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The Centers for Medicare & Medicaid Services (CMS), backed by the White House’s tech brain trust, recently made a game-changing announcement—directly aligned with the future of Certify’s provider data management approach. The vision is to create a centralized, API-powered National Directory of Healthcare Providers and Services (NDH) that brings order and intelligence to the complex and fragmented world of healthcare data.

In our high-tech world, where AI can support doctors in narrowing down complex diagnoses and tech-forward infrastructure can streamline even the most archaic processes, it’s surprising that many hospital systems and payers still use legacy technology (or no technology at all!) to accomplish routine administrative tasks.

Everyone Wins with Accurate, Streamlined Provider Data

Introducing Flags: Stay Ahead of Credentialing Risks with Alerts

Most of us think of artificial intelligence (AI) in healthcare as something futuristic. We picture humans of the future entering Elysium’s “cure everything” pods, or Robodoc’s heroic robot surgeon performing intricate surgeries to cure formerly incurable diseases.

Credentialing is more than just a commodity—it’s the gateway to care delivery and the first impression many providers have of an organization. But for most health plans and healthcare organizations, the process remains a frustrating mix of manual workflows, outdated systems, and costly delays.

Meet Deb - a provider operations specialist at a major health plan. In our latest How It Works video, we show how Certify enables Deb to power the full provider data lifecycle through a continuously updated source of truth which leverages thousands of primary sources—all available through one API.

Many people assume significant changes to systems or processes take months, require major overhauls, and involve onerous work to get stakeholder buy-in. This can be true, but sometimes it just takes one person, system, or group to simply draw a line in the sand and say, “This is going to be different. We’re setting a new standard.”