The trusted technology partner for credentialing and
provider network management

Our solutions are designed to transform problems into wins across your healthcare organization.

  • MD CONSOLIDATED MANAGEMENT
  • STRATEGIC CONSULTING
  • NCQA-CERTIFIED (CVO)
  • STANDARDIZE PRIVILEGES
  • CLINICAL PRIVILEGING
  • MEDICAL CONCIERGE

CredeMtia provides strategic healthcare software to deliver compliant data solutions designed to improve organizational agility and increase revenue.

Affiliations

Services

End-to-End Healthcare Solutions

CredeMtia has been at the forefront of healthcare analytics since its inception. Our compliant software solutions are designed to simplify the credentialing and provider data management and streamline the onboarding process. From primary source verification to re-credentialing services, CredeMtia is the most trusted NCQA-Certified Credential Verification Organization (CVO) in the Caribbean and now, in Florida.

Credentials Verification Organization (CVO) NCQA-Certified

Reduce state and federal regulatory risks with our trusted and secure healthcare solutions. At CredeMtia, we are committed to upholding the highest standards of data security, reducing overhead and optimizing your organization’s workflow.

CredeMtia’ s team of experts are trained to provide solutions that improve patient’s outcomes and minimize risks.

Digital Healthcare
Solutions

MEDICAL CREDENTIALING SERVICES VALIDATION NCQA-CERTIFIED (CVO)

Ensure your patients’ safety, optimize workflow, reduce cost, and protect your organization from liabilities and lawsuits by assessing and validating the qualifications of the healthcare professionals in your team.

MEDICAL AND CLINICAL CREDENTIALING MONITORING SOFTWARE

Our team of experts, combined with our technology, is here to save you from time-consuming tasks, by rigorously assessing the clinical competency of your medical providers. Our software verifies licenses and certifications for providers, nurses, and a broad number of specialties.

MD PROFILE DIRECTORY MANAGEMENT SOFTWARE

Our compliant data management software is built to drive operational efficiency and give you peace of mind. The user-friendly directory allows you to access up-to-the minute data, so you can make smart, informed decisions.

MEDICAL CONCIERGE

Offers personalized guidance and support to the healthcare provider regarding the functionality and operation of the service modules provided and managed by CredeMtia.

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Provider Rights

CredeMtia must ensure that each Practitioner/Provider receives the following rights in a
continuous basis during the Credentialing and Re-Credentialing process, as established by state
and federal requirements:

• The Practitioner/Provider has the right to review information submitted to support their credentialing application, attestation, or Curriculum Vitae.

• The Practitioner/Provider has the right to correct erroneous information submitted.

• The Practitioner/Provider has the right to be informed of the status of their
Credentialing or Re- credentialing application upon request.

• The Practitioner/Provider has the right to be notified of the process in writing
during initial credentialing, upon request.

• The Practitioner/Provider has the right to be treated without discrimination of sex,
color, race, age, disability, religion, and sexual orientation.

• The Practitioner/Provider has the right to receive the services related to the
Credentialing and Re-Credentialing processes in a nondiscriminatory manner.

• The Practitioner/Provider has the right to clarify significant discrepancies identified
by CredeMtia between information submitted and provided by the
Practitioner/Provider versus the information collected by CredeMtia.

• The Practitioner/Provider submitting an application for a Private Health Insurance
the Insurance Commissioner if in disagreement with the notification that the
Uniform Application Form is incomplete or incorrect. The process for this appeal
will be set for by the Office of the Insurance Commissioner.