AI-native · HIPAA-compliant · BAA included
Credentialing, run by AI.
Clarvera is an AI operational workflow, not a credentialing database. The AI reads the documents you already receive, fills the provider record and flags what is missing, and agents chase what is outstanding so your team reviews and decides instead of typing. Built for providers, health systems, payors, networks and CVOs.
No credit card · BAA signed before PHI enters the system · Cancel anytime
Built for
Part of Shinzox Group
Backed by 65+ years of operating heritage
Clarvera is the provider data platform of the Health Care division of Shinzox Group Limited, a diversified group operating across 8 industries since 1960.
- Logistics
- Digital Services
- Health Care
- Industrial
- Global Trade
- Spirits
- Energy
- Banking Services
Platform capabilities
The AI does the work. The audit trail proves it.
AI reads the paperwork
A licence PDF, a certificate, a CV, an attestation. The AI reads each one into the provider's record, puts a confidence score on every field it fills, and flags what is missing, duplicated or contradicts something you already hold. Your team reviews a filled record instead of typing an empty one.
Agents do the chasing
Chasing a provider for the document they never sent. Reconciling a roster line by line against a payor's copy. Noticing a licence quietly changed state. Agents do all three unattended and report back: the work that eats a credentialing team's week, done while nobody is watching.
Primary source verification
Every element a credentialing file needs, tracked individually: verified status, discrepancies, waivers, and an append-only log of who confirmed what, when, and against which source.
Credentialing lifecycle
Initial credentialing, re-credentialing and committee workflows, aligned to NCQA and URAC standards, with every decision kept beside the evidence it was made on.
Exclusion monitoring
OIG LEIE and SAM.gov exclusion checks run monthly for every active provider. Mandatory per CMS. Alerts fire within minutes of a match being found.
FHIR R4 & CMS compliance
Patient access API, payer-to-payer exchange, and network adequacy tracking built to satisfy the CMS Interoperability Rule and 21st Century Cures Act.
Multi-tenant by design
One platform for providers, health systems, payors, networks, and CVOs. Each gets isolated data, tailored workflows, and RBAC enforced at the database layer.
WORM audit trail
Every PHI access, credentialing decision, and export is logged to an append-only audit trail. Six-year retention. Exportable for internal and external audits.
How it works
From first application to continuous monitoring
Onboard
Providers register themselves, or your team creates and imports records through the API. NPI is checked against the public NPPES registry at the point of entry.
Verify
Primary source verification tracked element by element, with OIG and SAM.gov exclusion screening wired to the real sources.
Credential
Committee reviews, privilege grants, and approvals tracked with full NCQA/URAC-aligned documentation.
Monitor
Monthly OIG/SAM checks, license expiry alerts, re-credentialing triggers, and FHIR directory sync, continuously.
Compliance
Every standard that governs healthcare credentialing, built in, not bolted on
Each standard below is engineered into the platform: AES-256 per-tenant encryption, WORM audit logs, a BAA gate at the middleware layer, and OIG/SAM checks that cannot be skipped. SOC 2 and HITRUST certification are in progress; we say where we are rather than letting a badge imply more.
View full security postureReady to modernise your credentialing?
14-day free trial. No credit card. BAA signed before any PHI enters the system.