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Vol. 01· Issue 01· Q3 2026· The Credentialing Briefing
Track B · Managed Services

Managed credentialing services, with NCQA status from the source.

The 19 CVOs and outsourced credentialing firms we track, for teams that want the work done for them. Each is judged on the same rubric, and each NCQA status comes from NCQA's directory, not from the firm's website.

What is a managed credentialing service?

A managed credentialing service does the credentialing work for you: collecting documents, verifying them with primary sources, keeping files current and, often, enrolling providers with payers. A credentials verification organization (CVO) is a service that verifies credentials, and some are certified by NCQA for specific verification elements.

All 19 managed credentialing services

Most documented capabilities first. Documented capability scores describe sourced scope, not service quality. Compare evidence coverage alongside each score; this is not a ranking.

Default: most capabilities documented as fully or partly supported; ties A–Z. This is not a quality ranking. Unknown and confirmed absent capabilities do not add to this count.

PayerReady Platform plus specialists for enrollment and credentialing Not listed Yes 85/100 9/12 documented 9/12 capabilities reviewed Documented capability score symplr CVO Enterprise CVO bundled with the symplr platform Certified · 11 elements No 88/100 9/12 documented 9/12 capabilities reviewed Documented capability score Welter Healthcare Partners Credentialing, enrollment, contracting and RCM Certified · 11 elements No 91/100 9/12 documented 9/12 capabilities reviewed Documented capability score Medallion (managed) Managed credentialing from a software company Certified No 90/100 8/12 documented 8/12 capabilities reviewed Documented capability score Metolius Health (Metolius platform) Operates this site Managed credentialing and enrollment, Metolius platform included Check pending No 96/100 8/12 documented 8/12 capabilities reviewed Documented capability score HealthStream CVO Outsourced CVO for hospitals and health systems Certified · 11 elements No PSV · Recredentialing scope documented 7/12 documented 7/12 capabilities reviewed See evidence → Neolytix Credentialing, enrollment and licensing for groups and hospitals Not listed No PSV · Recredentialing scope documented 7/12 documented 7/12 capabilities reviewed See evidence → OneExpert Dental credentialing, software-assisted with human review Not listed Partly PSV · Enrollment scope documented 7/12 documented 7/12 capabilities reviewed See evidence → Provider Enrollment Services Same owner as this site Provider enrollment and credentialing, with a status platform Check pending No PSV · Enrollment scope documented 7/12 documented 7/12 capabilities reviewed See evidence → Verisys (CVO) Credentialing verification services Accredited (not certified) No PSV · Recredentialing scope documented 7/12 documented 7/12 capabilities reviewed See evidence → CareCloud Credentialing and enrollment as an RCM service line Scheduled No Enrollment · Recredentialing scope documented 6/12 documented 6/12 capabilities reviewed See evidence → Sentact (Hardenbergh + nCred) CVO, payer enrollment, privileging and licensing Certified · 11 elements No PSV · Enrollment scope documented 6/12 documented 6/12 capabilities reviewed See evidence → Andros (CVO) Acquired by Medallion, Sep 2026 NCQA-certified CVO for health plans Certified · 11 elements No PSV · Recredentialing scope documented 5/12 documented 5/12 capabilities reviewed See evidence → Physician Practice Specialists (PPS) Same owner as this site Credentialing, enrollment, contracting and practice start-up, with billing Check pending Partly Enrollment · Recredentialing scope documented 5/12 documented 5/12 capabilities reviewed See evidence → Medwave Credentialing, contracting and billing for practices Not listed No Enrollment · Recredentialing scope documented 4/12 documented 4/12 capabilities reviewed See evidence → GetPaneled Insurance paneling for therapy practices Not listed Yes Enrollment · CAQH scope documented 3/12 documented 3/12 capabilities reviewed See evidence → PMG Credentialing Credentialing, enrollment and privileging Accredited (not certified) No Enrollment · Privileging scope documented 3/12 documented 3/12 capabilities reviewed See evidence → Sagility Outsourced provider network operations including verification Certified No PSV · Recredentialing scope documented 3/12 documented 3/12 capabilities reviewed See evidence → Credential America Credentials verification organization Certified · 11 elements No PSV · Enrollment scope documented 2/12 documented 2/12 capabilities reviewed See evidence →

NCQA status from NCQA's certification directory, data updated September 15, 2026. "Publishes prices" means the firm lists its own prices on its own website; industry ranges in a firm's blog don't count.

How do you check a CVO's NCQA status?

Look it up in NCQA's certification directory, not on the firm's website. A delegating plan gets credit only for the verification elements a CVO is actually certified for, so the element count matters as much as the word "certified".

What each status means on this site

Status we showWhat it means
Certified · N elementsNCQA lists the firm as certified, for the number of verification elements shown. 11 is the full set; fewer means partial scope.
Accredited (not certified)NCQA has accredited the firm's own credentialing program. That is a different NCQA program from CVO certification. If you delegate, ask the firm and NCQA what credit its accreditation carries for your plan.
ScheduledThe firm is scheduled for NCQA review. It is not certified yet.
ExpiredThe certification lapsed. The firm is not currently certified, whatever its website says.
DeniedNCQA reviewed the firm and did not certify it.
Not listedWe found no entry for the firm in NCQA's directory. Many good services are not CVOs and don't need to be; it matters most if you plan to delegate credentialing.

We never repeat a firm's own NCQA claim. Our census found firms whose websites claim a status the directory does not show.

Read the field note: certified is not accredited → · Open NCQA's directory ↗

FAQ

Questions about managed credentialing services

How much does outsourced credentialing cost?

Most of the firms we track quote privately. A few publish their own prices, and we mark them in the list. Pricing transparency is scored as its own dimension. What credentialing costs →

What is the difference between a CVO and a credentialing service?

A CVO verifies credentials with primary sources, often for health plans that delegate the work. A credentialing service may also handle payer enrollment, contracting and file maintenance for a practice. Several firms here do both.

What happened to Andros?

Medallion acquired Andros on September 15, 2026. Andros stays listed under its own name, labeled "Acquired by Medallion", until its customers migrate. Read the Briefing →

Is Metolius Health scored differently?

No. It runs through the same rubric and code as every other firm, and its scores and score changes are logged publicly like everyone else's.

From the company that operates this site

Want someone to talk it through?

A credentialing specialist from Metolius Health can walk through your size, payer mix and timeline, and what to ask any service on this list, including ours.

Book a free discovery call

Discovery calls go to Metolius Health, which operates this site and is listed above. Or compare on your own: read the methodology →