The best AI agent for credentialing and payer enrollment.
CredFlow AI makes the payer calls, completes the portal applications, runs primary source verification, and keeps CAQH current. Use our system end-to-end, or, bring your own credentialing system.
Partners / Payers
Anyone can build an agent. Ours knows the payers.
We know the payers. CredFlow AI is trained on our proprietary application and calling data.
Don’t point a general-purpose AI model at your credentialing work. Use one built on real-world results.
Already have a platform? CredFlow AI works with it.
Run CredFlow AI end to end, or enable specific modules: our AI telecaller, in-browser agent, and data lake.
AI Telecaller
Payer status calls placed, worked through the phone tree, and returned with a transcript and the fields you needed.
See which payers we callIn-Browser Agent
Enrollment applications and CAQH tasks completed inside your team’s own logged-in browser session.
See supported portalsEnrollment Data Lake
Your roster compared against payer data, with every mismatch returned to you.
Request a sample reportAlready running Modio, Medallion, CredentialStream, Symplr, or MD-Staff? Keep it. CredFlow AI works in parallel.
Or run the whole thing on CredFlow AI.
Full system of record, workflow engine, and enrollment operations, with the same agent running underneath.
Credentialing Software
Run enrollment in-house with AI-powered workflows, agentic payer communication, and portal automation.
Learn more about Credentialing Software Done for youCredentialing Services
We handle submissions, follow-ups, and payer communication so you don’t have to.
Learn more about Credentialing Services Network intelligenceInNetwork.ai
Instant provider network lookup from an NPI. Free tier available. API access for enterprise.
Learn more about InNetwork.ai For payersPayer Directory Auditor
Audit, benchmark, and remediate provider directory accuracy for health plans.
Learn more about Payer Directory AuditorResults from real credentialing teams
Auditing 6,400 payer enrollments in eight days
A national telehealth company reconciled roughly 6,400 tracked payer enrollments against payer-published data in eight days, surfacing more than $1 million in annual claims payments tied to flagged records.
Read the full story Case study · ConsultancyScaling payer follow-up without scaling headcount
A national credentialing consultancy with 3,000 providers under management moved 13 minutes of phone time per call off its specialists’ desks and caught data drift across 17% of its enrollment records.
Read the full storyPut the agent to work on your payers.
See CredFlow AI place a real payer call, complete an application, and report back — on the payers your team works every day.