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NCQA cycle approaching? See how we cut audit prep 80%

NCQA-CERTIFIED CVO

Pass your next NCQA cycle. Without the manual burden.

NCQA-certified CVO with built-in compliance workflows, automated reporting, and a complete audit trail. 99.8% file-level accuracy. Cut audit prep time 80%. Audit-ready from day one.

  • Built-in NCQA-compliant workflows and audit trail
  • Automated NCQA reporting — cut audit prep 80%
  • 99.8% file-level accuracy with continuous monitoring

Book a 20-minute demo

See an NCQA-certified CVO that's built audit-ready from day one.

Trusted by leading health plans, digital health companies, and provider networks

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NCQA prep — by the numbers

  • 99.8%credentialing file-level accuracy
  • 80%reduction in NCQA audit preparation time
  • NCQA+ URAC dual compliance support
  • 8of the 10 publicly listed US Health Plans are CertifyOS Clients.

THE PROBLEM

NCQA prep is still a 6-week scramble at most plans.

Files in spreadsheets. PSV evidence in email threads. Committee minutes scattered across SharePoint.

When the NCQA audit lands, compliance teams scramble for six weeks reconstructing what should have been documented in real time. Files come back with deficiencies. Audit prep eats half the year. CertifyOS makes every file audit-ready as it's processed — with the trail, the evidence, and the reporting built in.

Five capabilities for NCQA-ready compliance.

  • NCQA-compliant PSV

    Primary source verification automation that meets every NCQA standard. NPDB, license boards, OIG, SAM — all verified, timestamped, and stored.

  • Built-in audit trail

    Every action timestamped, every file fully traceable. Audit evidence is captured automatically — not reconstructed at audit time.

  • Automated NCQA reporting

    CR-1 through CR-8 reporting generated on demand. Cut audit prep time 80%. Pull metrics in minutes instead of weeks.

  • URAC + NCQA dual coverage

    Same workflows support URAC accreditation and state delegation requirements. One source of truth across multiple accrediting bodies.

  • Delegated CVO services

    NCQA-certified CVO that can take full delegation — PSV, file management, committee support, and oversight reporting.

Why plans modernize NCQA compliance.

CertifyOS

  • Audit-ready files day one
  • Automated CR-1 through CR-8 reporting
  • Full audit trail captured in real time
  • 99.8% file-level accuracy
  • URAC + NCQA dual support

Manual / legacy

  • 6-week audit prep scramble
  • Reports compiled by hand
  • Audit evidence reconstructed after the fact
  • Files come back with deficiencies
  • Separate workflows per accreditation

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

Common questions about NCQA accreditation

Modernize your provider data operations

See how we can reduce turnaround time, improve data quality, and scale provider network operations.