Alma saved 85% in annual provider costs with Certify. Here's how:

Problem: Alma, a national network of mental health care providers,
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 - increasing sanctioned or incorrect provider data inclusion, and hindering network growth.


Manual Review:
Inaccurate and unreliable data: Without scalable
infrastructure, maintaining accurate provider data
was cumbersome, requiring 3.5 weekly hours of
manual review.

With over 10% of files aected with errors, reliability
was always in question, and the prospect of audits
became a concern.


Alma implemented Certify's credentialing and monitoring solutions and saw:

Quick and eicient provider network growth due to real-time credentialing and monitoring.


A reduction in onboarding friction driven by on-demand file verifications which completed in minutes, not weeks.

This improved provider relations and increased data accuracy and reliability.

Manual error review by Alma's Credentialing team was no longer necessary, due to programmatic logic and ongoing workflow configuration removing bottlenecks, and quickly enabling provider network expansion.

Results:

Reduction in Credentialing TATs (from 17 days to 3)

Audit preparedness via Certify’s NCQA certification

Reduction in provider escalations around prolonged credentialing times

Time reduction on labor to QC and resolve errors and delays

Enabled focus on strategic growth opportunities

About Certify & Alma:

Together, both companies have a shared focus on improving the mental
healthcare provider and client experience, ultimately enabling better
care delivery for therapy seekers.


From alignment around automation and configurability to improving provider networks to joint alignment around meeting the needs of clients, Certify is an extension of their customers, a partner constantly adapting and growing our product to meet the broader goals of the industry.

If you’re interested in modernizing your provider network operations or learning more about our data first approach scan this QR code or email us at sales@certifyos.com to schedule time with one of our provider data specialists.