CREDENTIALING SOFTWARE
From months to days. From manual to automated.
NCQA-certified credentialing software for health plans. Cut credentialing time by 70%, hit 99.8% file-level accuracy, and go live in 90 days — without ripping out your existing systems.
- 99.8% file-level accuracy across millions of credentialing files
- Cut credentialing turnaround from 90+ days to under 5 days
- Trusted by Oscar (29% savings), Alma (85% savings), Select Health, dozens of regional health plans, and eight of the ten publicly traded health plans in the United States
Request a demo
Schedule a 20-minute walkthrough to see how CertifyOS automates credentialing end-to-end.
Trusted by leading health plans, digital health companies, and provider networks
Real numbers from real health plans
- 99.8%file-level accuracy at Select Health, the highest in the industry
- 70%reduction in credentialing turnaround time across our client base
- 90days from contract signing to platform go-live
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Credentialing software hasn't kept up.
Spreadsheets, legacy databases, and 9-month implementations are still the industry default.
Most credentialing software was built before APIs existed — let alone modern integrations with payer portals, NPDB, CAQH, and OIG/SAM. Health plans patch together five tools, pay for a 9-to-18-month implementation, and still track files in Excel. Provider onboarding takes 90–180 days, directories go stale, and CMS fines stack up.
Five reasons modern health plans run on CertifyOS.
End-to-end automation
Primary source verification, committee workflow, Integrated Provider Portal, license monitoring, and PDM — all on one platform. No more juggling five tools.
API-first architecture
Real integrations with NPDB, CAQH, NPPES, OIG, SAM, and payer portals. No RPA bots that break when a portal updates. No screen-scraping. No Salesforce tax.
Go live in 90 days
From contract signing to first credentialed file in 90 days flat. Compare that to the 9-to-18-month implementations Symplr and other legacy CVOs require.
NCQA-certified CVO
Audit-ready day one. Full primary source verification, automated NCQA reporting, complete audit trail, and SOC 2 Type 2 certification. Pass your next NCQA cycle without the manual burden.
White-glove implementation
Dedicated Client Success Manager and a partner that's been there before. We've migrated health plans off Cactus, Symplr, Verisys, and homegrown systems without missing a credentialing cycle.
Why health plans switch to CertifyOS.
CertifyOS
- 90-day implementation, end-to-end
- 99.8% file-level accuracy with continuous monitoring
- PSV + committee + enrollment + monitoring in one platform
- API-first integrations, no RPA bots
- Dedicated Client Success Manager and white-glove support
Legacy software
- 9-to-18-month implementation cycles
- Manual workflows tracked in spreadsheets
- Data feeds only — workflow not included
- 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.”
— Anshul Rathi, CEO, CertifyOS