certifyos

JSON twin: https://www.healthaidb.com/software/certifyos.json

Company Name

Certify

Product URL

https://www.certifyos.com/products

Company URL

https://www.certifyos.com/

Categories

Summary

API-first provider data platform that automates credentialing, licensing, enrollment and continuous monitoring to accelerate provider onboarding and maintain compliance.

Description

CertifyOS is a commercial, API-first provider intelligence platform that centralizes provider data and automates primary source verifications, credentialing workflows, licensing, payer enrollment, roster management and real-time sanctions/NPDB monitoring. It offers NCQA-certified verification services, CAQH and NPDB integrations, configurable intake forms, automated alerts, webhook/API outputs and deployment as self-service software or outsourced CVO.

Api Available

yes

Certifications

Company Founding

2020

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0330

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial / proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; offers free demo; pricing available by quote and deployment model (self-service, partially outsourced, fully outsourced).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2021

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Certify",
  "company_url": "https://www.certifyos.com/",
  "company_offices": [],
  "company_founding": "2020",
  "product_url": "https://www.certifyos.com/products",
  "categories": [
    "administrative",
    "provider credentialing",
    "licensing",
    "payer enrollment",
    "network monitoring",
    "roster management",
    "provider data / identity"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.certifyos.com/",
    "https://www.certifyos.com/products",
    "https://www.certifyos.com/company",
    "https://www.certifyos.com/resources/blog/provider-rosters-health-plans",
    "https://elion.health/products/certifyos/features",
    "https://appexchange.salesforce.com/appxListingDetail?listingId=a0N4V00000GwHtdUAF",
    "https://www.crunchbase.com/organization/certifyos",
    "https://www.generalcatalyst.com/stories/our-investment-in-certifyos-unlocking-the-power-of-provider-intelligence",
    "https://www.prnewswire.com/news-releases/certify-secures-40m-series-b-funding-to-continue-building-the-healthcare-provider-data-infrastructure-of-the-future-302491503.html",
    "https://www.linkedin.com/company/certifyos"
  ],
  "summary": "API-first provider data platform that automates credentialing, licensing, enrollment and continuous monitoring to accelerate provider onboarding and maintain compliance.",
  "description": "CertifyOS is a commercial, API-first provider intelligence platform that centralizes provider data and automates primary source verifications, credentialing workflows, licensing, payer enrollment, roster management and real-time sanctions/NPDB monitoring. It offers NCQA-certified verification services, CAQH and NPDB integrations, configurable intake forms, automated alerts, webhook/API outputs and deployment as self-service software or outsourced CVO.",
  "target_users": [
    "health plans / payers",
    "health systems / hospitals",
    "digital health companies",
    "credentialing specialists",
    "network operations / provider data teams",
    "administrators",
    "provider onboarding teams"
  ],
  "specialties": [
    "primary care",
    "behavioral health",
    "specialty care",
    "telehealth",
    "all provider types (MD, DO, NP, PA, allied health)"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; offers free demo; pricing available by quote and deployment model (self-service, partially outsourced, fully outsourced).",
  "license": "commercial / proprietary",
  "deployment_model": [
    "SaaS",
    "outsourced CVO",
    "self-service",
    "hybrid/partially outsourced"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Centralized provider data platform / single source of truth",
    "Automated primary-source data collection and verification",
    "Continuous real-time monitoring of sanctions/licenses",
    "Automated compliance reporting and alerts",
    "Credentialing application intake and configurable forms",
    "CAQH integration and auto-rostering",
    "NPDB querying and enrollment automation",
    "Automated sanctions checks (OIG, state lists, SAM/OFAC, Medicaid preclusions)",
    "Deceased provider (SSDMF) checks",
    "Provider status notifications (in-platform/customizable emails)",
    "Bulk file organization and review",
    "Virtual credentialing committee workflows",
    "Roster mapping and delegated roster management (RosterOS)",
    "Payer enrollment workflow support",
    "Licensing management"
  ],
  "optional_modules": [
    "RosterOS (delegated roster management)",
    "Payer Enrollment module",
    "Licensing module",
    "Continuous Monitoring / Compliance Monitoring"
  ],
  "integrations": [
    "CAQH",
    "NPDB (National Practitioner Data Bank)",
    "OIG exclusions list",
    "SAM/OFAC (GSA/SAM/OFAC) lists",
    "State licensing boards / state-reported sanctions",
    "Medicaid preclusion lists",
    "Social Security Death Master File (deceased provider checks)",
    "NPI (provider identifier / pre-verified NPI dataset)"
  ],
  "data_standards": [],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "NCQA"
  ],
  "certifications": [
    "NCQA-certified (11 out of 11 verification services)"
  ],
  "security_features": [],
  "privacy_features": [],
  "data_residency": "",
  "customers": [
    "Alma Health",
    "Cora Health"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online"
  ],
  "release_year": "2021",
  "integration_partners": [
    "Salesforce",
    "Google Cloud"
  ],
  "id": "P0330",
  "slug": "certifyos",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/certifyos.json"
  }
}