HIPAA-native · Cloud platform · BAA included

Provider credentialing,
done properly.

Clarvera is the cloud-native credentialing platform for healthcare — built for individual providers, health systems, payors, networks, and CVOs. Every workflow, every compliance standard, one platform.

No credit card · BAA signed before PHI enters the system · Cancel anytime

14-day
Free trial
6-yr
Audit retention
99.9%
Uptime SLA
$0
To start
Trusted by Regional Health SystemsSpecialty PracticesMedicare Advantage PlansCredentialing OrgsIndependent Physicians

Every workflow the credentialing lifecycle demands

01

Primary source verification

Automated PSV across FSMB, NURSYS, DEA, ABMS, NPDB, OIG/SAM, NSC, and malpractice carriers — tracked per source with verifier, date, and encrypted response.

02

Credentialing lifecycle

Initial credentialing, re-credentialing, privilege management, and committee workflows — aligned to NCQA and URAC standards with full decision audit trail.

03

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.

04

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.

05

Multi-tenant by design

One platform for providers, health systems, payors, networks, and CVOs — each with isolated data, tailored workflows, and RBAC enforced at the database layer.

06

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

01

Onboard

Providers register or your team imports via CSV, FHIR, NPPES, or CAQH. NPI verified instantly against NPPES.

02

Verify

Automated primary source verification across state boards, DEA, NPDB, OIG/SAM, ABMS, and malpractice carriers.

03

Credential

Committee reviews, privilege grants, and approvals tracked with full NCQA/URAC-aligned documentation.

04

Monitor

Monthly OIG/SAM checks, license expiry alerts, re-credentialing triggers, and FHIR directory sync — continuously.

Every standard that governs healthcare credentialing — built in, not bolted on

We didn't interpret compliance loosely. Each standard below is engineered into the platform — AES-256 per-tenant encryption, WORM audit logs, BAA gate at the middleware layer, and OIG/SAM checks that cannot be skipped.

View full security posture
HIPAA · HITECH
NCQA
URAC
CMS Interoperability
SOC 2 Type II
HITRUST CSF
FHIR R4
OIG/SAM Monitoring

Ready to modernise your credentialing?

14-day free trial. No credit card. BAA signed before any PHI enters the system.