Credential America
Credentials verification organization
How Credential America scores
Documented capabilities describe the scope supported by our sources, which may include vendor documentation. They do not establish service quality or independent performance.
A numeric capability score needs at least 8 capabilities with sources, including PSV, enrollment, recredentialing and expiration tracking. Core capabilities still unverified: Re-credentialing, License and expirables monitoring.
22/77 relative capability weight reviewed. Scores with different coverage are not directly comparable. Read the score with its coverage: 100 means full support within the reviewed scope, not that every capability is supported. Unverified capabilities are excluded, not counted as zero. How to compare scores →
Quality evidence: 1/6 dimensions reviewed. Pricing transparency alone does not establish service quality.
Overall rating: Not published. Requires 12 total dimensions, all four core capabilities and at least 3 quality dimensions with sources.
Capability 60% of the composite
- Primary source verification Full NCQA's directory lists credentialing certification covering all 11 verification elements. Source: NCQA certification directory (read )
- Payer enrollment automation Partial Credential America lists payer enrollment as a service; this overview does not detail submission and follow-up steps. Source: Credential America service overview (read )
- Re-credentialing Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- License and expirables monitoring Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- OIG / SAM exclusion monitoring Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Privileging Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- CAQH / DataSpring integration Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Provider data management Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- NPDB queries Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Delegated credentialing support Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Reporting and analytics Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- API and integrations Not yet verified We haven't found a source for this yet. Vendors can send evidence →
Quality 40% of the composite
- Ease of use Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Support quality Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Security and compliance (SOC 2, HIPAA, HITRUST, NCQA, KLAS) Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Implementation time Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Value for money Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Pricing transparency 1 of 5 No public price list found on the vendor's site; pricing is by quote. Source: Credential America website (read )
Scores are our editorial judgment on the published rubric, based on the sources shown. They are not user ratings.
What does Credential America do?
Credentials verification organization. Credential America says it serves: Health plans, Groups. Read the vendor's own description on its website ↗.
Where Credential America is strong, and what to check
Not written yet. We add strengths and watch-outs once enough evidence is in. See the scorecard above for what's sourced so far.
Is Credential America NCQA-certified?
Certified · 11 elements NCQA's directory lists Credential America as certified for 11 of 11 verification elements under CR-Cert, as of September 15, 2026.
We take NCQA status only from NCQA's directory, never from vendor marketing. Check the directory ↗ · What each status means →
How much does Credential America cost?
Credential America doesn't publish prices, so you'll need a quote. We don't show third-party estimates as a vendor's price.
Credential America in the Briefing
No Briefing items yet. When we report news about Credential America, it will appear here. Read the latest issue →
User reviews of Credential America
These reviews are submitted by readers and moderated before they appear. They are separate from our editorial score and do not change it. We can't confirm that a reviewer used the product.
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Credential America: common questions
Is Credential America NCQA-certified?
NCQA's directory lists Credential America as certified for 11 of 11 verification elements under CR-Cert, as of September 15, 2026.
How much does Credential America cost?
Credential America doesn't publish prices, so you'll need a quote. We don't show third-party estimates as a vendor's price.
What are the alternatives to Credential America?
Every service we track is on one list, scored on the same rubric. See all 19 →
Want to talk through your options?
A specialist from Metolius Health can walk through your needs and what to ask Credential America and any other service. Discovery calls go to Metolius Health, which operates this site.
Book a free discovery call