CertifyOS provider data management

Provider data solutions, already connected.

Every solution in the CertifyOS Partners Marketplace runs on the same verified provider record your plan already uses. No new feed to build. No second source of truth to reconcile. No six-month integration before anyone sees value.

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How the marketplace actually works.

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    1. Start with the problem, not the vendor

    Browse by what you are trying to fix: directory accuracy, network adequacy, provider intake, payer enrollment, identity verification. Each category says what the capability does before it says who provides it.

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    2. Skip the integration

    Marketplace solutions read from the CertifyOS provider record through open APIs. The aggregation, verification and deduplication across more than 600 primary sources is already done and already yours.

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    3. Evaluate with us in the room

    We make the introduction and stay in the conversation. You are evaluating a solution against your provider data, not managing a hand-off between two vendors who have never met.

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    4. Activate on infrastructure you already own

    Your existing CertifyOS environment is the delivery path. There is nothing new to stand up, and the provider record stays a single source of truth across everything running on top of it.

Full catalog view. Six solutions, live today.

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    Candor Health

    DIRECTORY ACCURACY · AI-powered provider data enrichment and behavioral health directory accuracy. Closes the gaps that member-facing directories are judged on.

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    H1

    DIRECTORY ACCURACY · Global provider intelligence. Directory enrichment, normalization and patient access data across a worldwide practitioner graph.

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    Quest Analytics

    NETWORK ADEQUACY · Network adequacy analysis, access standards measurement and regulatory filing support, run against a provider record that is current rather than a quarterly extract.

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    CAQH ProView

    PROVIDER INTAKE · Industry-standard provider self-reporting, attestation and credentialing data intake. Native to the CertifyOS platform, not a bolt-on.

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    Availity

    PROVIDER INTAKE · Payer-provider data exchange, provider portal intake and roster submission at the point where providers already work.

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    Modio

    PAYER ENROLLMENT · Electronic payer enrollment submissions, real-time status tracking and multi-payer connectivity, working from the same practitioner record used for credentialing.

Coming to the marketplace. In onboarding now.

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    Identity verification

    FRAUD, WASTE AND ABUSE · Biometric and government-grade identity proofing that confirms a practitioner is who they say they are at the point of credentialing, plus automated background and sanctions screening.

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    Directory validation and outreach

    DIRECTORY ACCURACY · Automated provider outreach and attestation management to validate directory data on the cadence regulators expect.

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    Actuarial network analytics

    NETWORK ADEQUACY · Actuarial-grade network analytics, access standards modelling and network gap identification for plans making coverage decisions.

The same solution, bought two different ways.

BUYING A POINT SOLUTION DIRECTLY

  • A new data feed for your team to build and then maintain

  • Your provider record and theirs, reconciled by hand every cycle

  • A separate security review, contract, renewal and escalation path

  • Integration timelines measured in quarters before anyone sees output

  • Two vendors pointing at each other when the data is wrong

ACTIVATING THROUGH THE MARKETPLACE

  • The solution reads the provider record you already maintain

  • One definition of a provider across every tool running on the platform

  • A partner already integrated with and reviewed by CertifyOS

  • Activation measured in weeks, on infrastructure you already own

  • One accountable path when something breaks

FREQUENTLY ASKED QUESTIONS

Have a solution you want in front of health plans?

The marketplace is open to companies solving real problems in provider data, network operations and credentialing. Live customers, a working API and a security posture that clears a plan review are the bar.

CertifyOS Transform Section Image
CertifyOS Transform Section Image

Request an introduction

Tell us which capability you are looking for and we will bring the right partner into the conversation with context already in hand.

Modernize your provider data operations

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