Oscar Health + Certify
In 2022 Oscar Health, a national Health Plan serving 1.5M members, and Certify, the industry's premier provider data intelligence platform partnered to improve provider network operations at Oscar Health. The initial goals of the partnership were to improve the provider experience, decrease administrative costs, and improve provider data quality. These goals were going to be focused on provider monitoring, credentialing, and credentialing efforts as Oscar Health scaled their provider network nationally. Both organizations are extremely proud to say we've seen tremendous results including significant decreases in cost, more efficient operations, and improved provider satisfaction.
Share this article:
RELATED ARTICLES
- BlogIn healthcare, ensuring providers are qualified, licensed, and properly credentialed isn’t optional; it’s a regulatory requirement. Health plans and payers must confirm that every provider in their network is legitimate and meets the necessary professional standards. That’s where primary source verification (PSV) comes in.
- BlogCredentialing is one of the most important—and resource-intensive—administrative functions for payers. Before a healthcare provider can join a network, insurers must verify their qualifications, licenses, training, work history, and other relevant credentials. Done manually, this process can be slow, costly, and prone to errors, adding to an already daunting and messy provider data maintenance process.