Credentialing tracker
Every license, DEA, board certification and malpractice policy, with the file attached. Verivane counts down to each expiration.
- CAQH re-attestation every 120 days
- Document vault with photo upload
- NPI check-digit validation
For small practices and billing companies
From credentialing to cash: software that gets practices paid.
Verivane keeps providers credentialed and patients verified, then follows every claim until it's paid: it explains denials, drafts appeals, catches payers paying less than your contract and warns you before filing deadlines. AI does the paperwork; you stay in control.
No card needed. Set up in 10 minutes.
5 yrsbetween Medicare revalidations, easy to forget
120days between required CAQH re-attestations
90–150days a new payer enrollment can take
$118average cost to rework one denied claim
Features
Everything that keeps providers billable and claims paid
Enrollment board
See every provider and payer pair from "not started" to "approved". Follow-up dates make sure nobody forgets to call.
- Drag-free board that works on a phone
- Days waiting vs. payer average
- Team alert when an enrollment is approved
Eligibility autopilot
Upload tomorrow's schedule and Verivane checks every patient's insurance overnight. Problems are flagged red or yellow by morning.
- Inactive coverage and plan changes
- Copay and deductible remaining
- Live checks through a clearinghouse
Alerts everywhere
Email, push notifications on phone and desktop, and an in-app inbox. You choose how far ahead to be warned.
- Reminders 60, 30 and 7 days out
- Text messages for urgent problems
- Installs like an app on any phone
Exclusion and license monitoring
Every provider is checked monthly against the NPI registry, the OIG exclusion list and SAM.gov, with state license lookups.
- Alert and task when anything changes
- Proof of screening for audits
- Try the free check
Patient cost estimates
Know what each patient owes before they arrive, from the copay, deductible left and coinsurance, and see which visits need prior authorization.
- Collect at check-in, not 60 days later
- Prior-auth rules by payer and CPT
- Revenue-at-risk dashboard
Works with your practice software
Upload the daily export from athenahealth, eClinicalWorks, Tebra, DrChrono, AdvancedMD, NextGen, Epic or any other system, or connect directly.
- Excel or CSV, any column names
- FHIR connections
- Provider self-service portal
AI that does the paperwork
Read a license photo and fill in the dates, explain a coverage response in plain English, draft payer follow-up letters, and answer questions about your data.
- Use ours or bring your own AI key
- You review before anything is saved
- Every feature can be switched off
Get paid
Recover the money other software leaves on the table
Six back-office tools that turn remittances, claims and authorizations into collected dollars.
Denial manager
Every denied line from your 835s, explained in plain English with the exact fix, an owner and the appeal deadline. AI drafts the appeal letter.
- CARC and RARC codes decoded
- Denial trends by payer and code
- Free denial code lookup
Underpayment checker
Upload ERAs and every paid line is compared with your contract rate. See exactly how much each payer short-paid, and send a dispute letter in one click.
- 835 and spreadsheet import
- Rates per payer, code and modifier
- Recovered dollars tracked
Claim status autopilot
Open claims are checked with payers every night (276/277). Rejected or "not on file" claims surface right away, long before the timely filing limit.
- Filing deadlines per payer
- Alerts at 30 and 7 days
- Matched to payments automatically
Prior auth tracker
Visits approved, used and left for every authorization, counted from your schedule. Get warned at two visits left or two weeks before it ends.
- Missing-auth warnings before visits
- AI extension requests
- No more CO-197 surprises
Good Faith Estimates
No Surprises Act estimates for self-pay patients in about a minute, with the required wording, deadlines and online patient acknowledgment.
- Prices from your cash price list
- Email, link or print
- Kept on file for 6 years
Monthly client report
For billing companies: a branded report for every client with collections, recovered money, clean claim rate and A/R, summarized by AI and ready on the 1st.
- Your logo and colors
- "What we need from you" list
- One link the doctor opens on a phone
How it works
Set up once, then let it watch
- 1
Add your providers
Enter each doctor, NP or PA with their licenses and CAQH ID. Snap a photo of each document.
- 2
Track enrollments
Add the payers each provider bills and where each application stands.
- 3
Upload the schedule
Drop in tomorrow's appointments from any practice system. Verivane checks coverage overnight.
- 4
Act on alerts
Your team gets a push and an email for anything that needs attention.
ROI calculator
What missed deadlines and denials cost you
Move the sliders. The math is shown, so you can check it.
Late re-attestations, lapsed licenses and slow applications.
Industry rework cost: about $118 each.
Revenue protected$0
Denial rework avoided$0
Staff time saved (half)$0
Estimated yearly value$0
Pricing
Simple pricing that grows with your practice
Every plan starts with a 14-day free trial.
Free
$0.00 per month, up to 2 providers
Deadline tracking for up to 2 providers
- Credentialing tracker for 2 providers
- Document vault
- Email reminders
Solo
$29.00 per month, up to 1 providers
For an individual provider
- One provider
- License and exclusion monitoring
- 100 eligibility checks a month
- CAQH reminders
Starter
$49.00 per provider / month
Credentialing for small practices
- Credentialing tracker
- Document vault
- Email and push reminders
- Up to 3 team members
Most popular
Growth
$99.00 per provider / month
Credentialing plus eligibility autopilot
- Everything in Starter
- Eligibility autopilot
- 1,000 checks a month
- Unlimited team members
- Denial manager and claim status autopilot
- Prior auth tracker and Good Faith Estimates
Billing Pro
$399.00 per month, up to 25 providers
For billing and credentialing companies
- Up to 25 providers
- Everything in Growth
- 5,000 checks a month
- Priority support
- ERA underpayment checker
- White-label monthly client reports
FAQ
Questions practices ask about credentialing and eligibility software
Is Verivane HIPAA compliant?
Verivane is built with HIPAA safeguards: per-user logins with 2-step verification, automatic sign-out, encrypted secrets, private document storage, an audit log of who viewed patient data, and patient data that is never cached on devices. We sign a Business Associate Agreement with every practice.
Which practice management systems does it work with?
All of them. Upload the daily appointment export from athenahealth, eClinicalWorks, Tebra (Kareo), DrChrono, AdvancedMD, NextGen, Epic, Practice Fusion, CareCloud, Office Ally or any other system as Excel or CSV. Verivane recognizes the columns automatically. athenahealth, Epic, eCW, NextGen and DrChrono can also connect directly.
How do insurance eligibility checks work?
Verivane sends a standard eligibility request (X12 270) to the payer through a clearinghouse and reads the answer (271): active or not, copay, deductible remaining, coinsurance and prior authorization flags. It then estimates what the patient owes.
Does Verivane check the OIG exclusion list?
Yes. Every provider is checked monthly against the NPI registry, the HHS-OIG exclusion list (LEIE) and SAM.gov, with state license lookups. You get an alert if anything changes.
Can a billing company manage many practices?
Yes. Billing and credentialing companies get a client portfolio: one login, a roll-up dashboard across every client, and alerts from all of them in one inbox.
Can Verivane read my ERA / 835 files?
Yes. Upload 835 electronic remittance files from any clearinghouse or payer portal (or a payment spreadsheet). Verivane reads every claim and line, explains each adjustment code, lists denials to work and compares each payment with your contract rates to find underpayments.
Does Verivane check claim status automatically?
Yes. With a Stedi clearinghouse key, open claims are checked with the payer every night using standard 276/277 claim status transactions. Rejected, missing and denied claims are flagged with the next step, and timely filing deadlines are tracked per payer.
Can I turn the AI off?
Yes. Every AI feature (denial explanations, appeal letters, prior auth requests, estimate suggestions, report summaries and more) has its own on/off switch, for the whole platform and for each practice.
Is there a plan for a solo provider?
Yes. The Solo plan covers one provider, and the Free plan tracks deadlines for up to two providers at no cost.
What happens after the free trial?
Pick a plan and pay by card, Apple Pay, Google Pay, PayPal, bank transfer or check. Your data stays in place. If you don't pick one, nothing is charged. Yearly plans include two months free.
Stop finding out about expired licenses from a denial letter.
Start your free trial and add your first provider in minutes.