Certify
CertifyOS is an API-first healthcare provider data platform that automates licensing, enrollment, credentialing, roster management, and compliance monitoring for US health plans, digital health companies, and health systems.
- Company typePrivate
- Founded2020
- HeadquartersNew York, United States
- Headcount251–500
- GTM typeB2B
- OfferingSoftware
What Certify does
CertifyOS is an API-first, healthcare provider data management platform that automates the full lifecycle of provider network operations — licensing, enrollment, credentialing, ongoing monitoring, and roster reconciliation — for health plans/payers, digital health companies, and health systems across the United States. The platform is built on a Provider Data Platform foundation that ingests, verifies, normalizes, and distributes provider data via REST APIs, webhooks, and bulk exports, with direct integrations into 600+ primary sources (medical schools, licensing boards, regulatory bodies) enabling real-time primary source verification and an AI-powered entity resolution engine that produces a single "golden record" per provider across 1,600+ data attributes and 15M+ tracked licenses. Product surface consists of the core platform plus configurable modules (Credentialing, Licensing, Compliance Monitoring, RosterOS, and the end-to-end Provider Hub layer) and is wrapped with NCQA-certified CVO services covering 11 of 11 verification services.
The company is venture-backed, having raised $69M total across a $4.55M seed (Upfront Ventures, February 2022), $14.5M Series A (General Catalyst, September 2022), and a $40M Series B (Transformation Capital, June 2025). Revenue is generated through enterprise SaaS subscriptions sold via direct field sales with custom demos and quote-based annual contracts, supplemented by managed CVO services revenue. The customer base includes 8 of the 10 largest publicly listed US health plans alongside digital health customers such as Headway, Alma Health, and OncoHealth. The company operates as a fully remote organization of 136+ employees headquartered in New York, is NCQA CVO-certified and SOC 2 Type 2 compliant, and reported tripled year-over-year growth heading into its Series B.
Certify firmographics
Firmographics- Name
- Certify
- Legal name
- Compliance Made Easy, LLC, DBA CertifyOS, Inc.
- Website
- https://certifyos.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- CertifyOS is an API-first healthcare provider data platform that automates licensing, enrollment, credentialing, roster management, and compliance monitoring for US health plans, digital health companies, and health systems.
- Ownership category
- akta.pro rank
Certify industry classification
Industry- Product category
- Healthcare Provider Data Management
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Healthcare Data Quality, Profiling & Observability (HLACAIAE)
- akta.pro secondary industry
- Consent, Preference & Data Rights Management (incl. HIPAA/GDPR support) (HLACAIAG)
Keywords
Where Certify is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Certify business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- SaaS Platform Subscription: Cloud-based provider data management platform delivered as subscription service. Organizations pay for access to the CertifyOS platform for credentialing, licensing, monitoring, and roster management capabilities.
- CVO Services (Credentialing Verification Organization): Outsourced credentialing verification services where CertifyOS acts as a certified CVO, handling primary source verification and compliance monitoring on behalf of healthcare organizations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise platform with modular products for credentialing, licensing, monitoring, and roster management |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels8 records
Certify product offering
Product offeringCore offering
CertifyOS is an API-first, UI-agnostic platform that automates healthcare provider network management across licensing, enrollment, credentialing, and ongoing monitoring. The platform ingests, verifies, normalizes, and distributes provider data via real-time APIs and batch uploads from 600+ primary sources, replacing spreadsheets and point solutions with a unified source of truth for health plans, digital health companies, and health systems.
Product overview
CertifyOS is a unified healthcare provider data intelligence platform built on a Provider Data Platform foundation. The platform replaces spreadsheets and point solutions with infrastructure that powers credentialing, licensing, compliance monitoring, and roster management through AI-enabled verification from primary sources. The architecture consists of the CertifyOS Provider Data Platform as the core foundation, with Credentialing, Licensing, and Monitoring products available as configurable modules that plug into workflows and scale with organizational needs. Provider Hub serves as the end-to-end management layer with features including Provider Graph, Provider Data Integration, Entity Resolution, One Golden Record, and Data Sharing. RosterOS provides specialized delegated roster management functionality. All capabilities are accessible via a single API-first architecture.
Differentiator
Problem solved
Functional benefit
Brands
- RosterOS: A stress-free provider-entity data management solution that enables health plans to combine multiple provider rosters into one consolidated source of truth, reducing administrative burden and improving data quality.
- Provider Hub
Products and services
- CertifyOS Provider Data Platform Foundational infrastructure platform that unifies healthcare provider data from various sources, connecting every part of the provider data lifecycle — powering credentialing, monitoring, roster reconciliation, and downstream workflows through API-first architecture with real-time primary source verification.
- Credentialing End-to-end provider credentialing solution for payers and providers that automates primary source verification, reduces administrative workloads, and enables continuous monitoring for real-time sanctions and compliance between credentialing cycles.
- Licensing Provider licensing management solution that streamlines clinical licensing across all 50 states with dynamic pre-built requirements for every state and provider type, integrated workflows including fingerprinting and notarizations, and proactive expiration management.
- Monitoring (Compliance) Automated compliance monitoring solution with real-time alerts and continuous notifications for tracking provider credentials, licenses, certifications, and adherence to regulatory requirements, ensuring ongoing compliance and reducing organizational risk.
- RosterOS Delegated provider roster management solution that combines multiple provider rosters into one consolidated source of truth, reducing administrative burden and improving data quality through automated validation and error handling.
- Provider Hub End-to-end Provider Data Management platform that eliminates fragmentation and reduces costs for health plans and digital health companies, with features including Provider Graph, Provider Data Integration, Entity Resolution, One Golden Record, and Data Sharing.
Quantifiable outcome
- 75% reduction in re-credentialing costs
- +12 more outcomes
Companies that use Certify
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles3 records
Certify technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability4 records
Feature6 records
Certify partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- HIPN (Healthcare Intelligence Partnership Network)coreCertifyOS named as HIPN Portfolio Partner to expand health plan engagement around modern provider data infrastructure. The partnership enables CertifyOS to leverage HIPN's network to reach more health plans and provide unified, real-time provider data management replacing legacy systems.
- Candor HealthcoreStrategic partnership to develop an advanced Provider Data Management (PDM) solution combining CertifyOS's data infrastructure platform with Candor Health's AI-driven data accuracy engine. The collaboration addresses provider data fragmentation by bringing together MDM capabilities and unmatched data accuracy technology.
Scale indicators16 records
Recent moves6 records
Expansion highlights5 records
Certify competitors and assessment
Company assessmentBroad incumbents
- HealthStream: HealthStream is an established healthcare workforce and provider data company offering credentialing, learning, and performance solutions. It competes with CertifyOS in credentialing and compliance, primarily to hospital systems and large provider organizations.
- CAQH (Council for Affordable Quality Healthcare): CAQH operates CAQH ProView and CAQH Credentialing, the de facto industry-standard credentialing data platform used by most US health plans and providers. It is a broad incumbent whose directory and credentialing standards shape the category CertifyOS competes in.
- RLDatix: RLDatix provides governance, risk, compliance, and workforce solutions including provider credentialing and roster management for health systems. It is a broad incumbent competing with CertifyOS in credentialing and provider data workflows.
Direct peers
- MedTrainer: MedTrainer provides credentialing, compliance training, and provider management software to healthcare organizations. It competes directly with CertifyOS's credentialing and monitoring modules, primarily serving ambulatory and mid-market providers.
- QGenda: QGenda provides provider scheduling, credentialing, and workforce management software for healthcare organizations. It overlaps with CertifyOS in credentialing and provider data management, particularly for health system customers.
- Andros: Andros is a healthcare provider data management and credentialing platform focused on payer and provider network operations. It directly competes with CertifyOS in credentialing, enrollment, and provider data workflows for health plans and digital health companies.
- symplr: symplr is a leading provider of healthcare governance, risk, compliance, and provider data management software, including credentialing solutions. It is the closest scaled direct competitor to CertifyOS's CVO and credentialing offerings, though its product breadth extends well beyond provider data.
Emerging players
- Ribbon Health: Ribbon Health operates a provider data platform focused on directory accuracy, network adequacy, and provider search. It is comparable to CertifyOS's Provider Hub offering for health plans and digital health companies seeking clean provider data.
- Verifiable: Verifiable offers an API-first provider credentialing and network management platform. It overlaps with CertifyOS's credentialing, PSV, and monitoring capabilities and is often compared head-to-head in RFPs for digital health and payer customers.
- Atlas Health (formerly Atlas.Health): Atlas Health offers provider data management and network infrastructure tools targeting payers and digital health companies. It is an emerging competitor with partial overlap to CertifyOS's Provider Hub and roster management capabilities.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Certify compliance and trust
Trust signalCompliance2 records
Certify financial estimates
Financial estimateRevenue estimate
Valuation estimate
Certify leadership team
Management profileNumber of profiles
Profiles8 records
Certify funding detail
Funding detailFunding overview
Funding rounds3 records
Investors9 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Certify M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Certify
What does Certify do?
CertifyOS is an API-first, UI-agnostic platform that automates healthcare provider network management across licensing, enrollment, credentialing, and ongoing monitoring. The platform ingests, verifies, normalizes, and distributes provider data via real-time APIs and batch uploads from 600+ primary sources, replacing spreadsheets and point solutions with a unified source of truth for health plans, digital health companies, and health systems.
Is Certify a public or private company?
Certify is a private company. It is classified as venture growth investor backed and is currently operating.
When was Certify founded?
Certify was founded in 2020. It employs 251 to 500 people.
Where is Certify based?
Certify is headquartered in New York, United States, in the North America region.
How does Certify make money?
Two revenue lines are on record. SaaS Platform Subscription is the primary driver. The others are CVO Services (Credentialing Verification Organization).
Who are Certify's main competitors?
Broad incumbents on record are HealthStream, CAQH (Council for Affordable Quality Healthcare) and RLDatix. Direct peers are MedTrainer, QGenda, Andros and symplr. Emerging players are Ribbon Health, Verifiable and Atlas Health (formerly Atlas.Health).
Does Certify have an API?
Yes. CertifyOS is an API-first, UI-agnostic, end-to-end provider network management platform that automates licensing, enrollment, credentialing, and network monitoring. It offers REST and webhook endpoints for engineering teams. The platform provides a single API to ingest, verify, normalize, and distribute provider data at scale, with real-time APIs or batch uploads from rosters, 600+ primary sources, EMRs, and claims. Developer documentation is at www.certifyos.com.
What industry is Certify in?
Certify's product category is Healthcare Provider Data Management. Its primary akta.pro industry code is HLACAIAE, Healthcare Data Quality, Profiling & Observability, with a secondary code of HLACAIAG, Consent, Preference & Data Rights Management (incl. HIPAA/GDPR support). Its NAICS code is 51821 and its SIC code is 7372.