The Austin company rebuilding healthcare's back office — turning provider credentialing from a weeks-long paper chase into a real-time, API-driven system.
VERIFIABLE, INC. — The company's wordmark, set against its signature navy. Co-founded by Nick Macario and Viv Rajkumar, the firm operates from Austin, Texas.
Before a physician can see a single patient inside a network, someone has to prove that the physician is who they say they are - that the license is real, the training checks out, the board certifications hold, and there are no sanctions on the record. This process is called credentialing, and for decades it ran on fax machines, spreadsheets, and phone calls to state boards. It routinely took weeks. Verifiable was built to make it take days.
Founded in 2020 by Nick Macario and Viv Rajkumar, Verifiable is a healthcare technology company that treats provider data the way a modern fintech treats payments: as infrastructure that should move in real time. Its platform connects to thousands of primary sources - the licensing boards, registries, and exclusion databases that are the ground truth of a provider's record - and verifies credentials through an API rather than a call center.
The company went through Y Combinator's Summer 2020 batch and has since raised roughly $47 million across seed, Series A, and a $27 million Series B led by Craft Ventures. Its investor list is unusual for a back-office healthcare company: it includes both Altman brothers, Sam of OpenAI and Jack of Alt Capital, alongside Highland Capital Partners and 137 Ventures.
Today Verifiable says it serves more than 200 clients - a roster that runs from national payers like Humana to fast-growing digital health companies such as LifeStance Health, Lyra Health, Modern Health, and Grow Therapy. What connects them is a shared operational headache: every provider they add represents revenue that is frozen until credentialing clears.
That is the wedge. A week of delay in credentialing is a week a provider cannot bill, which for a large group can compound into millions of dollars of stranded revenue. Verifiable's pitch is simple to state and hard to build: automate the verification, and the money starts flowing sooner.
Verifiable's core product is credentialing software built around primary source verification (PSV) - the regulatory requirement that a provider's qualifications be confirmed with the issuing source, not just taken on paper. Where legacy teams did this manually, Verifiable automated the connections and layered continuous monitoring on top, so a newly issued sanction or a lapsed license is caught the day it happens rather than at the next renewal cycle.
Around that engine the company has built a stack of services: an NCQA-certified CVO (Credentialing Verification Organization) for organizations that want the work managed for them; provider enrollment and intake to handle onboarding and payer enrollment; ongoing monitoring for sanctions and exclusions; and, in 2023, a set of enterprise network-management products delivered natively on Salesforce to meet large payers where their operations already live.
Going into 2023, we exceeded our revenue targets while maintaining strong capital efficiency - all in an otherwise down market. — Nick Macario, Co-Founder & CEO
Verifiable's customers cluster into three groups. Payers and health plans - Humana among them - use it to manage the credentialing and monitoring of large provider networks. Digital health companies growing quickly, like Lyra Health, Modern Health, and Grow Therapy, use it to credential clinicians fast enough to keep up with hiring. And CVOs and staffing partners use its infrastructure to power their own verification work.
Legacy credentialing is slow, manual, and often outsourced offshore. Every delay costs money and creates compliance exposure. Verifiable's argument is that the same work, done as software, collapses the timeline and shrinks the error rate. The company points to customer-reported gains like a 67% reduction in turnaround times and seven-figure cost savings.
Figures reflect company and customer-reported results in press materials and are approximate; individual results vary by organization and provider type.
Plenty of vendors sell credentialing services. Verifiable's distinction is that it built the underlying verification infrastructure as an API and then earned the compliance credentials - NCQA certification and SOC compliance - that let regulated buyers trust it. That combination is harder to fake than a services wrapper: the software has to be fast, and the outputs have to survive an audit.
Sanctions, exclusions, and license changes are surfaced as they happen, not at the next renewal, reducing compliance blind spots.
An NCQA-certified verification organization with audit-ready file quality and reported 100% scorecard pass rates.
Enterprise network-management products delivered natively on Salesforce, fitting into payer operations rather than replacing them.
API-first primary source verification connecting to thousands of sources to credential providers in days.
NCQA-certified managed verification with sub-3-day turnaround and audit-ready quality.
Continuous, configurable monitoring for sanctions, exclusions, and license status with alerting.
Automated provider onboarding, data collection, and payer enrollment workflows.
Provider network management delivered natively on the Salesforce platform.
Autonomous AI agent for end-to-end credentialing that cites its primary sources and keeps a human in the loop.
CredAgent fundamentally changes how credentialing teams operate by providing autonomous agents that work around the clock. — Nick Macario, CEO, on the 2026 CredAgent launch
Verifiable earns money three ways: software subscriptions for its platform, usage-based pricing tied to the volume of verifications run through its API, and services revenue from its managed NCQA-certified CVO. That mix lets it sell to a lightweight digital-health startup and a national payer with the same underlying data infrastructure.
Its expertise is narrow and deep: provider data. Building an API into thousands of fragmented, inconsistent primary sources - and keeping those connections current - is the moat. The company reported tripling revenue in 2023 while staying capital efficient, and public estimates put annual revenue in the low-tens of millions.
Verifiable competes with credentialing and provider-data players such as Medallion, symplr, Verisys, CAQH, and Andros, as well as the in-house and offshore teams that still do much of this work manually. Its bet is that an API-first, AI-augmented approach - now anchored by CredAgent - insources work that companies used to outsource, and does it faster.
| Round | Amount | Year | Lead / Investors |
|---|---|---|---|
| Seed | $3M | 2020 | The Altman Fund, Struck Capital |
| Series A | $17M | 2021 | Struck Capital, The Altman Fund |
| Series B | $27M | 2023 | Craft Ventures (lead), Highland Capital, 137 Ventures, Cooley |
Sources: TechCrunch, PR Newswire, HIT Consultant. Totals reflect publicly reported figures.
Nick Macario and Viv Rajkumar launch Verifiable in YC's S20 batch, raising a $3M seed.
Fresh capital to scale the API that manages and verifies healthcare provider information.
Craft Ventures leads; revenue triples and enterprise products ship natively on Salesforce.
Verifiable introduces an autonomous AI credentialing agent, citing up to 10x specialist productivity in pilots.
Compiled from public sources including verifiable.com, TechCrunch, PR Newswire, HIT Consultant, and Y Combinator. Figures are approximate where noted.