Select Health cut credentialing turnaround from 6+ months to 8 weeks — and eliminated the backlog

From 6-month backlogs to 8-week turnaround

Select Health partnered with CertifyOS to modernize credentialing operations — replacing manual, disconnected processes with an automated, API-driven model. The result: turnaround times dropped from 6+ months to just 8 weeks, the backlog was eliminated, and the team hit 99.8% file-level accuracy without adding headcount.

“CertifyOS helped us quickly build a more efficient model, so we can keep expanding while making life easier for the providers we do business with.”

The challenge: a legacy system that couldn't keep up

As Select Health expanded across Utah, Idaho, Nevada, and Colorado, maintaining competitive SLAs and turnaround times for credentialing became increasingly difficult. Their legacy system was defined by:

• Manual review — human-led data entry and review created delayed, decentralized, and inconsistent data.
• System rigidity — no API integration with Salesforce, forcing the team into low-value work and raising the risk of human error.
• Lengthy turnaround timelines — at its worst, credentialing took more than six months to complete.
• Provider abrasion — clinician morale dropped as basic credentialing and contracting needs went unmet, eroding credibility.

The solution: an automated, API-driven credentialing model

Select Health needed more than a traditional CVO — they wanted a partner who could automate credentialing, integrate seamlessly with their systems via APIs, and embed their unique policies and procedures into the workflow to create the operational efficiency required to scale.

“We needed a system that supported automation and accuracy. CertifyOS has delivered.”

The impact: faster, more accurate, more scalable

• Credentialing turnaround — in the first three months, TAT dropped from 6+ months to 8 weeks, with the backlog eliminated. File turnaround now averages 3.8 days.
• Accuracy — CertifyOS's data-first, configurable model yielded 99.8% file-level accuracy, ensuring the right providers are available and privileged appropriately.
• Workforce efficiency — credentialing specialists shifted from manual entry to higher-value file review and auditing; no new FTEs required despite market expansion.
• Integration — an API-driven Salesforce connection enabled real-time data exchange and daily file delivery, protecting and extending existing IT investment.
• Compliance readiness — CertifyOS's compliance-first product approach helped Select Health improve audit readiness.
• Leadership confidence — CertifyOS successfully delivered complex automation, policy customization, and clean/non-clean logic at proof-of-concept stage that other vendors couldn't execute, giving leadership confidence to scale.

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