Provider data infrastructure. Not another credentialing vendor.
Health plans run credentialing, licensing, monitoring, rosters and directories across disconnected vendors and spreadsheets. CertifyOS brings that work onto one provider data platform, run by an NCQA-certified CVO, so your network moves faster with fewer errors and fewer vendors.
The numbers health plans hold us to
- 8of the 10 publicly listed US health plans are CertifyOS clients.
- <5day average turnaround on primary source verification.
- 99.8%file-level accuracy at audit time, achieved with Select Health.
- 3SharedCred founding partners: UnitedHealthcare, Cigna Healthcare and Centene.
WHY NOW
The rules got tighter. The tolerance for error got smaller.
Between NCQA's 2025 credentialing standards and new federal directory rules, provider data that was good enough a few years ago is now a compliance exposure. Plans running fragmented processes feel it first in audits, then in member complaints.
Shorter verification windows
NCQA's 2025 credentialing standards shortened the verification timeframe and merged credentialing accreditation and CVO certification into one program.
Monthly monitoring
Ongoing monitoring of sanctions and exclusions moved to a monthly cadence under the 2025 NCQA standards.
Directory accountability
A 2025 CMS final rule requires Medicare Advantage plans to submit directory data for Medicare Plan Finder, update changes within 30 days and attest to accuracy annually.
Financial exposure
Under the No Surprises Act, a member who relies on an inaccurate directory listing can only be charged in-network cost-sharing.
What makes CertifyOS different
One platform, not five vendors
Credentialing, licensing, monitoring, roster management and payer enrollment run on one provider data platform with one source of truth.
Software and service together
An NCQA-certified CVO runs the work on our own platform, so you get delegated credentialing without stitching a software license to a separate services contract.
API-first provider data
One API and dashboard to ingest, verify, normalize and distribute provider data to the systems that need it, from claims to directories.
SharedCred network effect
SharedCred, our national shared credentialing program, lets participating plans start from one governed verifications packet instead of repeating the same work.
Audit-ready by default
Source, method and timestamp travel with every verification, so audit prep is a report, not a scramble.
A named team, not a queue
A dedicated Client Success Manager from kickoff through every audit, and a 6-8 week migration with parallel processing.
FROM OUR CLIENTS