Provider directory accuracy you can prove.
CredFlow continuously audits your provider directory, flags what's wrong, and helps you stay audit-ready—so members aren't misled and regulators aren't surprised.
Directory Audit Snapshot
LiveDirectory accuracy is a compliance requirement—and a financial risk.
Under the No Surprises Act, inaccurate directory/network information creates direct financial exposure, including situations where members must be treated as in-network cost-sharing. Regulators are actively enforcing directory accuracy.
CredFlow is your Payer Directory Auditor.
CredFlow's Payer Directory Auditor identifies directory inaccuracies, prioritizes them by regulatory and member impact, and gives your team a clean path to resolution—with reporting designed for compliance and oversight.
Accuracy
Find wrong locations, phones, specialties, network participation mismatches, duplicate listings, and missing required fields.
Speed
Move from discovery to directory accuracy resolution faster, with a focused resolution list.
Defensibility
Turn a public directory into evidence you can stand behind.
From directory data → defensible directory.
Connect
We bring your directory data into CredFlow.
Audit
Ongoing audits for accuracy, completeness, and network-status alignment.
Confirm
CredFlow confirms high-risk inaccuracies by calling offices directly.
Resolve
Track fixes to completion and export audit-ready reporting.
Details, security, and methodology shared in demo.
Built for the rules you're held to.
Flip between federal and state requirements—then see how CredFlow supports audit readiness.
What regulators expect
- Accurate, up-to-date directory/network information
- Reduced member burden from inaccurate listings
- Demonstrable ongoing maintenance efforts
How CredFlow helps
- Continuous audits & proactive issue resolution
- High-risk verification via office calls
- Comprehensive reporting for oversight
Artifacts you can export
Reduce regulatory risk. Reduce financial exposure.
- Improved NSA compliance readiness
- Improved CMS-4208-F2 readiness for MA directory updates and annual accuracy attestation
- Reduced financial exposure tied to inaccurate network-status information
- Faster remediation cycle for inaccurate directory listings
- Stronger audit readiness with compliance-focused reporting
Benchmarks available in pilot.
Stop guessing and start proving.
Your directory is public. It must be defensible.