Provider Credentialing and Primary-Source Verification at Scale

Before a doctor or nurse can see patients or bill an insurer, someone has to confirm their license, board certification, DEA registration and sanctions status with the source that issued it. That means logging in to hundreds of state boards, national registries and payer portals, many of which block automated access, change their pages without notice, or ask for a one-time code at login.

The client was doing this work for healthcare organizations across the US. They needed a system that could check every source on its own, capture proof of each check, keep working when a portal changed, and grow from tens of thousands of checks a day to hundreds of thousands.

BeyondScale built and runs the verification engine. It checks state licensing boards, national registries, certification boards, OIG, OFAC and SAM sanctions lists, DEA and CDS registries, and payer enrollment portals. Every check saves a screenshot and the fields that matter, such as license status and expiry, certification status, sanction status and DEA validity.

Each source is described by a configuration file instead of custom code. There are 641 of them, covering how to log in, how to handle one-time codes, how to recognize a blocked page and what proof to capture. The same file drives production, testing and repair, and every version is kept.

When a portal changes, a repair agent finds the cause, tries a fix against the real portal, and proposes a tested change. A person approves every change before it goes live. A separate check confirms each screenshot shows the right page and the right provider before results are sent on. Work is queued by priority and the fleet scales on demand on AWS and Kubernetes.