Redefining
what’s possible
with provider data

29%+

83% ↓

31% ↓

Provider data as the foundation

Unified data from thousands of sources ensures a complete, up-to-date provider view, resolving inefficiencies and data errors

Scalable infrastructure

Streamlined data integration, robust APIs and access control ensure scalability for future growth

Configurable experience

Configurable workflows adapt to your organization’s needs, streamlining operations, reducing support dependencies, and accelerating product adoption

 AI powered automation

AI agents automate workflows, extract data to improve accuracy, and create unified records, accelerating decision-making and streamlining operations

Primary Source Data for Credentialing

• Data is gathered directly from authoritative sources rather than relying on fragile web-scraping, including direct integrations with CAQH Provider Data API and NPDB.
• Ongoing Practitioner Monitoring: Continuous monthly monitoring keeps provider credentials in compliance, and a robust reporting system allows plans to track provider status and credentialing progress in real time, reducing manual follow-up.
• Automated Primary Source Verification (PSV): Leveraging automation for PSV ensures efficient validation of provider credentials, enabling a faster, more reliable onboarding experience.

Configurable workflows meet regulatory standards, Policies and Procedures.

Discrete data allows us to apply programmatic logic to each individual data point, easily adjusting workflows and processes to dynamic regulatory environments.

• Our platform services allow for automation on top of the data layer, including the ability to configure:
  • Automated email notifications triggered by specific events
  • Clean/non-clean and flag logic
  • Recredentialing timelines 
  • Organization-specific logic to adapt to flexible policies and procedures
• Certify Portal for onboarding and Intake: Through a secure, compliant portal, providers can submit applications and documentation online aligned with your health plans’ onboarding and application requirements.

Unified Provider Data Bank & Intelligent Data Mapping

Storing data in a unified data bank means Certify can easily layer on network operations modules on-top of the data, all pulled from the same source of truth.

• By consolidating provider data into a centralized data repository, we establish a single source of truth enabling your plan to access and leverage credentialing, enrollment, and demographic information across downstream systems, eliminating redundancies.
• Using Certify’s proprietary attribution model, we map thousands of data points to unique provider identifiers, enabling seamless data utilization in credentialing, recredentialing, and network management.

Seamless Data Integration

None of the data matters if it can’t feed downstream systems and provide the right reporting. Customers can access the platform to find reporting, analytics, and run audit reports.

• The platform integrates into downstream systems that can be utilized to enable data flow across your plan’s systems. This interoperability removes the need for manual data entry and supports immediate status visibility for your plan’s credentialing and recredentialing activities. 
• It enables us to partner with complementary partners, such as Atlas Systems or Evolution Consulting Solutions, ensuring that we can effortlessly update provider data as needed, enhancing collaboration and operational efficiency.
• By pushing the right data to the right systems at the right time, Certify ensures that all credentialing data flows downstream in a compliant and timely manner, supporting your regulatory and reporting needs.

Certify has completely transformed our payer credentialing process since we can simply outsource this entire process to them and not have to worry about it!

Ezequiel Halac, Chief Administrative Officer, Cora Health

Through the partnership with CertifyOS, OncoHealth experienced remarkable improvements in provider support, reliability, and efficiency through their partnership with CertifyOS. The collaborative approach and reliable assistance provided by CertifyOS enhanced productivity and streamlined operations for OncoHealth's provider teams.

Cliff Culver, Chief Operating Officer, OncoHealth

Certify has become a highly valuable partner to Alma supporting key operational processes - their expertise and efficiency has helped us drive the business forward and improve the experience for providers using Alma and their clients.

Harry Ritter CEO, Alma