Intiva Health is shifting its focus away from manufacturing to technology leadership, with a credentialing feature that maps NPIs, state licenses and DEA information.
Incredable’s suite of tools for verification now includes an NPI Crosswalk. The new feature links National Provider Identifiers(NPIs), State License Numbers and DEA Registrations to provide a verified, single view for each provider. This solution reduces manual data reconciliation and tightens audit trail, speeds up credentialing timelines and makes clinicians more appointment ready.
Alexander C. Candelario is the Chairman and CEO at Intiva. He said, “We are committed to excellence, not only in manufacturing, but in driving innovation in healthcare technologies.” While Gummi World’s clean-label success and our focus on quality control have been important to us, we are also focused on expanding the capabilities of credentialing technologies. We’re able to provide health systems with an easier, faster way to verify that their clinicians have the proper credentials and are ready to work.
National Provider Identifiers (NPIs) are the standard federal code for all healthcare providers. They must be used for HIPAA compliant transactions. The automated crosswalk between NPI files and state licensing files reduces time spent on manual reconciliation by hospitals, clinics and staff teams.
The NPI Crosswalk is Important Now
CMS maintains the National Plan and Provider Enumeration System, which contains authoritative NPI data used by regulators and payers. This information may contain multiple licenses from different states for one NPI. Automated matching of many-to-one is therefore crucial to complete the verification. To avoid missing licenses and to reduce compliance risks, crosswalks have become increasingly crucial.
Candelario continued, “Incredible’s NPI Crosswalk is part our larger vision at Intiva to integrate cutting edge technologies that streamline complicated workflows.” By automating the comparison of NPIs with licenses from state agencies and DEA registrations we eliminate operational bottlenecks. This makes it easier for health organizations to efficiently onboard new providers.
Although third-party DEA to NPI mapping services have high matching rates, they can be imperfect if not regularly updated. These services are able to map the majority of active prescribing DEA numbers into NPIs in practice. However, frequent updates will ensure accuracy. Incredable’s automated, integrated crosswalk provides continuous updates, maximizes efficiency and reduces the chance of error.
The Incredible NPI Crosswalk
Incredable’s crosswalk integrates three key capabilities to create a smooth workflow.
- Ingestion of NPPES files on a schedule for updating provider records automatically
- Logic for determining and probabilistic alignment of NPIs with licenses from state agencies and DEA registrations. Configurable thresholds to determine when manual reviews are necessary.
- Reporting and audit trails to ensure full compliance and transparency.
Candelario said, “We created this tool so that credentialing teams have more control and flexibility.” From automated updates to one time reconciliations, each feature is tied to a single unified profile of the provider. This is crucial for teams who need to remain compliant and keep their processes efficient.
This capability addresses recent changes to NPPES policies that now requires automated pipelines, version tracking and audit-ready data.
What this means for customers of Incredible
- Credentialing cycle reductions, and a shorter time to fill clinical roles
- Reduction in manual data entry and reconciliation.
- Source-linked proof for every verification step, resulting in a stronger audit readiness
- Integration with downstream systems such as scheduling, privileges, and payer registration
Candelario concluded, “This is only one example of Intiva’s expanding portfolio in support of healthcare organizations.” We’re revolutionizing healthcare with Incredable, and not only with Gummi World.
Incredable will continue to develop with AI enhanced features and workflows that are highly customizable to fit the needs of each healthcare organization. Credentialing teams will be able to adapt rapidly, stay accurate, and remain ahead of the game in an ever-changing regulatory environment. Visit incredable.com for a product demonstration to learn how Incredable could help your business.
The Incredible(tm).
Intiva Health revolutionizes the healthcare industry through innovation in technology, compliance and wellness. Intiva delivers innovative solutions in multiple industries as the parent company for Incredable Wellness Centers and Nova Vita Wellness Centers. With an innovative digital platform, Incredable simplifies the credentialing of providers and their compliance. Gummi World is the leading nutraceutical producer in the world. They ensure unsurpassed quality and safety for custom-made gummies and supplements. Nova Vita Wellness Centers offer advanced therapies for regenerative healthcare, such as IV infusions and peptides. These companies transform healthcare through improved efficiency, patient accessibility and outcomes.
