End-to-end credentialing management from initial application through re-credentialing. Track every license, affiliation, and payer enrollment in one place.
Provider logs into their own portal and fills out their application — education, training, work history, and disclosures.
Upload licenses, DEA certificates, malpractice insurance, board certifications, and CME records to a secure vault.
Track verification status for each credential. Flag gaps, discrepancies, and items pending verification.
Manage applications to insurance networks. Track status, effective dates, and provider numbers for every payer.
Automated expiration alerts for licenses, certifications, and payer contracts. Never miss a renewal deadline.
Track medical school, residency, fellowship, and continuing education. Record institution, degree, specialty, dates, and program directors for each entry.
Complete employment chronology with gap detection. Current and previous positions, addresses, dates, and reasons for leaving — with automatic gap flagging.
Track admitting privileges at every facility. Privilege type, restriction status, temporary privileges, admission percentages, and current/historical affiliations.
Current and historical malpractice policies with carrier details, coverage amounts (per-occurrence and aggregate), policy numbers, and self-insurance tracking.
Document every claim and lawsuit: incident dates, allegations, carrier, settlement amounts, resolution method, injury description, and NPDB reporting status.
Maintain peer references with full contact details, specialty, and verification status. Organized by priority for quick credentialing committee review.
Manage all practice sites with addresses, NPIs, tax IDs, office hours, ADA compliance, languages spoken, and services offered. Flag primary vs. secondary locations.
Standardized attestation questionnaire covering license actions, criminal history, substance abuse, loss of privileges, and sanctions — with explanation fields for any "yes" answers.
Each provider gets their own credentialing portal with unique credentials, separate from the main EHR.
Upload, organize, and manage every credentialing document in a secure, searchable vault.
Log continuing medical education credits by category, accreditation body, and license state.
Track every payer network your practice participates in. Store contract numbers, effective dates, participation types, and account status.
Manage providers enrolled in each network. Track member type, specialty, NPI, location, join date, and delegated credentialing status.
Track delegation agreements with scope, effective dates, review schedules, oversight mechanisms, and compliance status for each delegation.
Log compliance standards (NCQA, URAC, state), track audit findings, corrective actions, follow-up dates, and maintain evidence documentation.
Monitor enrollment applications by payer, status, submission date, and expected effective date. One view for all pending enrollments.
Automated notifications before licenses, certifications, malpractice policies, and payer contracts expire. Configurable lead times.
Real-time credentialing completion percentage for each provider. Identify missing items at a glance and prioritize follow-ups.
Store payer contract details including effective dates, fee schedule references, participation types, and renewal terms.
Manage group-level payer accounts, facility information, group NPI, tax ID, and insurance details alongside individual provider enrollments.
Track primary source verification for every credential. Mark items as verified, pending, or flagged with reviewer notes.
See how DoxCredential eliminates spreadsheets, missed deadlines, and credentialing bottlenecks for your practice.