UnitedHealthcare, Cigna Healthcare and Centene are founding partners. Three of the nation's largest health plans now draw on one governed credentialing verifications packet and one coordinated recredentialing clock, instead of running the same verifications in parallel silos. Each plan keeps its own standards, committee and network decisions. Will you join them?
Each plan runs its own primary source verification, in parallel
Providers receive separate outreach from every plan they participate in
Recredentialing dates are scattered across plans and hard to align
Repeated requests and conflicting deadlines add avoidable delay
Verification standards and audit trails differ from plan to plan
Every plan rebuilds the same verification file from a blank start
One governed verifications packet, source-verified to a standard participating plans agree in advance
Consolidated provider intake and one coordinated outreach per cycle
One coordinated recredentialing event across participating plans
Fewer repeated requests and fewer conflicting deadlines for the provider
Full evidence provenance and audit visibility built into the model
Each plan starts from a governed verifications packet and applies its own checks
Verifications are completed once to a standard participating plans agree to in advance, then made available to those plans as one governed packet.
Recredentialing rosters are consolidated so one coordinated event can replace many separate ones on many separate dates.
Policies, plan-specific checks, committee review, contracting and network participation never move. NPDB and other restricted sources are never pooled.
FOUNDING PARTNERS
Estimate what repeated credentialing costs your plan today, then request a demo to walk through the results with us.
Estimate Your Savings
What should be a shared foundation has instead become a source of waste, delays, and friction. You can’t build the future of AI automation, compliance, and network intelligence on broken or inaccurate data. Solving this requires more than patchwork and point solutions; it requires new provider data infrastructure.
The CertifyOS Provider Data Platform is your foundation.
Integrate the products you need for a solution that's custom for your organization.
Plug in rosters and real‑time feeds via API or secure file exchange.
Our intelligence layer validates every record against thousands of sources.
One clean, continuously updated data stream for claims, directories, AI and analytics.
“CertifyOS has become a highly valuable partner to Alma supporting key operational processes - their expertise and efficiency has helped us drive the business forward and improve the experience for providers using Alma and their clients.”
“Through the partnership with CertifyOS, OncoHealth experienced remarkable improvements in provider support, reliability, and efficiency through their partnership with CertifyOS. The collaborative approach and reliable assistance provided by CertifyOS enhanced productivity and streamlined operations for OncoHealth's provider teams.”
OVER BUILDING IN HOUSE
OVER AN INDUSTRY-AGNOSTIC PLATFORM
