Credential Hygiene
Provider eligibility,checked continuously,before claims go out.
A lapsed license or an exclusion nobody caught can put reimbursement at risk long after the care was delivered. Circle checks state licensing boards, the NPI registry, and OIG exclusions in the background, and keeps a dated copy of every result.
Every check
Saved with a dated copy of the source page
Credentialing usually happens at hire and at renewal. Payer eligibility depends on every day in between.
How it works, in the daily work.
Built into every review.
Multi-source checks
State licensing boards, the NPPES NPI registry, board enforcement actions, and the OIG exclusion list, run together.
Every state a provider practices in
Add the states to check and match each license number to the right board and license type.
Source captured
A dated copy of each source result stays with the provider record for payer and accreditation reviews.
Scheduled re-checks
Registry, license, and exclusion checks repeat on a cadence, without manual searches.
Expirations surfaced early
Upcoming license expirations show alongside the next action, before billing is affected.
Connected to the payer picture
Provider standing sits beside documentation, authorizations, and pre-bill review, so eligibility is part of every payer relationship.
What customers have measured.
4 sources
NPI registry, state license, enforcement actions, and OIG exclusions in one check
1 click
To the source page captured when a check ran
100%
Chart review coverage alongside provider standing
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Solution
Payer Relationship System
What every payer expects, standing with each, and the prepared context to act.
Solution
Pre-Bill and Record Reviews
Documentation gaps caught before billing, and records ready for payer reviews.
Solution
Compliance and QA
Every active chart reviewed while the client is still in care.
Know what each payer expects. Act before revenue is at risk.
See how Circle fits alongside the systems already in place.
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