HEALTHCARE COMPLIANCE
Continuous compliance. Across all 50 states.
Real-time sanctions and exclusions provider monitoring across licenses, DEA, NPDB, OIG, and SAM on one platform. NCQA CRPN Certified services with a full audit trail supporting the in platform user experience. Cut your compliance risk and audit preperation work dramatically.
- Continuous monitoring of licenses, DEA, NPDB, OIG, SAM
- 50-state coverage with automated sanctions alerts
- Full audit trail for every compliance check
Book a 20-minute demo
See continuous compliance monitoring across license, DEA, NPDB, OIG, and SAM.
Trusted by leading health plans, digital health companies, and provider networks
Continuous monitoring at scale
- 50states of license verification coverage
- 24/7continuous monitoring across federal and state sources
- NCQAcertified CVO with full audit trail
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Compliance is reactive at most plans. It should be continuous.
License checks happen at credentialing and recredentialing. The 12-36 months in between are a compliance blind spot.
Sanctions, exclusions, and license expirations don't wait for the recredentialing cycle. CertifyOS monitors continuously — license, DEA, NPDB, OIG, SAM, plus state board sanctions — and alerts you the moment something changes. Compliance becomes a real-time signal, not a quarterly audit.
Five compliance monitoring pillars.
License verification
Real-time license verification across all 50 states. Active status, board actions, expiration dates monitored continuously.
DEA + NPDB monitoring
DEA registration status and NPDB query monitoring with continuous refresh. Catch DEA suspensions and NPDB reports the day they happen.
OIG + SAM exclusion checks
Federal exclusion monitoring across OIG LEIE and GSA SAM. Real-time alerts on new exclusions or sanctions.
Real-time sanctions alerts
Configurable alert routing to compliance teams the moment a provider's status changes. No waiting for the next recredentialing cycle.
Full audit trail
Every check timestamped, every alert logged, every disposition tracked. Audit-ready evidence for NCQA, URAC, state, and federal audits.
Why plans modernize compliance monitoring.
CertifyOS
- Continuous monitoring across all sources
- Real-time alerts on status changes
- 50-state license + DEA + NPDB + OIG + SAM
- Full audit trail captured automatically
- Single platform for all monitoring
Manual / point tools
- Checks at credentialing/recredentialing only
- Discovery only at the next cycle
- Separate tools for license, DEA, NPDB, OIG
- Manual logging and disposition
- 12-36 month compliance blind spots
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