Delegated Credentialing and Verification
Primary-source verification assembled into committee-ready files.
Accelerate provider onboarding with NCQA-aligned primary-source verification across federal, state, and board registries, backed by clinical and administrative human sign-off.
How the work is done
Automated by CareLumi. Signed off by people.
Automated by CareLumi
- NCQA-certified primary-source verification across 11+ federal, state, board, and accreditation databases.
- Automatic ingestion and data extraction from CVs, state licenses, and malpractice certificates via magic links.
- Instant sanction and exclusion screening across OIG, SAMHSA, and NPDB.
- Continuous gap analysis and automated flag generation for unexplained work history gaps.
Human-in-the-loop sign-off
- Compliance specialists review flagged records, malpractice history, and discrepancy reports.
- Final quality audit of the complete provider file before delivery to your Credentials Committee or CVO.
Key outputs & deliverables
What your team receives.
- Standardized, NCQA-compliant Credentialing Summary Report.
- Full primary-source audit trail with timestamped verification snapshots.
- Committee-ready digital packet for medical staff and health system review.
Verification file · J. Rivera, MD
- Verified at the state board. Snapshot saved to the audit trail.
- Certification confirmed with the issuing board.
- Gap from Mar to Aug 2022. Explanation requested from the provider.
- No records found. Screening date logged.
- One closed claim. A compliance specialist is reviewing the details.
Filter by status and select a row to see the next step. Example data only.
Talk with us about Delegated Credentialing and Verification.
Tell us about your providers, states, and timelines.