Clinical operations · Provider credentialing

Verifiable

The Austin startup trying to empty the file cabinets of physician credentialing, first with APIs and now with AI agents.

Manila folders

“If you walked into a credentialing department 25 years ago, you would see file cabinets filled with manilla folders and paper,” Janan Dave, Verifiable’s vice president of operations, told NCQA in 2025. “Some organizations still do it that way.”

Credentialing is the check that happens before a clinician can join a health plan’s network or a hospital staff. Licenses in every state where they practice. Board certifications. Controlled substance registrations. Work history. National Practitioner Data Bank reports. Federal sanctions and exclusion lists. Each item has to be confirmed with the original source, then checked again on a schedule for as long as the clinician stays in the network.

Until it is done, a new physician’s appointments can’t be billed to that plan. Assured, a credentialing competitor, estimates typical delays at 90 to 120 days and puts a physician’s lost earnings over 120 days at up to $122,144, using federal salary data. In a November 2025 MGMA poll of medical groups, 32% reported some kind of credentialing backlog or delay heading into the new year.

A founder who kept building credentials

Nick Macario came to healthcare sideways. His first identity business was branded.me, a personal website builder that he sold. Next came Remote.com, an outsourced HR company that ran background checks and verified employee credentials all day. That is where he saw the opening, TechCrunch reported in 2020: healthcare still verified huge volumes of credentials by hand, and telemedicine was about to multiply them.

He started Verifiable with Vivekanand (Viv) Rajkumar, who became chief technology officer, and incorporated in 2019. Macario had also co-founded Dock, a blockchain credentials network that Verifiable worked with at launch. Y Combinator took the company into its Summer 2020 batch.

The right year

Verifiable launched in August 2020, as COVID pushed care onto video. At launch it was already verifying and monitoring more than 50,000 providers. Early customers included Talkspace, Sesame and Verge Health.

The first product was an API that pulled from hundreds of primary sources, captured an image of each record, and kept a time-stamped audit log. Prices ran from about $2 to $10 depending on how deep the checks went.

“It’s not a one-and-done verification,” Macario said that year. “You need to check on a monthly basis to make sure that providers are compliant.”

Jack Altman talked about the company with his wife, a nurse. She told him there were still teams of people doing this work. He invested at seed, joined the board, and with his brother Sam led the $17 million Series A in 2021.

From startups to Humana

The first customers were digital health companies. The next were enterprises. By mid-2023 Verifiable had signed Humana, which moved credentialing in-house from an outside verification vendor and ran it on Verifiable’s software inside Salesforce. Humana was projecting a 15% cost reduction, according to Verifiable’s announcement. The customer list the company cites also includes Lyra Health, Modern Health, Grow Therapy, Wheel, LifeStance and Zelis.

Macario said revenue tripled in the 12 months before the $27 million Series B in July 2023, led by Craft Ventures. “Some of our largest competitors in the space are also customers of our platform,” he said.

Verifiable also earned NCQA Credentialing Certification as a credentials verification organization, so it can do the work itself for clients that delegate it. In a compliance market that matters. Many health plans are required by state law or contract to use accredited or certified vendors.

Agents in the file room

In February 2026 the company launched CredAgent, which it calls the industry’s first autonomous AI agent for end-to-end credentialing. Instead of one specialist working one file from start to finish, a specialist supervises many agents working many files at once.

The agents pull provider data, check the NPI, read applications for attestation and disclosure answers, verify licenses, and stop for a human when something is unclear. In one demo, an agent caught a “yes” on a disclosure question that should have been a “no” and put it in front of the specialist.

Verifiable says the approach delivers up to 10 times the productivity of human specialists, based on early pilot data. That figure is the company’s own and has not been independently audited.

What is proven, and what is still claimed

Verifiable’s strongest independent proof point is NCQA certification, a real bar in a compliance business. Its customer and growth claims have held steady across six years of coverage, but they come from the company.

The field

Credentialing software is crowded. Medallion, CertifyOS and Assured sell similar automation, and Assured raised a $19 million Series A in July 2026 to automate credentialing and enrollment with AI agents. Established vendors such as symplr and HealthStream sell credentialing software and CVO services. Verifiable’s pitch is its data plumbing: direct connections to primary sources in all 50 states, now more than 3,200 verification types, according to the company.

What to watch

• Whether CredAgent’s productivity claims hold up in results customers publish themselves.
• More health plans pulling credentialing in-house, as Humana did.
• NCQA standards updates, which reset what every vendor must do.
• A next financing or an acquisition. The last Form D was filed in 2023.

In their words

Sources

1. CertifierCustomer Success Story: How Verifiable helps organizations meet NCQA standardsNCQA, Becky Kolinski · Oct 8, 2025
2. IndependentAustin-based Verifiable raises $3 million for its API toolkitTechCrunch, Jonathan Shieber · Oct 20, 2020
3. IndependentProvider identity API startup Verifiable collects $3M seed fundingMobiHealthNews, Dave Muoio · Oct 22, 2020
4. IndependentVerifiable secures $17M for its API that manages healthcare provider informationTechCrunch via Yahoo Finance, Christine Hall · Aug 2021
5. IndependentVerifiable validates its healthcare credentialing software with another $27MTechCrunch, Christine Hall · Jul 10, 2023
6. IndependentAltman-backed startup Verifiable rolls out AI agent to automate credentialingFierce Healthcare, Anastassia Gliadkovskaya · Feb 26, 2026
7. IndependentStartup Assured banks $19M to build out AI-powered platform for provider onboardingFierce Healthcare, Cailey Gleeson · Jul 22, 2026
8. IndependentPhysicians lose the most from provider credentialing delays (Assured data)TechTarget, Jacqueline LaPointe · Mar 17, 2025
9. IndustryConfronting credentialing, reappointment crunch time (MGMA Stat poll)MGMA · Nov 2025
10. Public recordForm D filings, Verifiable Inc., 2021 and 2023SEC EDGAR, CIK 0001873843
11. CompanyVerifiable lands $27M Series B from Craft VenturesPR Newswire · Jul 10, 2023
12. CompanyAbout VerifiableAccessed Sep 21, 2026
13. CompanyWebinar recap: Credentialing, your clearest AI win in 2026Verifiable · Jul 2026
14. DirectoryVerifiable on Y CombinatorYC