Agentic AI built for payer enrollment that proves itself
CredBrain works real payer portals, verifies every field it touched, and chases every application until it pays. It never submits without a human.
Live on a real federal portal today · every submission approved by a human
Profile verification
Before any mission runs, the profile has to prove itself
Northlake Family Medicine
Organization profile
A. Reyes, MD
NPI 1487 xxx xxx
NPPES identity match
State license active
OIG LEIE sweep clear
SAM.gov sweep clear
Documents complete
CAQH attested and current
Agent missions
Every field verified · submit stays human
A. Reyes, MD
Internal medicine
Medicare · PECOS 855I
J. Okafor, LCSW
Behavioral health
Optum · Provider Express
M. Kowalski, DDS
General dentistry
Delta Dental · DDS Enroll
S. Patel, NP
Family practice
Aetna · RFP intake
09:40:41 verifying identity against NPPES · match
09:40:48 sweeping OIG LEIE and SAM.gov · clear
09:40:55 profile verified · 6 of 6 checks · missions unlocked
09:41:07 field readback · 12 of 12 match intent · 0 mismatches
09:41:12 screening clear · NPPES · OIG LEIE · SAM.gov
09:41:15 submit locked · waiting for human approval
Autonomy you can watch, question, and stop
Missions run field by field, and read the portal back after every single write.
Mission · 855I
A. Reyes, MD
Comparing the live screen against intent, selector by selector
Anything unexpected, and anything irreversible, stops and waits for your team.
Read back did not match intent
checkbox#certifyAddress · expected checked
The mission paused itself. No value was logged, only the field and its state.
Every human correction becomes permanent intelligence, scoped so real risks still fire.
Exclusion screening
Name collision cleared by reviewer
Different person confirmed. Reason documented.
Silent across monthly sweeps, profile updates, and future agent runs
Built on receipts, not demos
Live on a real federal portal
The runner logs into Medicare PECOS today: real credentials, real MFA, real 855 drafts, watchable as it happens.
Every field read back
No exception is not the same as no error. Every fill, select, radio, and checkbox is re-read from the live screen and compared against intent.
Submit stays human
Five independent layers guarantee it, starting with the fact that the automation language has no submit instruction at all.
Corrections compound
Cleared false positives are fingerprinted and never fire again. Operator effort becomes system intelligence.
A verified knowledge base underneath
Fifty one jurisdictions of associate billing rules, 179 payer families of enrollment facts, and the honest word unknown where a fact is not pinned.
What runs today
Every automation, and the receipt behind it
No vaporware. Pick a capability, or let it walk you through the stack.
Autonomous portal runner
Logs into live Medicare PECOS, relays MFA to your operator, and prepares 855 drafts field by field.
- Real federal portal, real login, watchable in real time
- MFA relayed to a human operator, never stored loose
- Take over the browser at any moment
Field level verification
Reads every fill, select, radio, and checkbox back from the portal and compares it against intent.
- Every field re-read from the live screen after writing
- A mismatch pauses the mission for a human
- Per field artifact: selector, kind, pass or fail
Pre-submission verification
Fourteen checks against NPPES, OIG LEIE, SAM.gov, and CMS data before an application moves — and a verdict that says so when a check could not verify.
- NPI and identity confirmed against NPPES
- Exclusions swept: OIG LEIE, SAM.gov, and the Medicare opt-out list
- Green only when every applicable check actually verified
A screener that learns
When a reviewer clears an exclusion false positive, that identity is fingerprinted and the collision never fires again.
- Fingerprint by NPI, or name, birth date, and state
- Scoped per provider so real hits still fire
- Live across sweeps, updates, and agent runs
Follow up cadence engine
Every submitted application gets an autonomous follow up schedule and a payer contact log.
- Scheduled touches from day one to approval
- Every payer contact logged with its outcome
- Nothing sits silently in a payer queue
Agent command center
Live session monitoring for every agent run, built for operators.
- Watch the agent browser stream live
- Relay MFA and approve checkpoints in one click
- Stop any mission instantly
Document AI intake
Licenses, DEA certificates, and COIs are read on upload and extracted into the profile.
- Fields extracted the moment a document lands
- A human approves before anything writes
- Expiration dates captured for the watchlist
Expirables and revalidation watch
License, DEA, and malpractice expirations tracked, plus Medicare revalidation due dates synced from CMS.
- Alerts land before anything lapses
- Revalidation dates pulled from CMS data
- One compliance surface per provider
Portals as data
A payer portal fill is a configuration, not custom code, proven against the hand built original.
- PECOS config drives the browser identically
- 40 interactions, zero behavioral difference
- New portals become data, not projects
Medicaid multi state fills
Michigan CHAMPS and Illinois IMPACT next: two states that share one underlying system.
- One build covers two states by design
- Backed by our published 50 state platform research
- Same never submit rules from day one
Commercial payer flows
Aetna request for participation is the next commercial target, mapped like PECOS was.
- Human walkthrough first, then run as data
- Contract first flow honestly modeled
- Verification rules carry over unchanged
The mapping brain
The model that reads a new portal and writes the fill configuration itself.
- The executor it feeds is already live
- Every generated config is human reviewed
- Autonomy only grows behind the gate
Trust, engineered
"No error" is not "success"
Most automation trusts that a form filled without an exception was filled correctly. CredBrain does not. After every interaction it reads the portal back and compares what is actually on the screen against what it intended to write.
- Every fill, select, radio, and checkbox is verified, not just text fields
- A mismatch pauses the mission and hands it to a human with the evidence
- Each review pause carries a per field artifact: selector, kind, pass or fail, never values
Our rule for every new capability: if the system cannot detect that it did the wrong thing, it does not get more autonomy.
Verification artifact · screen 6 of 12
values never loggedMission paused. A human reviews the mismatch before anything continues.
Monthly sweep flags a name collision
An OIG exclusion entry matches a provider by name. The file pauses and a reviewer gets the evidence.
A human clears the false positive
The reviewer confirms it is a different person and documents why. That decision used to evaporate.
CredBrain fingerprints the identity
The excluded individual is remembered by NPI, or name, birth date, and state, scoped to this provider.
The same collision never fires again
Profile updates, monthly sweeps, and future agent runs stay silent on that name. The reviewer's hour became permanent intelligence.
The flywheel
Every correction makes it permanently smarter
Credentialing teams solve the same false alarms over and over. CredBrain treats a human correction as training data with a receipt: reviewed once, remembered forever, scoped precisely so it never hides a real hit.
Exclusion screening clearances run this loop in production today. Portal fill corrections and deficiency overrides are the next surfaces to get it.
The line that never moves
Five layers guarantee a human holds the pen
Autonomy grows. This gate does not. Submitting, signing, and attesting are human acts at PayerReady, enforced in depth.
The executor has no submit primitive
The portal automation language cannot express a submission. The capability does not exist to misuse.
Missions stop at the approval boundary
The state machine ends every autonomous arc at a human review step before anything irreversible.
Screens must prove themselves
Selectors are content anchored, so an unexpected page halts the run instead of guessing.
Verification must pass first
A run with an unresolved mismatch cannot even reach the approval step.
An operator watches live
Every session is observable in the command center, with take over and stop controls one click away.
The knowledge layer
Answers with receipts, not vibes
The agent runs on a verified knowledge base: primary sourced payer intelligence, state rules, and the honest word "unknown" where a fact is not yet pinned.
Associate Medicaid billing, all 51 jurisdictions
Rendered from the shipped guard's own configAsk CredBrain
Grounded answers on payer rules, state deadlines, and associate billing, each with its verification date. When the knowledge base does not know, it says so instead of improvising.
The research is public
The same intelligence powers our free references: who runs Medicaid enrollment in every state, and enrollment facts for 179 payer families.
Straight answers
Does CredBrain submit applications on its own? +
No, and it never will. Submitting, signing, and attesting always pass a human approval gate. Five independent layers enforce it, including the fact that the portal automation has no submit capability by construction.
How does it know it filled a field correctly? +
It reads every field back from the portal after writing it and compares the screen against intent. A mismatch pauses the run for a human, with a field by field verification artifact attached.
Which portals does it work today? +
Medicare PECOS runs live today: real login, MFA relay, and 855 draft preparation with verification on every field. Michigan CHAMPS and Illinois IMPACT are in development next, chosen because they share one underlying system.
What happens when a human corrects it? +
The correction becomes permanent intelligence. Cleared screening false positives are fingerprinted so the same collision never re-fires, and that pattern is expanding to portal fill corrections next.
See CredBrain in action
Free to start. Upload once, then watch the engine and your named specialist take it from there.
Every submission approved by a human. Every action logged. That part never changes.