CertifyOS is a data intelligence platform purpose-built to streamline and modernize provider credentialing, licensing, and enrollment in the healthcare ecosystem. Aimed at health plans, telehealth companies, provider groups, and health systems, CertifyOS offers automated, API-first infrastructure that replaces manual verification processes and reduces credentialing timelines from weeks to days. With deep integrations into primary source databases and regulatory bodies, CertifyOS enables real-time provider data updates, eligibility checks, and network intelligence, helping organizations maintain accuracy, compliance, and operational efficiency.

What are the key features of CertifyOS?

Automated credentialing and primary source verification

CertifyOS automates the collection and validation of provider credentials by integrating with hundreds of primary sources, reducing the need for manual data entry or paperwork.

• Real-time credential verification across medical boards, DEA, NPI, and more

• Automated document tracking and expiration management

• NCQA- and CMS-compliant workflows built into the platform

This speeds up the credentialing lifecycle and reduces administrative overhead.

Licensing and enrollment automation

CertifyOS streamlines the licensure and payer enrollment process by automating application submissions, monitoring, and renewals.

• Pre-populated digital applications using provider data

• Status tracking dashboards and automated notifications

• Multi-state license support with renewal management

It simplifies a complex and error-prone process, especially for organizations operating across states or payers.

Unified provider data infrastructure

The platform acts as a central hub for up-to-date, verified provider data, powering a wide range of operational and analytical use cases.

• Single source of truth for provider directories, credentialing, and onboarding

• API access to real-time provider status, eligibility, and sanctions data

• Data normalization across disparate formats and sources

This foundation improves data reliability across systems and departments.

Real-time network intelligence and analytics

CertifyOS enables healthcare organizations to make smarter decisions about their provider networks by offering visibility into availability, gaps, and performance.

• Analytics on provider supply, specialty distribution, and geographic coverage

• Network adequacy and compliance reporting

• Insights for strategic planning and workforce forecasting

It allows payers and health systems to manage their networks proactively and transparently.

Developer-friendly, API-first design

CertifyOS was built from the ground up with interoperability and automation in mind, offering flexible APIs to embed provider data into any system.

• RESTful API for credentialing, licensing, and network queries

• Event-based triggers and webhook integrations

• Documentation and sandbox environments for quick implementation

Ideal for digital health companies and modern platforms that require scalable, embedded data services.

To summarize

CertifyOS provides healthcare organizations with a modern, automated infrastructure for managing provider data. Its key benefits include:

• Faster, automated credentialing and verification, cutting time and costs

• Simplified licensing and enrollment, reducing delays and manual errors

• A unified provider data platform, ensuring consistency across systems

• Actionable network intelligence, for smarter workforce and compliance planning

• API-first architecture, enabling seamless integration and scalability