Payer Directory Auditor

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 LIVE
Listings audited847
In-network verified124
High-risk89

Wrong phone number

Confirmed by call
Verified

Outdated location

Corrected and logged
Verified

Network mismatch

Directory vs enrollment record
High-risk

Attestation ready report · timestamps per provider

The stakes

Directory 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.

Regulatory scrutiny Member abrasion In-network cost-sharing exposure
Compliance posture

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.

01

Accuracy

Find wrong locations, phones, specialties, network participation mismatches, duplicate listings, and missing required fields.

02

Speed

Move from discovery to directory accuracy resolution faster, with a focused resolution list.

03

Defensibility

Turn a public directory into evidence you can stand behind.

How it runs

From directory data → defensible directory.

01

Connect

We bring your directory data into CredFlow.

Directory data in
02

Audit

Ongoing audits for accuracy, completeness, and network-status alignment.

Issues ranked by impact
03

Confirm

CredFlow confirms high-risk inaccuracies by calling offices directly.

Verified by call
04

Resolve

Track fixes to completion and export audit-ready reporting.

Audit-ready report out
Built for the rules

Built for the rules you’re held to.

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

  • Reporting with timestamps
  • Verification per provider (NPI)
  • Compliance attestation (annual)
Outcomes

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
Directory accuracy

Turn a public directory into evidence you can stand behind.

Continuous audits, high-risk verification by call, and reporting built for oversight.

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