

Enhance your payer-provider interactions by optimizing claim disputes and inquiries.

Claims Automation

Streamline claims with an AI-driven, low-code automation process

Provider Relations and Complaints

Enhance provider relationships while streamlining communications and driving a collaborative environment

SIU & FWA Case Management

Detect and address fraud while enhancing efficiency and ensuring compliance

Provider Lifecycle Management

Stay current, competitive, and expansion-ready in contracting, credentialing, configuration, provider data management (PDM), and provider self-service.

Find Your Winning Strategy with Newgen

Request a demo to explore our solutions for the Payer-Provider Journey.

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