CertifyOS provider data management
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CASE STUDY

Alma saved 85% in annual provider costs with CertifyOS

Alma, a national network of mental health care providers, was outgrowing its credentialing infrastructure. Manual review, inflexible file formats, and a 10%+ error rate slowed growth and put audit-readiness at risk. CertifyOS's credentialing and monitoring brought credentialing TAT down 83% (from 17 days to 3), cut provider escalations in half, and reduced QC labor by 85%.

Alma

PRODUCTS USED

  • Credentialing
  • Compliance Monitoring

Impact at a glance

83%Reduction in credentialing TAT (17 → 3 days)
85%Time saved on QC and error resolution
50%Reduction in provider escalations
3 daysAvg. credentialing TAT
100%NCQA-certified audit readiness

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From bottlenecked onboarding to scalable network growth

Alma, a national network of mental health care providers, was hitting the limits of its credentialing infrastructure. CertifyOS's credentialing and monitoring solutions unblocked Alma's network growth, removed manual error review, and saved 85% in annual provider costs.

The challenge: provider volume outpaced infrastructure

Alma faced significant challenges in their provider credentialing and monitoring process, including:

  • Onboarding timelines — as incoming provider volume outpaced their credentialing infrastructure, Alma's network growth stalled, resulting in lost revenue and delays in patient care.
  • Inflexible systems — inability to adapt file formats led to bottlenecks, preventing new providers from being credentialed and existing providers from being continuously monitored. The result: sanctioned or incorrect provider data crept in, and network growth slowed.
  • Manual review — maintaining accurate provider data required 3.5 hours of manual review per week. With over 10% of files affected by errors, reliability was always in question and audits became a concern.

The solution: CertifyOS credentialing and monitoring

Alma implemented CertifyOS's credentialing and monitoring solutions — replacing manual error review with programmatic logic, configurable workflows, and on-demand file verification that completes in minutes instead of weeks.

The impact: faster onboarding, fewer errors, stronger growth

  • 83% reduction in credentialing TATs — from 17 days to 3.
  • 85% time reduction — less labor needed to QC and resolve errors and delays.
  • 50% fewer provider escalations — driven by shorter credentialing times.
  • Audit preparedness — backed by CertifyOS's NCQA certification.
  • Enabled focus on strategic growth — the team shifted from firefighting to network expansion.

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