Certify

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.

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

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

• Provider credentialing software
• Healthcare provider data
• Primary source verification
• Roster management platform
• Provider network management

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations

Revenue model

1. 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.
2. 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

Go-to-market motion2 records

Distribution channels2 records

Marketing channels8 records

Core 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

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability4 records

Feature6 records

Partnerships

Two partnerships are on record, tiered core.

• HIPN (Healthcare Intelligence Partnership Network)coreStrategic or Co-development Partner · 31 March 2026CertifyOS 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 or Co-development Partner · 16 October 2025Strategic 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

Broad 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

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds3 records

Investors9 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Certify