CredentialStream

CredentialStream helps healthcare organizations manage provider credentialing, privileging and payer enrollment in one system, so medical staff offices can onboard providers faster.

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Overview

Providers apply and re-credential through a self-service portal, while department chairs and credentialing staff review and approve in a shared online hub with visible status. Automated primary source verification checks licenses, board certifications, sanctions and exclusions, and expiration alerts support recredentialing. Payer enrollment tools use a library of 7,000 pre-populated enrollment forms and exportable rosters, and workflows, data fields and dashboards can be configured. APIs connect it with Epic, HRIS systems, MyLearning and HealthStream CVO.
More product details

Who it is for

Industries
  • Healthcare

Product

Solution Kind
Application

Features

Expiration Management

Automated alerts for upcoming expirations

Track continuing education requirements

More details & conditions: Expiration Management

Support recredentialing cycles

Categories: Credentialing

License Verification

Real-time automated primary source verification of licenses

Exclusion and sanction monitoring integration

Categories: Credentialing

Credential Management

Centralize provider data in one hub

Manage clinical privileges and competency tracking

More details & conditions: Credential Management

Run credentialing, privileging and enrollment workflows

Categories: Credentialing

Data Verification

Primary source verification of licenses, board certifications, sanctions and exclusions

Categories: Credentialing

Online Applications

Self-service provider application portal for initial appointments and re-credentialing

Categories: Credentialing

Enrollments/Onboarding

Payer enrollment form completion and status tracking

Library of 7,000 pre-populated enrollment forms

More details & conditions: Enrollments/Onboarding

Exportable payer rosters

Out-of-the-box onboarding templates and workflows

Categories: Credentialing

Application Management

Paperless application workflows for initial appointments and re-credentialing

Online review and approval by chairs and credentialing teams

More details & conditions: Application Management

Status and decision transparency

Categories: Credentialing

Workflow Configuration

Configure workflows

Customize data fields

More details & conditions: Workflow Configuration

Adapt processes to organization structure

Categories: Workflow Management

Business Process Automation

Automated workflows and approvals for provider onboarding

Prebuilt best-practice workflows

Categories: Workflow Management

Rules-Based Workflow

Smart logic that automates tasks in the background

Automated approvals

Categories: Workflow Management

Task Management

Hub where providers, chiefs and chairs access tasks and track status

Follow-up task management for payer enrollment

Categories: Workflow Management

Customizable Dashboard

Built-in dashboards

Standard reports

More details & conditions: Customizable Dashboard

Configurable analytics tools

Categories: Workflow Management

Workflow details

Frameworks
  • Name
    NCQA
  • Name
    URAC
  • Name
    CMS

Categories: Credentialing

Reporting
  • Dashboards
  • Reports

Categories: Credentialing

Technical details

API

Programmatic access
Yes
Documentation
healthstream.com/platform/developer-portal
Protocols
  • REST
Outbound webhooks
Yes

Deployment

Client Channels
  • Browser

Customization

Supported Scopes
  • Workflows
  • Fields

Security

Assurances
  • Kind
    Certification
    Scope
    CredentialStream provider data protection
    Standard
    HITRUST r2

Support

Channels
  • Phone
  • Email
  • Community
Human Availability
Holidays
Holidays excluded
Timezone
Central Time (CT)
Weekdays
  • Mon
  • Tue
  • Wed
  • Thu
  • Fri
Opens local
07:00
Closes local
19:00
Human staffed
Yes
Training Formats
  • Webinar

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