The Credentialing Maze Has a Way Out

Charlie Lougheed
Written by Charlie Lougheed CEO & Founder

The problem was never just the maze. It was the data we carried through it.

Provider credentialing delays aren’t caused by too many regulatory bodies; they’re caused by manually entered data that’s wrong from the moment it’s keyed in. Axuall’s clinician data network exists to fix that root cause, not just to move the paperwork around faster.

A recent Forbes Technology Council piece, “The Provider Credentialing Maze: Are We Protecting Patients or Slowing Care?” by John Bou, has been getting deserved attention. It captures the scale of the problem well: per Forbes, a single credentialing application can require upward of 140 core data elements, the average physician holds contracts with roughly 19 payers at a time, some 70 state medical and licensing boards apply their own criteria, and credentialing timelines routinely stretch to three or four months. There’s one thing we know to be true: A clinician’s credentials will be checked and rechecked hundreds of times over a career.

The article is right that this duplication of work is a structural problem that the industry needs to correct. But duplication is the symptom. The disease is what all that duplicated work is operating on: manually entered data that is inherently flawed, riddled with errors, omissions, and stale entries from the moment it is keyed in.

The maze is a symptom. Manual data is the disease.

Consider what actually happens inside the maze. A clinician types their history into an application. A coordinator may then have to re-key it into a credentialing system. A payer transcribes it again for enrollment. A directory team copies it once more. At every step, humans transcribe documents, self-reported forms, and aging database records by hand. Every keystroke is a chance to introduce an error, and every form is a chance to omit something. Then, verification teams spend months trying to catch the mistakes that manual entry guaranteed in the first place.

Why Doesn’t Centralizing Credentialing Data Fix the Problem?

This is why centralizing the process, on its own, has never solved it. A central repository of manually entered data is just a bigger filing cabinet of the same errors and omissions, distributed more efficiently. You cannot fix a data quality problem with a workflow tool. The duplicated work is only necessary because no one trusts the underlying data. Remove the flaws from the data, and most of the duplication loses its reason to exist.

Real-world primary source data changes the equation

Here is what has changed and what makes this moment different from every previous attempt at credentialing reform: real-world primary-source data now exists at scale. Licensure boards, DEA registrations, certifications, sanctions, education, training, and practice data can be drawn directly from the sources that originate them, rather than transcribed from what a person remembers to write on a form. This is the foundation Axuall’s clinician data network is built on. 

Three capabilities turn that raw material into working infrastructure:

Self-healing data connectors maintain live links to primary sources and repair themselves when those sources change formats, fields, or interfaces. The data pipeline does not silently break and start serving stale records; it adapts and keeps flowing.

Automated consolidation resolves the many fragmented records for every clinician into a single, coherent, longitudinal record, reconciling conflicts with the primary source rather than asking a human to guess which entry is correct.

AI insights rest on data that is actually true. That distinction matters. AI applied to manually entered data just produces wrong answers faster. AI applied to consolidated primary-source data can flag risks, predict attrition, surface network gaps, and answer workforce questions that were previously unanswerable.

Beyond credentialing: engagement, directories, and access

Once clinician data is drawn from primary sources and kept continuously up to date, credentialing becomes dramatically faster. But stopping there would undersell what is happening. The same data foundation transforms everything downstream that depends on knowing, accurately and right now, who a provider is and what they can do.

Provider engagement improves because clinicians are no longer asked to fill out the same forms for the dozenth time; now they’re just asked to verify what the system has already found on their behalf, from trusted sources. Provider directories, a chronic and well-documented source of accuracy problems across the industry, stay current automatically rather than decaying between manual audits. And accurate, real-time directories are the raw material for precision scheduling and genuine access improvements: patients matched to the right clinician with the right qualifications and availability, the first time.

This future is not aspirational. It’s here. 

Axuall leads this shift, with the first widespread, proven clinician data network in production across millions of providers and many of the largest healthcare organizations in the United States. Health systems are not piloting a concept. They are collecting credential proof in minutes rather than weeks, engaging clinicians without duplicative paperwork, and running workforce intelligence using data drawn directly from the source.

The Forbes piece asks whether credentialing protects patients or slows care. The way to do the first without the second is not to wrap more processes around flawed data. Axuall replaces manual credentialing data entry with continuously verified, primary-source data cutting verification time from months to minutes. The maze has a way out, and the industry is already walking through it.

To learn how Axuall’s clinician data network powers credentialing, workforce intelligence, and provider data operations, request a meeting.

FAQ

What causes provider credentialing delays?

Manual data entry, not the number of regulatory bodies involved. Every time a clinician’s information is re-keyed by hand (on an application, in a credentialing system, during payer enrollment) there’s a new chance for errors and omissions that verification teams then have to catch, which is what stretches timelines to three or four months.

Does centralizing credentialing data solve the problem?

Not on its own. A central database built from manually entered records still contains the same errors, just in one place. The fix is sourcing data directly from primary sources: licensure boards, DEA registrations, certifications, so the data is accurate before it’s centralized.

How does Axuall reduce credentialing time?

Axuall’s clinician data network pulls verified data directly from primary sources through self-healing data connectors, consolidates fragmented records into a single longitudinal profile per clinician, and applies AI insights to data that’s already accurate. This moves credential verification from a months-long manual process to a matter of minutes.

Five Ways That Strategic Partnership is the Core of Axuall’s Support Function

Jordan Hooker
Written by Jordan Hooker Associate Director of Support

When most people think of a data company’s support function, they may picture a digital fire department. A ticket gets submitted, a fire gets put out, and the queue resets. It is fundamentally reactive.

We do things a bit differently at Axuall. We look at the clinical workforce data space and recognize that standard “troubleshooting” isn’t enough. Healthcare systems are navigating massive, complex integration layers, shifting regulatory environments, and the ever-present pressure to get clinicians practicing faster.

In this environment, a traditional help desk is a bottleneck. That is why we built our support function to operate as a true strategic partner. Beyond resolving technical glitches, our team acts as an extension of our clients’ operational strategies.

Continue reading to learn about the five key ways Axuall’s support function goes beyond troubleshooting to drive long-term customer success.

1. Transforming Product Feedback into Systemic Enhancements

Our support team doesn’t just patch an individual user’s issue and close the ticket. They serve as the direct connection between our customers’ daily operational realities and our engineering roadmap.

Every ticket is analyzed for root causes and broader trends. If a customer encounters a friction point while verifying a specific data source, our support team doesn’t just find a workaround for that day, they collaborate with our product teams to optimize the integration for everyone. By treating support data as product intelligence, we ensure our platform evolves alongside the real-world needs of our users.

2. Proactive System Monitoring and Optimization

A strategic partner doesn’t wait for you to notice something is wrong. Axuall’s support function leverages proactive monitoring to identify anomalies in data flows, API connections, and credentialing pipelines before they ever impact a customer’s workflow.

Whether it’s spotting a delayed response from an external primary source verification (PSV) database or noticing an optimization opportunity in how a customer’s deployment is structured, our team actively reaches out with solutions. We aim to solve problems before they land in a user’s inbox.

Other teams focused on exposing provider onboarding progress through public APIs, automating bug triage and code generation workflows, improving permissions management, and creating automated data quality validation tools.

Many of these projects were conceived, built, and demonstrated within a single workday.

3. Deep Domain Expertise in Healthcare Credentialing

Technical support is easy to find; healthcare-specific data expertise is rare. The professionals staffing Axuall’s support function deeply understand the stakes of clinical operations. They know what NCQA and Joint Commission compliance means, they understand the urgency behind a surgeon’s onboarding timeline, and they speak the language of Medical Staff Services.

This deep domain knowledge means our customers don’t have to spend time translating complex medical staff workflows into tech-speak. We understand the “why” behind your request from the moment it arrives.

4. Tailored Workflow Consultations

No two healthcare systems operate exactly alike. When a customer undergoes operational shifts, our support function steps in to consult on best practices. 

Instead of just answering basic “how-to” questions, we partner with your operational leaders to look at how Axuall can best map to your new workflows. We help configure custom data triggers, optimize user permissions, and ensure your deployment is scaled to handle organizational growth efficiently.

5. Driving ROI Through Continuous Education

Software only delivers maximum value if your team actually knows how to use its advanced features. As Axuall continuously rolls out new automated data networks and features, our client services and support teams act as an ongoing educational resource.

Through targeted insights, proactive outreach, and clear documentation, we help your team move past basic usage and embrace the full power of Axuall’s workforce intelligence network. By ensuring your staff is confident and highly proficient, we directly help shorten your time-to-credential and maximize your return on investment.

The Axuall Standard

We measure our success not just by how fast we close a ticket, but by how effectively we help our partners eliminate administrative waste and accelerate clinical deployment.

At Axuall, support isn’t a safety net, it’s a launchpad for your operational success.

Striking Sparks: How AI and a Startup Mindset Shaped Our First Company Hackathon

Pooja Kandikonda
Written by Lucinda Morningstar Manager of Engineering

At Axuall, we have always believed that innovation isn’t a milestone you reach; it’s a muscle you have to keep training. As companies grow, it is easy for the frantic, brilliant chaos of the early days to give way to structured roadmaps and predictable routines. Recently, we decided to hit pause on the daily sprint cycle and return to our startup roots.

Enter Haxuall: our first company-wide hackathon.

Over a single day of focused building, seven cross-functional teams stepped away from their normal work to tackle real customer problems, internal friction points, and ambitious new ideas. Engineers partnered with product managers, client services, architects, and engineering leaders to see how much progress could be made in just a few hours.

The results exceeded expectations.

What emerged wasn’t just a collection of prototypes. It was a demonstration of how modern AI tools, paired with talented teams and clear business problems, can dramatically accelerate innovation.

The Startup Mindset Never Left

It is easy to talk about maintaining a startup culture. It is much harder to create the conditions that allow it to thrive.

Haxuall was designed to do exactly that.

Teams were given the freedom to bypass traditional planning cycles, collaborate with colleagues they don’t normally work alongside, and focus on a single question:

“What would we build if we could start today?”

The result was a day filled with experimentation, creativity, and rapid problem-solving. Participants truly enjoyed collaborating with each other to build something from the ground up.

My favorite part was the collaboration — it allowed client-facing teams to throw out their wish list and see what ideas came to mind for execution.
Hackathon Participant

The event reminded us that some of the best ideas emerge when engineers, product managers, and customer-facing teams work side by side to solve problems together.

AI as a Catalyst, Not the Destination

One theme emerged across nearly every project: AI dramatically reduced the effort required to move from idea to working software.

Rather than spending hours on boilerplate code, setup, and repetitive implementation work, teams were able to focus on solving problems, refining ideas, and rapidly iterating.

The impact was visible throughout the day.

One team built “Company Brain,” an AI-powered system designed to transform information scattered across Slack, Jira, and pull requests into a living company knowledge base. Automated agents ingest information, synthesize key facts, and organize them into continuously evolving topics, helping preserve institutional knowledge and making it easier for both employees and AI systems to access organizational context.

Another team created a Chrome extension that uses provider-verified data to automatically populate credentialing forms on external websites. The prototype demonstrated how provider identities, licenses, and certifications could be mapped directly into third-party systems, reducing repetitive data entry and streamlining administrative workflows.

A third team tackled what they called the “Scroll of Doom” — the challenge clinicians face when trying to find expired credentials, failed verifications, and other issues buried within lengthy credentialing checklists. Their solution introduced a smart summary experience that immediately highlights items requiring attention and links users directly to the relevant sections.

Other teams focused on exposing provider onboarding progress through public APIs, automating bug triage and code generation workflows, improving permissions management, and creating automated data quality validation tools.

Many of these projects were conceived, built, and demonstrated within a single workday.

Why Healthcare Innovation Requires Experimentation

Healthcare technology is filled with complexity.

Credentialing, onboarding, compliance, integrations, and data management all involve highly regulated workflows that cannot simply be “moved fast and broken.”

At the same time, complexity cannot become an excuse for stagnation.

Many of the projects showcased during Haxuall addressed real-world challenges faced by healthcare organizations, providers, and internal teams. From simplifying clinician workflows to increasing transparency into credentialing progress and improving data quality, the projects were grounded in practical problems with measurable impact.

By creating a safe environment for experimentation, we were able to explore ideas that might otherwise take months to evaluate through traditional planning processes.

Watching our teams build real solutions in a single day reminded me why we started Axuall. The energy in that room wasn't just about clever technology; it was about people who genuinely care about getting clinicians to patients faster. When you pair that kind of talent with a mission this important, you see just how much we can accomplish
Charlie Lougheed Founder & CEO, Axuall

 

Some of these projects may evolve into future roadmap initiatives. Others may simply influence how we think about solving problems moving forward.

Both outcomes are valuable.

Building the Future Together

One of the most rewarding aspects of Haxuall was seeing how effectively cross-functional teams could collaborate when focused on a shared goal.

Client services brought customer pain points.

Product teams provided context and direction.

Engineering leaders helped teams stay focused and remove obstacles.

Engineers transformed ideas into working software.

The result was not just innovation. It was alignment.

When everyone shares ownership of solving customer problems, progress happens faster.

Culture is a Product Too

Ultimately, Haxuall reminded us that culture is a lot like software. It requires continuous investment, iteration, and improvement.

Giving teams the freedom to experiment didn’t just produce prototypes. It reinforced the curiosity, creativity, and collaboration that helped build Axuall in the first place.

Several projects are already being evaluated for future development, and we’re excited to see what emerges from future Haxuall events.

Because innovation isn’t something you achieve once.

It’s something you practice.

Every day.

Ready to work with our innovative teams to build something amazing?

Introducing Delegate Access in the Clinician Wallet

Pooja Kandikonda
Written by Pooja Kandikonda Senior Product Manager

Credentialing is a team effort, but logistical hurdles can often slow the momentum. While MSPs are eager to advance applications, clinicians are frequently balancing demanding patient loads that make manual data entry a challenge. Small gaps, such as a missing document or a quick date confirmation, can inadvertently lead to stalled start dates. On the other hand, the clerical work involved for the physician to submit that information can feel like busywork and often stretches timelines further. 


We listened to these challenges, and are proud to launch Delegate Access within Axuall Confirm to address this pain point many MSPs and clinicians experience. This feature bridges the gap, allowing teams to support their clinicians and keep the enrollment process moving forward without the wait. Delegate Access allows physicians to reduce their administrative workload by letting credentialing teams handle it for them, in a compliant environment.

No More Workarounds

Let’s be honest: up until today, the credentialing process felt a bit like the Wild West.

When a credentialing professional needed to help a clinician complete sections of their Wallet, there was no standardized way to do so. Delegate Access is an official solution.

This solves three real-world problems:

  1. Potential security breaches when sharing login credentials are a real risk in our increasingly digital world.
  2. Privacy concerns that put both the clinician and the credentialing team member in an uncomfortable position regarding data ownership 
  3. No audit trail due to everyone logging in under the same identity, making it impossible to track who changed what  


We saw the volume of these concerns clearly, and clinician feedback comments specifically called out that clinicians shouldn’t be the ones completing these applications in the first place. Delegate access keeps the process moving smoothly, even when providers inevitably get busy with their day jobs.

Now, Admin Center delegates can complete the following Wallet sections:

  • Personal Information
  • Professional Information
  • Employment History
  • Verified Source Review
  • Tasks

A Better Way Forward: What Delegate Access Does

Delegate Access empowers providers to stay focused on patient care instead of paperwork.

Here’s what that looks like in practice:

Credentialing professionals can log in directly from the Admin Center. No shared passwords, no credential handoffs. Credentialing teams and support staff access a clinician’s Wallet through the Admin Center using their own login.

Delegates can complete key application sections. This includes professional information, employment history, and supplementary tasks (the time-consuming parts of the credentialing application that don’t require the clinician personally).

Clinicians stay in control. Every clinician must grant consent to the organization before a delegate can access their Wallet, and they can revoke that access at any time. Consent is clinician-controlled, not admin-controlled.

Sensitive sections remain locked. Identity verification, signatures, attestations, and final submission stay with the clinician. Delegates cannot submit the Wallet on a clinician’s behalf, and they cannot access the “Your Data” section, which contains sensitive clinician information outside the scope of the credentialing application.

Every action is logged. The audit trail captures who accessed the Wallet and when, giving your team the documentation needed for internal review and accreditation.

One Data Foundation, Multiple Use Cases Why This Matters for Your Organization 

Delegate Access addresses problems that show up across operations, security, and provider experience.

Reduced security risk. Credential sharing is eliminated. Credentialing team members get scoped access through their own accounts instead of logging in as someone else.

Compliance readiness. The audit log provides the documentation trail needed for accreditation and internal review — answering “who did what, and when” without manual reconstruction.

Better provider experience. Reducing administrative burden on clinicians is directly correlated with higher NPS scores and faster Wallet completion times. Letting your credentialing team handle the parts they’re already trained to handle means clinicians spend less time on paperwork they didn’t sign up for.

Getting Started

Delegate Access for Axuall Confirm is available now in the Admin Center. If you’re an administrator at an organization using Axuall, contact your support representative to begin using delegate access.

If you’re curious about what the Axuall Clinician Wallet has to offer, click here to speak with our team about the possibilities of what this tool can do for your organization. Whether you’re a staffing agency or health system, we’d be happy to show you how our platform can streamline your credentialing process, accelerate onboarding, and get your clinicians to work faster.