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.
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.
Health Insurance Payers
Collaborate with health plans, Medicare/Medicaid programs, and managed care organizations to detect claims fraud, verify eligibility, and reduce improper payments.
Pharmaceutical Companies
Work with pharma manufacturers, PBMs, and specialty pharmacies to prevent diversion, verify prescribers, and ensure patient program eligibility while maintaining compliance.
Health Technology Companies
Integrate with EHR systems, practice management platforms, and digital health companies to embed identity verification and fraud prevention into healthcare workflows.
Medical Staffing Agencies
Enable staffing agencies to quickly verify credentials and backgrounds for locum tenens, travel nurses, and temporary healthcare professionals while maintaining compliance.
Healthcare Services Organizations
Support revenue cycle management companies, medical billing services, and healthcare BPOs with fraud detection and verification solutions.
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.
Faster Credentialing
Automated credentialing reduces provider onboarding time from 90+ days to under 30 days on average.
Improved Patient Safety
85% reduction in medical identity theft incidents and duplicate medical records for partner organizations.
Higher Accuracy
99.7% accuracy in provider credential verification and patient identity matching processes.
Partner With VettlyGlobal Healthcare
Discover how VettlyGlobal's healthcare solutions can reduce fraud, streamline operations, and improve patient safety for your organization.