Certify provider network management for payers

Revolutionizing provider network management for payers

The only comprehensive solution for streamlined provider network management and operational bliss.

What we deliver

Certify provider network data management delivers

IMPROVED EFFICIENCY

By automating antiquated manual tasks to streamline workflows, Certify significantly reduces the time and effort spent on credentialing. Providers are onboarded faster, leading to improved operational efficiency.

ENHANCED PROVIDER EXPERIENCE

Certify simplifies the credentialing experience for providers. They can easily submit and track their application status through self-service portals, reducing administrative burden and enhancing satisfaction.

COST SAVINGS

The automation and efficiency provided by Certify result in substantial and immediate cost savings. Health Plan partners have reduced administrative overhead, eliminated paper-based processes, and redirected resources to strategic initiatives.

Better data, better operations

Data First Architecture
Certify is the centralized repository for all credentialing-related information, ensuring immediate access and retrieval of data from hundreds of sources. No more digging through piles of paperwork or searching multiple systems.
Automated Workflows
Certify automates repetitive tasks, eliminating manual data entry and reducing the chance of errors. By automating workflows, such as Primary Source Verification, the platform accelerates the credentialing process and improves turnaround times.
Compliance Management
With Certify, healthcare organizations can ensure compliance with regulatory requirements and accreditation standards. The platform includes built-in checks and balances to prevent non-compliance issues, reducing the risk of penalties or loss of accreditation, so when you are audited you have everything you need.
Communication and Collaboration Tools
Certify facilitates seamless collaboration among stakeholders. Providers, executives, and credentialing committees share documents, and track progress within the platform, improving transparency and efficiency.
Reporting and Analytics
Certify offers robust reporting and analytics capabilities, providing real-time insights into the credentialing process. Healthcare organizations can make data-driven decisions and identify areas for improvement, optimizing their operations above and beyond provider network management.

The most comprehensive coverage of any provider data source

Total Aggregate Coverage

850K

unique nurses

400K

unique mental health providers

200K

unique dentists

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

Cliff Culver, Chief Operating Officer, OncoHealth

HEALTH PLANS RESOURCES

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Blog
It’s Complicated: How Credentialing Regulations Differ Among Plans
8/28/24
Blog
Credentialing in healthcare is a complex, time-consuming process subject to frequent regulatory changes. Failure to keep up with the latest changes can result in significant penalties, including fines and disruptions to provider participation in health plans. Staying compliant requires continuous vigilance and efficient management practices.
Blog
Safeguarding Provider Data: The Critical Role of Network Security in Healthcare
5/30/24
Blog
One of the biggest concerns for healthcare providers is the growing number of cybersecurity threats. In 2023, there were 739 healthcare data breaches reported in the USA alone, affecting over 136.1 million patient records. The average cost of these data breaches was estimated to be a whopping $7.13 million. Along with the financial losses, the data breaches affected the healthcare sector’s ability to deliver uninterrupted and satisfactory patient care.
Blog
The Need for Provider Network Management in Healthcare
2/26/24
Blog
When someone is ill, all they really need is a fast diagnosis, the right prescription or treatment, and a speedy recovery. Time is of the essence, and dealing with an illness is stressful enough without added complications.

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One platform to get to the bottom of network management – and make a difference in your bottom line.

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