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

CertifyOS just announced the launch of Provider Hub, their new Provider Data Management platform designed to eliminate fragmentation and lower costs for health plans and digital health companies.

Inaccurate provider data creates friction across nearly every function of a health plan. It harms member experience, delays payments, and increases compliance risk under mandates like the No Surprises Act and the Transparency in Coverage Rule. Despite its central role in operations, provider data has long been managed through siloed systems, spreadsheets, and outdated tools that can't keep up with today's demands.

"Unlike calcified legacy systems or traditional PDM solutions that don't integrate with other systems, require costly IT resources, and take months or years to implement, CertifyOS takes a fundamentally different approach," said Anshul Rathi, founder and CEO of CertifyOS. "We don't digitize old workflows—we replace them. Because we are a data company at heart, we enable organizations to go from storing data to unlocking its enterprise-wide potential. This is the infrastructure healthcare needs, and the future we've been building toward since day one."

CertifyOS's Provider Hub ingests, cleanses, normalizes, and validates data from a wide range of sources—including credentialing, directories, claims, rosters, and internal systems—to power critical workflows that sit on top of this data and deliver operational insights across an enterprise. This reduces manual effort and leads to fewer silos, fewer vendors, fewer delays, and lower costs. The company already has multiple signed deals with customers seeking to address persistent pain points like credentialing delays, data duplication, and compliance risk.

An AI-Powered, Transparent, and Flexible Provider Data Backbone

As a continuously updated source of truth, CertifyOS's solution enables organizations to improve data accuracy, drive system-wide intelligence, and reliably scale automation and AI. According to Gartner, 85% of AI projects fail—often due to poor data quality. CertifyOS's platform provides the trusted foundation needed.

Provider Hub is built to meet health plans where they are today and help transform operations for the future. It can:

• Ingest and unify provider data from structured and unstructured sources into a single, complete profile.
• Clean, standardize, and validate data using thousands of rules and 1,600+ primary sources.
• Resolve duplicates and link records across systems using AI-driven logic to maintain data integrity.
• Set and apply custom rules to prioritize the most authoritative or recent data when conflicts arise.
• Model complex relationships between providers, groups, locations, and plans, with full audit trails.
• Integrate directly with downstream systems including credentialing, contracting, directories, and claims.
• Activate insights across departments to identify gaps, flag issues, and support decision-making.
• Run credentialing, monitoring, and outreach workflows in real time to reduce turnaround and touchpoints.
• Continuously monitor provider data and deliver alerts on expirations, sanctions, or outdated records.

"Every function inside a health plan touches provider data, yet most still operate on outdated tools that weren't designed for today's complexity," added Rathi. "What makes this platform different is its ability to serve as a single foundation across departments. It enables better performance across claims, compliance, directories, and provider experience—not by patching existing systems, but by fixing the root issue. When provider data is reliable, everything downstream runs better. That's the transformation this platform enables."

Ready to replace fragmented provider data systems? Schedule a free demo to see Provider Hub in action.