What Gemini Diversified Services does

Gemini Diversified Services, Inc. is a privately held, NCQA fully-certified Credentials Verification Organization (CVO) founded in October 2006 and headquartered in Fountain Valley, California. The company provides primary source verification, application management, ongoing credential maintenance (including sanction monitoring and expirable tracking), and customizable data exchange services to U.S. healthcare organizations, specifically health plans, medical groups, and hospitals. Co-founders Craig Rizzi (CEO) and Tammy White (President) lead a team of approximately 40-50 employees holding CPCS and CPMSM certifications, with the President having facilitated over 25 NCQA and URAC surveys.

The company's product platform is built on proprietary software and systems that combine automated workflows with live phone call outreach, supported by a real-time web portal for reporting, document management, and provider verification status, and a secure REST API for integration with client credentialing, billing, document storage, and EHR systems (including CAQH integration). Service Level Agreements underpin the managed-services revenue model, with custom quote-based pricing and multi-year contracts tailored to client-specific verification requirements across NCQA, URAC, CMS, Joint Commission, DNV, and AAAHC standards.

Gemini's go-to-market is sales-led and direct, relying on a 'Get Quote' website form, phone, and email outreach, supplemented by industry presence through NAMSS and CAMSS association participation and conference speaking. The company is bootstrapped and founder-owned, with no disclosed institutional funding, M&A activity, or geographic expansion beyond nationwide U.S. delivery. Operational performance metrics cited by the company include a 97% overall file completion rate, 95% accuracy, and 20-25 day average turnaround time compared to a 30+ day industry standard.

Name

Gemini Diversified Services

Legal name

Gemini Diversified Services, Inc.

Website

https://servicesbygemini.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

Gemini Diversified Services is an NCQA fully-certified Credentials Verification Organization that delivers primary source verification, application management, ongoing credential maintenance, and data exchange services to U.S. health plans, medical groups, and hospitals.

Ownership category

akta.pro rank

Headquarters

HQ city

Fountain Valley

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Credentialing Verification Services: Professional services revenue from primary source verification, application management, ongoing maintenance, and data exchange services for healthcare credentialing.
2. Service Level Agreements: The company offers services backed by Service Level Agreements, indicating contractual service-based revenue arrangements with healthcare clients.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Gemini Diversified Services is an NCQA fully-certified Credentials Verification Organization (CVO) that delivers primary source verification, application management, on-going maintenance (sanction monitoring and expirable tracking), and customizable data exchange services to healthcare organizations. It combines proprietary automation software with live phone outreach and a real-time web portal to verify provider credentials, manage applications, and integrate credentialing data with client billing, document storage, and EHR systems.

Product overview

Gemini Diversified Services offers a unified platform of credentialing verification services consisting of four core modules: Primary Source Verification (for verifying provider credentials against authoritative sources), Application Management (for preparing and tracking credentialing applications with CAQH integration), On-Going Maintenance (for sanction monitoring and expirable credential tracking), and Data Exchange (for integrating credentialing data with client systems via REST API). These modules are supported by a Real-Time Web Portal for reporting and document management, all powered by Gemini's proprietary software and systems that combine automation with live outreach capabilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Source Verification Verification services for Initial Credentialing and Recredentialing of Provider and Organizational (HDO) files to meet NCQA, URAC, CMS, TJC, AAAHC, and DNV standards. Includes verification sources such as State Licensure, Sanction History, DEA, NPI, Board Certification, NPDB, and more. Packages can be customized to meet client-specific requirements via standard or expedited service.
• Application Management Preparation and send-out of application packets and CAQH update notifications to Providers on behalf of clients for Initial Credentialing and Recredentialing. Includes end-to-end tracking, comprehensive reporting, dedicated call center follow-up, programming and pre-population, state standard/custom applications, recredentialing due date tracking, and application addenda management.
• On-Going Maintenance Includes Sanction Monitoring (immediate alerts for Provider/Organization matches from sanction publications plus monthly summary reports) and Expirables tracking (monitoring non-static credentials such as State License, Fluoroscopy Certificate, and Radiography Certificate to ensure timely renewal).
• Data Exchange Fully-customizable data exchange services to keep credentialing, billing, document storage, and EHR systems up-to-date. Features customizable templates, export and delivery schedules, real-time secure REST API, legacy delivery options (FTP, secure email), and common file formats (XML, CSV, PDF) with auditing and reporting.

Quantifiable outcome

• 97% overall file completion rate
• +2 more outcomes

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature5 records

Scale indicators6 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• symplr: symplr is a large healthcare GRC and provider-data management platform offering credentialing, payer enrollment, and provider lifecycle software. It competes with Gemini for hospital and health-plan credentialing spend but at significantly greater scale and with a broader portfolio.
• HealthStream: HealthStream provides healthcare workforce solutions including credentialing, learning, and provider data management. It overlaps with Gemini's health-plan and hospital credentialing offerings as part of a broader workforce-compliance suite.

Direct peers

• Verge Solutions: Verge Solutions is a healthcare credentialing software and services vendor serving hospitals, health plans, and CVOs. It directly competes with Gemini in primary source verification, credentialing workflows, and ongoing monitoring.
• IntelliSoft Group: IntelliSoft provides CVO and credentialing management services to healthcare organizations, including primary source verification and provider lifecycle management. It is a direct comparable in service mix and target customer profile.
• Cactus Software (Skywriter): Cactus Software (formerly Skywriter) provides credentialing, scheduling, and practice management software used by CVOs, medical groups, and hospitals. It is comparable to Gemini as a technology platform supporting provider credentialing workflows.
• MDReview: MDReview provides outsourced primary source verification and credentialing services to health plans, hospitals, and CVOs. It is a direct service-level peer to Gemini in the third-party CVO market.
• PCCS (Professional Credentials & Compliance Services): PCCS is a credentials verification organization offering primary source verification, payer enrollment, and ongoing monitoring services. It directly competes with Gemini across health-plan, medical-group, and hospital segments.

Emerging players

• Silversheet: Silversheet is a digital credentialing platform focused on streamlining provider credentialing for medical groups and ambulatory organizations. It overlaps with Gemini's medical-group and hospital segments but with a modern, software-led delivery model.
• MedTrainer: MedTrainer offers credentialing, compliance, and learning management software for healthcare organizations. It intersects with Gemini in provider credentialing and ongoing monitoring, particularly for ambulatory and mid-market providers.
• CertifyOS: CertifyOS is an API-first provider data platform delivering credentialing, licensing, and enrollment services. It is an emerging competitor targeting the same primary source verification and ongoing monitoring use cases Gemini serves.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/Gemini-Diversified-Services-Inc-127058874088601
• LinkedInlinkedin.com/company/geminidiversifiedservices

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Gemini Diversified Services