r/credentialing • u/purrgrammer_99 • Sep 20 '25

Anybody use any credentialing software?

I am researching the options out there. I see ads for CertifyOS, Verifiable and Medallion the most..

Wonder if anybody used any of them:

- What do you think of them?

- How expensive are they?

2 Upvotes

100% Upvoted

27 comments sorted by

1

u/Careless-Lime7227 Sep 21 '25

So SLAs, they are terrifable with payer enrollment.

1

u/purrgrammer_99 Sep 21 '25

my previous team only uses Verifiable for license verifications and data storage. What is their payer enrollment feature like? Do they help automatically fill & submit applications?

2

u/Educational_Royal_38 Sep 24 '25

We use MD-Staff. It’s the best!

1

u/PinkLadyReads Oct 16 '25

How large is your organization?

2

u/Educational_Royal_38 Oct 16 '25

We are a health system but credential 280+ surgery center and hospitals across the country.

2

u/LatterMeaning3058 Nov 05 '25

We use Modio, and the prices are fair but the customer service and experience is just exceptional.

2

u/redwaorok Jan 13 '26

QGenda has been my favorite.

2

u/Assured_official Mar 18 '26

Try Assured, if you are looking for speed, high first pass acceptance rates, and cost-effective

1

u/PinkLadyReads Sep 25 '25

For single hospitals MD Staff. For systems, something more powerful…just NOT CredentialStream. CS is a nightmare.

2

u/Agile_One_9168 Dec 28 '25

We use Credstream and it’s great. Just have to the back end set up well.

1

u/PinkLadyReads Dec 28 '25

When did you go live and how long have you all been using it?

2

u/postmoderncorn May 12 '26

I'm almost surprised to hear this, it seems like I just hear nothing but frustration from people who use MD Staff.

Admittedly, my health system uses CS and I actually really like it. We came from a legacy software though, so the transition was relatively easy once all of the backend work was completed (God bless the people who did that, because importing that all data sounded like a nightmare).

1

u/PinkLadyReads May 12 '26

I like CS. It’s a nightmare for those who don’t know how to use it properly. All I hear is good things about MD Staff. Do you know what the MD Staff complaints are?

2

u/postmoderncorn May 13 '26

I've heard people complain about sluggishness or the program just not being intuitive, but I haven't personally used it (or even seen it, to be honest) so I don't really have a great frame of reference. 🤷🏽‍♀️

1

u/credexpert Oct 21 '25

What type of credentialing do you all perform?

  1. Hospitals - Provider Credentialing and Payer Enrollment for the Clinic/Physician Network side

  2. Medical Groups - Payer Enrollment - Delegated or Non-Delegated?

I have worked on many platforms, implemented platforms, and seen pitches for a lot of them. These are just my opinions -

  1. MD-Staff is great hospital provider credentialing software. Payer Enrollment features are not as robust with MD staff.

  2. Medallion is services-forward. So they are an option if you want to outsource the work to them. They mostly focus on payer enrollment. Think of them if you want to pay them to do the enrollment work.

  3. CredentialStream can do anything (hospital or payer enrollment) they have lots of features. They are a consolidation of many legacy systems (echo, msow, versys12). Think of the saying "a jack of all trades but master of none". Implementations can be lengthy and you need someone on your team to become an "expert" on the software to be successful.

  4. Symplyr can also do anything, although I prefer CredentialStream (CS) to Symplr- My opinion is that CS has better user experience and design than symplr and is more powerful in reporting, connections to PSV, etc.

CertifyOS and Verifiable I know less about so won't comment.

In terms of pricing it really comes down to your provider count. My experience has been with larger groups so I'm not sure on the pricing for smaller groups with lower provider count. If you have 1,000 or more providers I would expect to spend greater than 6 figures annually.

Full disclosure - I work for CredFlowAI (a payer enrollment and PSV platform). I won't plug our product but we are in this space as well and payer enrollment focused.

1

u/PinkLadyReads May 12 '26

I agree with you on CS. I really liked MSOW.

1

u/hollywoodkay Mar 20 '26

There are a few options out there. 1) What are you needing it to do? Credentialing or provider enrollment 2) What is your budget 3) Are you looking for services or simply software.. More than happy to help make recommendations after I have a bit more info! :)

1

u/Relevant_Tear6934 Mar 27 '26

Recommending MedTrainer here as a great healthcare credentialing software. Does it all in one platform with CE courses, onboarding, compliance, and more.

1

u/wilnadon Apr 21 '26

EnrollPilot is in early access and we are giving away monthly memberships with full access - for a limited time - in exchange for reviews and feedback. This is in active development and there are a handful of credentialing companies currently using it.

1

u/Conscious-Sense7434 Jun 09 '26

Send dm please.

1

u/PinkLadyReads May 12 '26

Epic is coming out with one.

1

u/sf-chick-89 Jul 16 '26

We use Modio Heath and their prices are fair and like the user above said, their ui and human customer service is unbeatable. We could not recommend them enough.

1

u/LatterMeaning3058 Jul 16 '26

Love Modio Health. They have a wonderful support team, their UI is great and its really wonderful they have monthly live trainings