Sentry Healthcare Solutions, LLC (Sentry) develops customizable operational and strategic solutions for federal and state health plan programs nationwide. Formed as a joint venture between Verve, LLC (Verve) and Noridian Healthcare Solutions, LLC (Noridian), Sentry supports government health programs through innovation, operational excellence, and strategic alignment.
The partnership brings together decades of experience and a shared commitment to delivering healthcare and professional services designed for federal agencies. Verve is a Service‑Disabled Veteran‑Owned Small Business (SDVOSB), strengthening Sentry’s mission and federal positioning.
Noridian brings extensive experience supporting one of the nation’s largest rural provider networks, delivering tailored solutions that meet the diverse needs of communities nationwide. Together, Sentry delivers customized, high‑value solutions through a “Partnership for Success” delivery model, grounded in a strong understanding of federal security, governance, and budget requirements.
We provide essential administrative solutions that empower healthcare organizations to deliver efficient, high-quality care. Our core services include:
We empower organizations and communities through a strategic approach to outreach, education, and training. By combining targeted outreach with comprehensive education and instructor-led, hands-on training programs, we provide the tools necessary for sustainable growth and lasting impact.
Tailored outreach and education designed to strengthen knowledge, compliance and engagement and empower providers, suppliers, beneficiaries, Veterans and agencies
Flexible training—delivered in person or online, built to meet specific needs
Data and insights to identify and guide targeted education
Education on high-level program information to detailed information such as submitted and coding claims
Proactive outreach, education and training initiates to promote mental health and save lives
Customized educational content to meet specific needs
We ensure Program Integrity by safeguarding healthcare resources through the proactive prevention of fraud, waste, and abuse. By maintaining rigorous compliance and protecting the trust of those we serve, we foster an environment of accountability that secures the long-term stability of our healthcare systems.
Comprehensive review of services and utilization to ensure accuracy, compliance and quality of care
Accurate translation of healthcare services into standardized ICD‑9 and ICD‑10‑CM codes
Development, implementation and compliance of evidence-based medical policies to ensure accuracy and quality of care, medical necessity of services and accurate payment to providers
Education and investigative support to prevent, detect and address FWA, safeguarding program integrity and resources
Our Claims Management strategy focuses on reducing errors and accelerating reimbursements through highly efficient processing and adjudication. By streamlining these complex financial workflows, we ensure accuracy and speed for every stakeholder involved, maintaining the financial health of the programs we support.
60 years of claims adjudication, pricing and processing experience
Medicare Fee-For-Service (FFS), Veteran Health Administration and Veteran Benefits Administration claims expertise
Financial management of claims reimbursement
EDI system management and expertise
We optimize Provider Management by delivering seamless enrollment, rigorous credentialing, and dedicated ongoing support services. This comprehensive approach ensures that healthcare networks remain robust, compliant, and fully equipped to provide high-quality care without administrative delays.
Provider enrollment processing and support for government healthcare programs
Screening and credentialing services
Provider site visits
Through our Contact Center Operations, we provide client-focused communication services specifically designed to enhance the experiences of beneficiaries, Veterans, and providers. Our goal is to bridge the gap between complex systems and the people who use them by prioritizing clarity, empathy, and responsive support.
Our strong record of exceeding customer service-level goals is recognized by our Benchmark Portal Center of Excellence certification, which places our call center within the top 10% of customer service centers nationwide in terms of efficiency and effectiveness.
To ensure we meet every operational demand, we offer a diverse range of Other Healthcare Administrative and Professional Services tailored to your organization’s unique needs through optimal flexibility and customization. Whether you require specialized consulting, operational support, or strategic guidance, our team is ready to collaborate and deliver solutions that align perfectly with your specific objectives.
Sentry leverages the proven expertise and certifications of both Noridian and Verve to deliver trusted, compliant and high-quality services.
