CERTIFYOS
Modern provider data infrastructure for health plans.
End-to-end credentialing and provider data management on one platform. NCQA-certified CVO. Backed by General Catalyst & Transformation Capital. Trusted by Oscar, UnitedHealth, and Alma.
- Go live in 90 days, not 9-18 months
- The speed of <5-day turnarounds with >99.8% file quality.
- API-first, NCQA-certified, SOC 2 Type 2
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See why more health plans choose CertifyOS than any competitor.
Trusted by leading health plans, digital health companies, and provider networks
The numbers behind the platform
- 99.8%file-level accuracy at Select Health
- 70%reduction in credentialing turnaround
- 90days from contract to platform go-live
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Provider data infrastructure was due for an upgrade.
Contracting, Eligibility, Credentialing and Master Data Management still run across disconnected systems at most health plans
Legacy CVOs take 9-18 months to implement. Spreadsheets track active files. Payer portals are managed manually. Directory data goes stale and triggers CMS fines. CertifyOS replaces all of it with one modern platform that goes live in 90 days.
One platform. All provider operations.
Credentialing + PSV
NCQA-certified CVO with end-to-end primary source verification, committee management, and audit trail. 99.8% accuracy out of the box.
Provider data management
One source of truth for provider data. Roster sync, directory accuracy, attestation automation. End $300K+ NSA fines from stale data.
Compliance monitoring
Continuous license, DEA, NPDB, OIG, and SAM monitoring across all 50 states. Real-time sanctions alerts, full audit trail.
White-glove implementation
Dedicated Client Success Manager and white-glove support. We've migrated health plans off Cactus, Symplr, Verisys, or homegrown systems — without missing a credentialing cycle.
Why health plans choose CertifyOS.
CertifyOS
- 90-day implementation, end-to-end
- 99.8% file-level accuracy
- PSV + PDM + monitoring in one platform
- API-first, NCQA-certified, SOC 2 Type 2
- Dedicated Client Success Manager and white-glove support
Legacy stack
- 9-to-18-month implementations
- 5+ disconnected systems
- Manual workflows tracked in spreadsheets
- RPA scripts that break when portals change
- Tier-based ticket queues, no real ownership
FROM OUR CLIENTS
“Oscar Health unlocked 29% in annual cost savings. Alma reduced annual provider costs by 85%. Select Health hit 99.8% file-level accuracy. The numbers come from automation that just works — and from a team that shows up the way enterprise software promises but rarely delivers.”
— CertifyOS Client Outcomes