PROVIDER NETWORK MANAGEMENT
The provider data foundation for network management.
Clean, governed provider data that powers your network adequacy analysis, No Surprises Act (NSA) attestations, and directory submissions. CertifyOS is the source of truth that feeds the network management tools and analyses your team already runs.
- One golden record per provider — clean, auditable, ready to feed your network adequacy work
- NSA-compliant 90-day provider attestations and audit-ready directory data on demand
- Full provider data exports and network views that integrate with your existing adequacy analytics
Book a 20-minute demo
See the provider data foundation that powers network adequacy, NSA compliance, and directory accuracy.
Trusted by leading health plans, digital health companies, and provider networks
Network management on a clean data foundation
- 40-60%reduction in directory errors
- 90%reduction in manual roster reconciliation effort
- 50%reduction in NSA non-compliance risk
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Network adequacy work runs on broken provider data.
Most network teams spend 80% of their time cleaning, reconciling, and validating provider data before they can even start the adequacy analysis.
Time-and-distance models, gap analysis, regulatory filings, NSA compliance — every one of these depends on accurate provider data. But provider data lives across CAQH, primary sources, delegated rosters, contracting systems, and internal claims data. CertifyOS unifies it into one governed source of truth, then makes it available to your network adequacy tools, analytics, and regulatory workflows.
Five ways CertifyOS powers your network adequacy work.
Clean provider data foundation
One golden record per provider, aggregated from CAQH, NPPES, primary sources, delegated rosters, and contracting systems — with full lineage and field-level survivorship.
NSA-compliant attestations
Automated 90-day provider attestation cadences for No Surprises Act compliance. Audit-ready records, full attestation history, and structured outputs your compliance team can defend.
Network data exports
Provider data exports and network views formatted for your adequacy analysis tools, regulatory filings, and downstream analytics. No more manual CSV cleanup before analysis.
Directory-ready outputs
Continuous directory accuracy validation against primary sources. Directory-ready data formatted for CMS, Medicare Advantage, and state Medicaid submissions.
Real-time API integrations
API-first integration with your network management, adequacy analysis, and regulatory reporting tools — wherever your team already runs the analysis.
CertifyOS network data foundation vs. spreadsheet ops.
CertifyOS
- Clean, governed provider data with field-level lineage
- Automated NSA attestations with audit trail
- Real-time data exports to your adequacy tools
- Continuous directory accuracy validation
- Real-time API access for downstream systems
Excel / legacy tools
- Provider data manually cleaned before every analysis
- Attestation chased via email and phone
- Quarterly batch exports that require cleanup
- Directory accuracy audited reactively
- Per-tool integrations via SFTP and CSV
FROM OUR CLIENTS
“Network teams need clean provider data before they can do adequacy analysis. CertifyOS gives them that foundation — with NSA attestations and directory-ready outputs that come with it — so they can focus on network strategy instead of data cleanup.”
— CertifyOS Provider Network Team