MODIO ALTERNATIVE
Modio tracks credentials. CertifyOS runs the workflow.
Outgrowing Modio's tracking software? CertifyOS automates the full credentialing workflow — auto-running Primary Source Verification (PSV), payer onboarding, and ongoing monitoring. Built for health plans and delegated provider networks scaling from 200 to the largest plans in the country.
- Real automation: auto-run background checks, not click-to-run tracking
- Payer onboarding included, not a separate tool
- Enterprise reporting and analytics built in
Book a 20-minute demo
See real credentialing automation — not just tracking software.
Trusted by leading health plans, digital health companies, and provider networks
Beyond tracking — by the numbers
- 99.8%file-level accuracy at Select Health
- 70%reduction in credentialing turnaround time
- AllIntegrated Provider Portal included — not a separate tool
- 8/10publicly traded health plans work with CertifyOS
THE PROBLEM
Tracking software hits a ceiling. The workflow has to come next.
Modio is great at telling you what's expiring. It's not built to actually run the credentialing process.
Click-to-run background checks, manual provider onboarding outside the platform, and limited reporting hit a ceiling fast as networks grow. CertifyOS auto-runs PSV, includes the Integrated Provider Portal in the workflow, and delivers enterprise-grade reporting and analytics. Built for health plans scaling past 200 providers.
Five capabilities Modio doesn't include.
Auto-run PSV
Automated PSV via direct API integrations — NPDB, NPPES, OIG, SAM, license boards. No click-to-run, no manual triggering. Real automation.
Payer onboarding included
Automated payer onboarding with Medicare, Medicaid, and all major commercial payers — in the same platform as credentialing. No handoff to a separate tool.
Continuous monitoring
License, DEA, NPDB, OIG, and SAM monitored continuously. Recredentialing scheduled and automated. Beyond expiration tracking.
Enterprise reporting
Self-service reporting, cohort analysis, and ad-hoc analytics for ops leaders. Beyond basic compliance dashboards.
NCQA-certified CVO services
Optional NCQA-delegated CVO services for plans that want to outsource the credentialing function entirely. Modio doesn't operate as a CVO.
CertifyOS vs. Modio.
CertifyOS
- Auto-run PSV via direct APIs
- Integrated Provider Portal included
- Continuous compliance monitoring
- Enterprise reporting and analytics
- NCQA-certified CVO services available
Modio
- Click-to-run background checks
- No integrated provider portal — manual handoffs between tools
- Expiration tracking, not continuous monitoring
- Basic compliance dashboards
- Tracking software, not a CVO
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