• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

CertifyOS Secures $14.5M for Frictionless Provider Intelligence

by Jasmine Pennic 09/07/2022 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print
CertifyOS Secures $14.5M for Frictionless Provider Intelligence

What You Should Know:

– New York City-based CertifyOS raises $14.5M in Series A funding led by General Catalyst and has received Accreditation from the National Committee for Quality Assurance (NCQA), a private, non-profit organization dedicated to improving healthcare quality.

– CertifyOS delivers API-first credentialing, licensing, and enrollment to payors, health systems and rapidly-scaling digital health companies.

Provider Intelligence Platform

Started by former Oscar Health employees, CertifyOS is led by a team with deep expertise in the provider licensing and credentialing processes. The CertifyOS platform was built based on keen insights from its leadership’s combined experiences of credentialing more than 40,000 providers. Full product automation across the platform creates systemic efficiencies, reducing an average month-long process to mere minutes. The platform is UI-agnostic, and can integrate with any third-party platform, enabling payors to seamlessly continue provider operations without changing technical architecture, systems, or procedures.

CertifyOS plans to use the new capital to grow its commercial, product and engineering teams, enhance its existing insurance credentialing platform, and expand product offerings to include hospital credentialing, privileging, network accuracy, adequacy, and directory management.

CertifyOS currently serves dozens of customers across the U.S., including VillageMD and Thirty Madison. The company’s data infrastructure provides an unmatched solution to provider data processing, cutting turnaround times from an industry standard of 28 days, to just under two minutes. By transforming the existing licensing and credentialing system, CertifyOS creates a massive cost savings to users—reducing administrative costs by an average of 40 percent.

“This funding reinforces market conviction around the importance of integrating provider data silos to make information accessible, transparent, and actionable,” said Anshul Rathi, CertifyOS CEO. “Our Series A funding will allow us to create the mid-level infrastructure that connects all of the disparate data sources currently housing primary provider data, eliminating the borders and friction to scaling networks that exist in healthcare today.”

NCQA Accreditation

NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS®, the performance measurement tool used by more than 90 percent of the nation’s health plans. Accreditation for CertifyOS is an important validation for the company, which has operated using NCQA measurement standards since its inception. Now, CertifyOS will be able to retain additional insurance providers as customers, many of which require accreditation as a prerequisite.

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: API, digital health, Health Systems, NCQA, Oscar

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

HLTH 2025 Coverage

HLTH 2025 Day 1 Summary & Insights: AMA Launches AI Governance Center, Google Cloud, Microsoft, ChatGPT for Medicine

Featured Interview

ConcertAI VP Shares View on AI Hallucinations and the Fabricated Data Crisis in Scientific Publishing

Most-Read

Cleveland Clinic and Khosla Ventures Form Strategic Alliance to Accelerate Healthcare Innovation

Cleveland Clinic and Khosla Ventures Form Strategic Alliance to Accelerate Healthcare Innovation

Northwell Health Selects to Deploy Abridge’s Ambient AI Across 28 Hospitals

Northwell Health to Deploy Abridge’s Ambient AI Across 28 Hospitals

Omada Health Launches "Nutritional Intelligence" with AI Agent OmadaSpark

Omada Health Launches AI-Powered Meal Map to Transform Nutrition for Cardiometabolic Patients

From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Op-Ed Submission Guidelines
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |