CertifyOS

New York, New York, United States All United States companies → — Founded 2020

Healthcare Analytics / BI Revenue Cycle / Billing

Family Medicine Internal Medicine Pediatrics

Series B

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Products

CertifyOS

Credentialing & Enrollment

A provider intelligence platform that automates credentialing, licensing, enrollment, and network monitoring with real-time verification and API integrations.

Enterprise

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About CertifyOS

CertifyOS is a healthcare AI company dedicated to transforming how the U.S. healthcare industry manages provider data. For physicians, this translates into a significantly streamlined and less burdensome administrative experience. The company’s API-first, UI-agnostic platform automates critical processes such as licensing, enrollment, credentialing, and ongoing network monitoring. By integrating directly with hundreds of primary data sources, CertifyOS creates a continuously updated, single source of truth for provider information, drastically reducing manual paperwork and processing delays.

This innovative approach means physicians can expect faster onboarding and quicker in-network status, allowing them to dedicate more time to patient care rather than administrative tasks. The platform’s AI-powered Provider Hub cleanses, normalizes, and validates provider data from various sources, including credentialing, directories, claims, and rosters. This unification of data helps eliminate silos, reduce errors, and ensure compliance with regulatory requirements, ultimately leading to a more efficient and cost-effective healthcare ecosystem.

Focus Areas

provider data management credentialing licensing payer enrollment network monitoring compliance automation AI data accuracy network adequacy provider utilization

Business Intelligence

Technology

AI-powered, API-first, cloud-native, end-to-end provider data intelligence platform, single source of truth for provider data, real-time data layer, continuously updated from primary sources

What Physicians Need to Know

Provider Data Management

CertifyOS offers a unified, AI-enabled Provider Data Platform (Provider Hub) that acts as a single source of truth for provider information. It ingests, cleanses, normalizes, and validates data from various sources like credentialing, directories, claims, and rosters. This platform aims to eliminate fragmentation and reduce administrative costs by providing continuously updated, accurate provider data across an organization.

Credentialing

The platform provides frictionless, API-first credentialing with automated primary source verification (PSV) against thousands of sources, including medical boards, DEA, and NPI. It supports NCQA and TJC compliance, offers customizable workflows, and significantly reduces credentialing turnaround times (up to 90% faster) and costs (up to 50% reduction in operating expense).

Licensing

CertifyOS streamlines the provider licensing process by automating application submissions, monitoring, and renewals. It offers dynamic, pre-built requirements for every state and provider type, supports multi-state licensing (including Interstate Medical Licensure Compact and Nurse Licensure Compact), and integrates fingerprinting and notarization services.

Payer Enrollment

The system automates payer enrollment forms and submissions, accelerating the process for providers to join health plan networks. It provides payer-specific form libraries, electronic submission and tracking, and aims to reduce lengthy contracting timelines.

Network Monitoring & Compliance

CertifyOS offers continuous, automated monitoring of provider sanctions, exclusions, disciplinary history, and license expirations across national and state-level databases (e.g., OIG, MOO, GSA/SAM/OFAC, Medicaid preclusions lists). It provides real-time alerts and customizable reporting to ensure ongoing compliance with regulatory requirements and accreditation standards.

Automation & AI

The platform heavily leverages AI and automation to reduce manual effort across all processes. This includes AI-powered data cleansing, duplicate resolution, taxonomy mapping, automated PSV, and pre-submission error detection, leading to increased efficiency and accuracy.

Data Accuracy

CertifyOS prioritizes data accuracy by verifying every record against thousands of primary sources and continuously updating information. Their intelligence layer validates data, identifies gaps, and flags issues, ensuring a clean and reliable data stream for all downstream systems.

Key Differentiators

CertifyOS stands out with its API-first architecture, providing a flexible and scalable infrastructure for provider data management. It offers an end-to-end solution for the entire provider data lifecycle, moving beyond point solutions to create a unified data foundation. Their focus on real-time verification, automation, and NCQA CVO accreditation for delegated verification are also key differentiators.

Technology Stack

The core of CertifyOS's technology is its modular, API-first architecture. It utilizes AI and machine learning for data cleansing, validation, and continuous monitoring. The platform integrates with hundreds of primary data sources and offers webhooks for real-time notifications.

Physician Tip

For physicians, CertifyOS aims to significantly reduce the administrative burden associated with credentialing, licensing, and payer enrollment. This means less time spent on repetitive paperwork, faster onboarding to new networks and facilities, and quicker processing of licenses and renewals. The platform's focus on data accuracy can also lead to fewer claim denials and smoother operations, allowing physicians to dedicate more time to patient care rather than administrative tasks. The continuous monitoring ensures that compliance is maintained proactively, minimizing potential disruptions to practice.

CertifyOS is built with an API-first approach, enabling seamless integration with various downstream systems such as claims, directories, contracting systems, EHRs, and analytics platforms. It supports real-time data feeds and secure file exchange, allowing organizations to connect rosters and other data sources efficiently.

At a glance

Founded 2020

HQ New York, New York, United States · United States

CEO Anshul Rathi

Funding Series B

Products 1

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Products by CertifyOS

1 product in the directory

CertifyOS

Credentialing & Enrollment

A provider intelligence platform that automates credentialing, licensing, enrollment, and network monitoring with real-time verification and API integrations.

Enterprise

What the Web Says

CertifyOS offers an API-first platform designed to automate and streamline healthcare provider credentialing, licensing, and enrollment for various healthcare organizations. The platform aims to create a single, accurate source of provider data to enhance efficiency, reduce costs, and ensure compliance within the healthcare ecosystem. While product features are well-documented, direct user reviews on major platforms like G2, Glassdoor, and Capterra for CertifyOS specifically are limited or non-existent, and employer reviews are often confused with other companies.

Overall: Mixed

Strengths

API-first architecture for seamless integration and scalability.
Automated credentialing, licensing, and enrollment processes.
Unified provider data platform for consistency and accuracy.
Real-time network intelligence and analytics for informed decision-making.
NCQA CVO accreditation and compliance features.
Reduces re-credentialing costs and accelerates provider onboarding.

Limitations

Limited direct product reviews on major platforms like G2, Glassdoor, and Capterra.
API-first approach may require strong engineering teams, potentially creating extra steps for operations-focused teams.
Potential for limited visibility into certain automated processes, leading to a 'black box' perception.
Some reports of slower support response times and less real-time visibility into payer enrollment status.
Employer reviews are scarce and often confused with other companies named 'Certify.'
Pricing information is not readily available and may be custom.

Based on reviews from: SourceForge, Appvizer, CertifyOS.com, Elion Health, Assured, Indeed.com, Reddit, Trustpilot

Last updated: 2026-07-31

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Press & Coverage

CertifyOS

CertifyOS Secures $40M Series B Funding to Continue Building the Healthcare Provider Data Infrastructure of the Future

CertifyOS announced a $40 million Series B funding round, led by Transformation Capital, to further develop its healthcare provider data infrastructure. The company aims to create a single source of truth for provider data to address industry-wide chaos and improve operations.

2025-06

CertifyOS

Announcing Provider Hub, the Only End-to-End Provider Data Management Platform Designed to Eliminate Fragmentation and Reduce Costs

CertifyOS launched Provider Hub, an AI-powered platform designed to unify provider data and reduce administrative costs for health plans and digital health companies. This platform aims to eliminate fragmentation and provide a real-time, 360-degree view of every provider.

2025-10

CertifyOS

CertifyOS and Candor Health Partnership Announced

CertifyOS partnered with Candor Health to create a highly accurate, intelligent, and scalable Provider Data Management (PDM) solution. This collaboration combines CertifyOS's MDM infrastructure with Candor Health's data accuracy engine to transform how health plans manage provider data.

2025-10

CertifyOS

CertifyOS Achieves Third Consecutive SOC-2 Compliance

CertifyOS announced its achievement of SOC 2 Type 2 compliance for the second consecutive year, demonstrating its commitment to maintaining high standards of security, privacy, and compliance in healthcare. This builds on their initial SOC-2 Type 1 certification in 2023.

2025-05

CertifyOS

Fast Company Names CertifyOS to Fourth Annual List of the Next Big Things in Tech

CertifyOS was recognized by Fast Company on its fourth annual 'Next Big Things in Tech' list, honoring emerging technologies with significant industry impact. This acknowledges CertifyOS's role in transforming healthcare operations.

2024-11

CertifyOS

CertifyOS Releases Blueprint Report for Provider Credentialing Automation

CertifyOS released an ebook, 'Provider Credentialing - A Complete Guide to the Building Blocks of Network Management,' offering strategic insights into improving credentialing processes through automated data collection and system integration. The report highlights benefits like reduced administrative costs and increased data accuracy.

2024-07

CertifyOS

CertifyOS Launches RosterOS to Streamline Provider Roster Management

CertifyOS introduced RosterOS, a solution designed to streamline provider-entity data management by consolidating multiple provider rosters into a single, unified source of truth. This aims to reduce administrative burden and improve data quality for health plans.

2024-07

Credentialing Current

CertifyOS brings National Shared Credentialing to AHIP 2026

CertifyOS presented its National Shared Credentialing initiative at AHIP 2026, aiming to reduce repeated data collection and verification in healthcare. The concept emphasizes a shared infrastructure for provider data, though governance and accountability remain key considerations.

2026-07

Frequently Asked Questions

How does CertifyOS ensure the accuracy and reliability of provider data for my organization?

CertifyOS utilizes an AI-enabled Provider Data Platform that ingests, cleanses, normalizes, and validates data from thousands of primary sources to create a continuously updated 'single source of truth'. This infrastructure helps achieve over 90% data accuracy and significantly reduces issues like roster mismatches.

How does CertifyOS streamline the credentialing and re-credentialing process for physicians and healthcare administrators?

CertifyOS offers an end-to-end credentialing solution that automates workflows, including primary source verification (PSV) and continuous monitoring of sanctions and exclusions. This automation can lead to a significant reduction in credentialing times and costs, with clients reporting up to 90% faster turnaround times.

Can CertifyOS assist with payer enrollment and provider licensing across multiple states?

Yes, CertifyOS streamlines both payer enrollment and provider licensing by automating application submissions, tracking, and renewals. It offers established workflows for all provider types and supports multi-state licensing, aiming to reduce administrative burden and accelerate the process of getting providers in-network.

What tools does CertifyOS provide for network monitoring, compliance, and addressing network adequacy concerns?

CertifyOS provides continuous monitoring of provider sanctions, exclusions, and disciplinary history to ensure ongoing compliance and network quality. The platform also offers robust reporting and analytics capabilities to gain insights into network operations and identify areas for improvement or potential network adequacy gaps.

How do AI and automation enhance efficiency and data accuracy within CertifyOS's solutions?

CertifyOS leverages AI and automation to ingest, cleanse, and validate provider data from numerous sources, replacing manual processes and reducing errors. This AI-driven approach ensures data remains accurate and up-to-date, forming a reliable foundation for various healthcare operations and enabling scalable automation.

What specific products or modules does CertifyOS offer, and how do they integrate with existing systems?

CertifyOS offers a comprehensive Provider Data Platform with modules for Credentialing, Licensing, Monitoring, Payer Enrollment, and Roster Management. The platform is API-first, allowing for seamless integration with existing systems like CRMs (e.g., Salesforce) and downstream workflows for claims, directories, and analytics.

How is CertifyOS priced, what kind of support is available, and what is the company's stability?

CertifyOS typically discusses pricing during the sales process, often involving platform fees, implementation costs, and multi-year contract options. They offer support through a knowledge center, help desk, and direct contact options, with customer testimonials highlighting their expertise and efficiency. CertifyOS is backed by esteemed investors, indicating strong company stability and a long-term vision for modernizing provider data infrastructure.

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