CREDENTIALING PROCESS
From application to approval. In days, not months.
Automate every step of the credentialing process — Primary Source Verification (PSV), committee, and ongoing monitoring. Cut credentialing time 70%. NCQA-certified CVO with SOC 2 Type 2 compliance.
- End-to-end credentialing process automation
- Cut credentialing time 70% across all provider types
- Real-time PSV with 99.8% file-level accuracy
Book a 20-minute demo
See the credentialing process automated end-to-end — from application capture to approval.
Trusted by leading health plans, digital health companies, and provider networks
The modern credentialing process — by the numbers
- 70%reduction in credentialing turnaround time
- 99.8%file-level accuracy at audit time
- 90days from contract to first credentialed file
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
The credentialing process still feels like 1995.
Application via PDF. PSV by phone and fax. Committee by email. Status by spreadsheet.
Most credentialing processes still involve manual steps that haven't changed in 20 years — and they take 90-180 days end-to-end. CertifyOS automates every step: structured application capture, real-time PSV via direct APIs, electronic committee workflow, and automated payer handoff. Application to approval in days, not months.
Five process steps. All automated.
Application capture
Structured digital application via provider portal or CAQH integration. No more PDF forms or data re-entry. Validation built in.
Real-time PSV
Direct API verification across NPDB, NPPES, OIG, SAM, and state license boards. Real verifications in minutes, not days.
Committee workflow
Electronic file packets, voting interface, and full audit trail. Replace the email-driven committee scramble with a structured workflow.
Provider data sync
Approved providers flow into the provider data layer automatically. Real-time roster sync with directories and downstream systems.
Continuous monitoring
License, DEA, NPDB, OIG, and SAM monitored continuously after approval. Recredentialing scheduled and automated. Zero compliance blind spots.
The modern credentialing process vs. the 1995 process.
CertifyOS
- Days from application to approval
- Real-time PSV via APIs
- Electronic committee workflow
- Real-time provider data sync
- Continuous compliance monitoring
Manual / legacy
- 90-180 days end-to-end
- PSV via phone, fax, manual portal lookups
- Committee by email and SharePoint
- Manual data handoffs between systems
- Compliance only checked at recredentialing
FROM OUR CLIENTS
“Oscar Health unlocked 29% in annual cost savings. Alma reduced annual provider costs by 85%. Select Health hit 99.8% file-level accuracy. The numbers come from automation that just works — and from a team that shows up the way enterprise software promises but rarely delivers.”
— CertifyOS Client Outcomes