CertifyOS, founded in 2021, builds AI-enabled provider data infrastructure for healthcare organisations. Its NCQA-certified, API-first platform automates credentialing, licensing, enrollment, and network monitoring, replacing the spreadsheets and fragmented point solutions that have long characterised administrative workflows in healthcare. The platform serves payers, provider groups, health systems, and digital health companies.
The core product creates a single source of truth for provider data by validating information in real time against thousands of primary sources. The practical impact is substantial: a process that takes an industry average of 30 days is reduced to 28 minutes. Beyond credentialing, the platform powers contracting, payments, compliance, and the broader provider data lifecycle.
The technical stack reflects an API-first philosophy designed for integration into existing healthcare infrastructure. Key domains include:
- AI-enabled automation across provider data workflows
- Real-time data validation and aggregation from primary sources
- Credentialing, licensing, enrollment, and network monitoring systems
- Regulatory and compliance tooling, including NCQA-certified processes
CertifyOS was founded by healthcare veterans with direct experience of the industry's administrative burdens. The company's stated mission is to reduce the cost of healthcare by eliminating unnecessary regulatory and administrative friction through technology, data, and deep domain expertise.