Healthcare Partnerships

Trusted technology partner to healthcare organizations protecting patients, preventing fraud, and ensuring compliance.

Securing Healthcare Operations

VettlyGlobal partners with healthcare providers, payers, pharmaceutical companies, and health tech organizations to combat healthcare fraud, verify provider credentials, authenticate patient identities, and protect sensitive health information. Our HIPAA-compliant solutions help healthcare organizations reduce fraud losses, improve patient safety, and streamline operations.

500+
Healthcare Partners
$1.2B
Fraud Prevented Annually
50M+
Patient Verifications
100%
HIPAA Compliant

Healthcare Solutions

Comprehensive solutions for the healthcare ecosystem

Provider Credentialing & Verification

Streamline provider credentialing with comprehensive verification of medical licenses, board certifications, education, malpractice history, and DEA registrations. Ongoing monitoring ensures continuous compliance.

  • Medical license verification
  • Board certification checks
  • Malpractice claims history
  • Continuous monitoring

Patient Identity Verification

Accurately verify patient identities at registration and admission to prevent medical identity theft, reduce duplicate records, and ensure patient safety throughout the care continuum.

  • Real-time identity verification
  • Duplicate record prevention
  • Medical ID theft detection
  • Biometric authentication

Healthcare Fraud Detection

Advanced AI-powered fraud detection identifies billing fraud, phantom billing, upcoding, unbundling, and other fraudulent schemes before claims are paid, saving millions in improper payments.

  • Claims fraud detection
  • Billing pattern analysis
  • Provider network fraud
  • Real-time alerts

Prescription & Pharmacy Verification

Combat prescription fraud and drug diversion with verification of prescribers, pharmacies, and patients. Monitor controlled substance patterns and identify potential abuse.

  • Prescriber DEA verification
  • Pharmacy license checks
  • Patient identity matching
  • Controlled substance monitoring

Facility & Equipment Screening

Verify healthcare facilities, medical device manufacturers, and equipment suppliers. Ensure regulatory compliance and prevent counterfeit medical products from entering the supply chain.

  • Facility accreditation checks
  • Supplier due diligence
  • Product authenticity verification
  • Regulatory compliance

Employee Background Screening

Comprehensive background checks for healthcare employees with verification of professional licenses, education, criminal history, and exclusion list screening to protect patients.

  • Criminal background checks
  • OIG/LEIE exclusion screening
  • License verification
  • Drug testing coordination

Healthcare Industry Partners

Serving every sector of the healthcare ecosystem

Health Systems & Hospitals

Partner with leading hospital systems and academic medical centers to prevent fraud, verify providers, and protect patient safety. From small community hospitals to large integrated delivery networks.

Partner Types: Academic Medical Centers Community Hospitals Specialty Facilities

Health Insurance Payers

Collaborate with health plans, Medicare/Medicaid programs, and managed care organizations to detect claims fraud, verify eligibility, and reduce improper payments.

Partner Types: Commercial Insurers Medicare Advantage Medicaid MCOs

Pharmaceutical Companies

Work with pharma manufacturers, PBMs, and specialty pharmacies to prevent diversion, verify prescribers, and ensure patient program eligibility while maintaining compliance.

Partner Types: Drug Manufacturers PBMs Specialty Pharmacies

Health Technology Companies

Integrate with EHR systems, practice management platforms, and digital health companies to embed identity verification and fraud prevention into healthcare workflows.

Partner Types: EHR Vendors Telehealth Platforms Health Apps

Medical Staffing Agencies

Enable staffing agencies to quickly verify credentials and backgrounds for locum tenens, travel nurses, and temporary healthcare professionals while maintaining compliance.

Partner Types: Physician Staffing Nurse Staffing Allied Health

Healthcare Services Organizations

Support revenue cycle management companies, medical billing services, and healthcare BPOs with fraud detection and verification solutions.

Partner Types: RCM Companies Billing Services Healthcare BPOs

Healthcare Compliance & Security

Meeting the strictest healthcare regulations

HIPAA Compliant

Full compliance with HIPAA Privacy and Security Rules. Business Associate Agreements (BAAs) in place with all healthcare partners.

HITRUST Certified

HITRUST CSF certification demonstrates the highest level of security for handling protected health information.

CAQH Participant

Active participant in Council for Affordable Quality Healthcare credentialing data exchange network.

NCQA Certified

National Committee for Quality Assurance certification for credentialing verification organization (CVO) services.

SOC 2 Type II

Independent audit of security, availability, and confidentiality controls protecting healthcare data.

International Standards

Compliance with GDPR, PIPEDA, and other international healthcare data protection regulations.

Healthcare Partner Impact

Measurable results for healthcare organizations

Fraud Loss Reduction

Healthcare partners reduce fraud losses by an average of 70% within the first year of implementation.

70% Average Reduction

Faster Credentialing

Automated credentialing reduces provider onboarding time from 90+ days to under 30 days on average.

60+ Days Faster

Improved Patient Safety

85% reduction in medical identity theft incidents and duplicate medical records for partner organizations.

85% Fewer Incidents

Higher Accuracy

99.7% accuracy in provider credential verification and patient identity matching processes.

99.7% Accuracy

Partner With VettlyGlobal Healthcare

Discover how VettlyGlobal's healthcare solutions can reduce fraud, streamline operations, and improve patient safety for your organization.

Contact Healthcare Team View Healthcare Solutions