Primary Source Verification (PSV) Services
Outsourced primary source verification from Staffingly. State board APIs, NPDB, ABMS, AOA, DEA, OIG LEIE pulled in parallel. NCQA CR 3 aligned, Joint Commission ready. Senior CPCS / CPMSM lead signs every file. Live in 14 days. Our staff work from secured facilities in India, Pakistan, and Bangladesh.
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What Is Primary Source Verification (PSV)?
What is primary source verification? Primary source verification (PSV) is the formal confirmation of a provider’s credentials directly from the issuing authority: state board for license, NPDB for malpractice and adverse actions, ABMS or AOA for board certification, DEA for prescribing authority, OIG LEIE for sanctions. NCQA CR 3 requires PSV at credentialing and recredentialing. Outsourced through Staffingly, the file builds in 7 days instead of 4 weeks.
Staffingly’s Primary Source Verification service builds NCQA CR 3 aligned PSV files for every clinician on the roster. The dedicated credentialing analyst pulls verification in parallel from state board APIs, NPDB query reports, ABMS or AOA board cert databases, DEA Active Registration database, and OIG LEIE. AI accelerates the watchful work; senior leads with CPCS or CPMSM credentials review and sign off on every file before submission.
Manual PSV takes 3 to 4 weeks because each source has its own portal, its own query process, and its own response timeline. Staffingly compresses this to 7 days by running every source query in parallel from day 1, using API access where available and structured query packets where it is not. The senior lead reviews on day 7. The completed audit-ready file ships on day 8.
Most groups pair primary source verification with NCQA credentialing file build, sanctions and exclusions monitoring, and provider credentialing and enrollment to keep panel coverage continuous.
What you need to know about primary source verification
Staffingly’s primary source verification service builds NCQA CR 3 aligned files in 7 days. State board, NPDB, ABMS, AOA, DEA, OIG LEIE pulled in parallel.
In-house PSV runs $65K to $95K per FTE per year fully loaded and typically takes 3 to 4 weeks per file. Staffingly delivers the same scope at $399 per role per week and ships in 7 days.
Most practices go live in 14 days. Days 1-2 we audit existing files for NCQA gaps. By day 14 the PSV pipeline is operational and the first new files are shipping.
Why is primary source verification so hard for most practices?
PSV failures are quiet failures. The state board portal returned an unexpected status. The NPDB query came back with an entry that was never explained. The ABMS database showed a board certification gap that the provider could explain in 30 seconds but nobody asked. The file gets submitted to a payer or a hospital MSO, and 6 weeks later the application is denied for an issue that could have been resolved in 24 hours if anyone had read the PSV carefully.
How is Staffingly’s primary source verification different?
Dedicated Credentialing Analyst
One named analyst per practice, not shared staff. Learns the provider roster, payer mix, and exception rules for consistent results.
Payer-Specific Desks
Aetna, UHC, Cigna, BCBS, Humana, Anthem, Medicare PECOS, and 50-state Medicaid each get their own desk that owns the daily filing and panel activation feedback loop.
HIPAA + SOC 2 Day 1
Encrypted VPN, BAA before kickoff, annual audits. Provider data never touches a public LLM. Only HIPAA-aligned private stack.
AI-Augmented Workflow
CAQH attestation reminders, payer portal status checks, sanctions sweeps, and expirables alerts run on automation. A senior credentialing lead signs off on every payer submission.
CPCS / CPMSM Senior Leads
NAMSS-credentialed senior leads on every account where the engagement requires it. Audit-ready files, NCQA CR 1-7 alignment, Joint Commission privileging packets.
Weekly KPI Dashboard
Applications submitted, panels active, days outstanding by payer, recredentialing pipeline, expirables status. CFO and practice administrator-friendly weekly recap.
Month-to-Month
Scale up or down with 30-day notice. Replace any team member in 48 hours. No long-term contract, no setup fee on most engagements.
One Account Leader
A single U.S.-based account leader who owns results from day one. Multi-location groups get location-specific reporting under one roster of truth.
AI + Automation in primary source verification
PSV has predictable structure: same sources, same query types, same response codes. AI handles the parallel querying and initial result triage. NAMSS-aligned analysts and CPCS / CPMSM senior leads do the human review on every file. Audit-ready files ship in 7 days, every time, with full audit log.
State board, NPDB, ABMS, AOA, DEA, OIG LEIE queried simultaneously from day 1. No serial waiting on any single source.
Returned data cross-checked against the application form. Mismatches and missing fields surfaced for senior review on day 5.
Audit-ready file assembled with PSV evidence, query timestamps, source citations, and reviewer sign-off block. Ships on day 8.
How does the primary source verification process work?
Discovery + roster review
Days 1-2. Provider list, specialty mix, payer panels, current credentialing status, expirables snapshot, and stuck-application triage.
CAQH + portal access
Days 3-7. CAQH delegate role, payer-portal credentials, baseline PSV, hospital MSO contacts confirmed. Workflows documented per payer.
Filing + chasing
Days 8-14. Applications filed, payer rep engagement begins, daily status updates, weekly review call with the practice administrator.
Pilot wrap
Day 15. Two-week pilot review against the agreed KPI baseline. Engagement decision: continue month-to-month or exit clean.
Performance tracking
Weekly KPI dashboard: applications submitted, panels active, days outstanding by payer, recredentialing pipeline, expirables status.
Continuous refinement
Monthly QBR with the practice administrator. Payer-rep relationships reviewed, panel coverage gaps closed, recred cadence held at 90 days early.
One Flat Weekly Rate. No Surprises.
Dedicated credentialing specialists at a fixed weekly cost. 45 hours per week, fully managed. No contracts, no minimums, no hidden fees.
One credentialing specialist, single-location practice
5+ specialists, mid-size practice or health system region
10+ specialists, multi-location health system or PE-backed group
All plans include dedicated credentialing specialists, payer portal access, EMR integration, and a 2-Week Risk-Free Pilot with a signed BAA. No long-term contract required.
Where can you get primary source verification services?
Our credentialing analysts work remotely inside CAQH, the payer portals, and the practice EMR. Wherever the practice is located, the same trained team delivers consistent primary source verification workflow and audit-ready output.
Healthcare practices across California, Texas, Florida, New York, Illinois, New Jersey, and every other state rely on Staffingly for primary source verification work. State-specific rules, payer mix, and exception protocols are tracked per engagement.
