CertifyOS

CertifyOS

API-driven credentialing and provider enrollment platform

Overview

CertifyOS provides an automated platform for credentialing, licensing, and enrollment of healthcare providers for payors, health systems, and digital health companies. Its API-first platform pulls data from hundreds of sources to deliver real-time credentialing, ongoing monitoring, and cross-state licensure within one workflow. It differentiates itself with end-to-end API-driven integration and NCQA-aligned compliance to reduce administrative work and speed reimbursement. Its goal is to help clients scale networks efficiently and let providers focus more on patient care by cutting paperwork and coordination.

About CertifyOS

Simplify's Rating
Why CertifyOS is rated
B
Rated B on Competitive Edge
Rated B on Growth Potential
Rated B on Differentiation

Industries

Data & Analytics

Enterprise Software

Healthcare

Company Size

201-500

Company Stage

Series B

Total Funding

$59M

Headquarters

New York City, New York

Founded

2021

Get referred to CertifyOS

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • CertifyOS raised $40 million in June 2025, funding hiring and product expansion.
  • Candor Health partnership on October 16, 2025 strengthens near-real-time provider-data accuracy.
  • SOC 2 Type 2 compliance and Fast Company recognition improve enterprise trust and sales velocity.

What critics are saying

  • Highmark delayed Delaware rollout from April 16 to later 2026, signaling implementation friction.
  • CAQH and payer-owned portals can commoditize credentialing, crushing CertifyOS pricing power.
  • If provider-data accuracy stalls, health plans revert to manual workflows and incumbents win.

What makes CertifyOS unique

  • Provider Hub unifies credentialing, roster management, and monitoring in one API, updated 2026.
  • CertifyOS claims eight of ten publicly listed U.S. health plans use its platform.
  • Highmark is rolling CertifyOS into Delaware, Pennsylvania, New York, and West Virginia workflows by August 2026.

Help us improve and share your feedback! Did you find this helpful?

Funding

Total Funding

$59M

Above

Industry Average

Funded Over

3 Rounds

Notable Investors:
Series B funding is typically for startups that have proven their business model and need more funding to expand rapidly—often by entering new markets or adding more products. Investors are usually venture capital firms that specialize in later-stage investments.
Series B Funding Comparison
Above Average

Industry standards

$35M
$40M
CertifyOS
$45M
Linktree
$65M
Substack
$100M
ClickUp

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Unlimited Paid Time Off

Company Equity

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-1%

2 year growth

10%
CertifyOS
Oct 16th, 2025
CertifyOS and Candor Health Partnership Announced

CertifyOS and Candor Health partnership announced. Its strategic partnership streamlines provider data accuracy with integrated change management and credentialing support. CertifyOS has announced a strategic partnership to create the most accurate, intelligent, and scalable Provider Data Management (PDM) solution in the healthcare industry. This collaboration brings together CertifyOS's next-generation Master Data Management (MDM) and provider data infrastructure with Candor Health's unmatched data accuracy engine to transform how health plans manage, verify, and operationalize up-to-date provider data. By combining CertifyOS's scalable and modernized PDM platform with Candor Health's deep expertise in provider data accuracy, the two companies are addressing the fragmentation that has burdened health plans for decades. Together, they unlock the operational efficiency, compliance readiness, and real-time provider intelligence that health plans need to meet evolving regulatory requirements and improve the member experience - all in service of better healthcare outcomes. "Candor leverages AI and machine learning to deliver accurate, near real-time provider data that enhances health plans' operational efficiency, compliance, and member experience," said Sury Agarwal, CEO of Candor Health. "Integrating our up-to-date provider data with CertifyOS's MDM infrastructure creates a unified solution that not only validates and manages provider information but also enables instant actions across a provider network. This collaboration addresses critical gaps in provider data management, offering a scalable and compliant infrastructure that empowers health plans to optimize network operations and deliver seamless care experiences." Trusted by dozens of health plans and digital health organizations, CertifyOS is the leading provider data intelligence company unifying workflows across intake, credentialing, monitoring, provider data management, and roster management. Its end-to-end provider data infrastructure platform ingests provider information from multiple sources, applies AI-driven entity resolution and survivorship rules to reconcile conflicting inputs, and normalizes everything into a single source of truth. By storing data at the atomic level, CertifyOS enables flexible configuration of business rules, seamless integration with downstream systems, and a 360-degree view of each provider. Candor Health further strengthens CertifyOS's platform by using AI to continuously cross-check tens of thousands of sources to confirm critical details - from practice locations and affiliations to specialties, licensure, and availability - and refreshes them on a near real-time basis. By integrating Candor Health's high-fidelity data onto CertifyOS's intelligent infrastructure, health plans can be even more confident that they are working with the most complete and current view of their networks. CertifyOS's platform scales with provider networks and can integrate directly into downstream workflows, such as claims, contracting, and directories. "Accuracy without lasting survivorship and action is meaningless," said Anshul Rathi, CEO of CertifyOS. "Candor is the best in the world at producing precise, up-to-date provider data using AI. CertifyOS is the only platform built to maintain and operationalize it. Together, we're not just offering a better PDM system; we're delivering the accurate infrastructure healthcare has been waiting for." This partnership also accelerates both companies' shared vision of helping health plans move from reactive compliance to proactive provider intelligence. With the combined solution, payers can now streamline provider onboarding, avoid claim denials, prevent fraud, and deliver a better provider and member experience - all while reducing administrative burden. Health plans interested in learning more can contact either organization directly to schedule a tailored demo. About Candor Health Candor Health is an AI-native provider data accuracy platform built to solve one of healthcare's most persistent challenges: unreliable provider information. Powered by a continuously verified, near-real-time national directory, Candor transforms fragmented records into trusted intelligence that flows seamlessly across the healthcare ecosystem. Health plans, health systems, and digital health companies rely on Candor to improve reliable provider search, streamline credentialing, and strengthen member trust. By making provider data a strategic asset, Candor enables organizations to drive measurable business performance, operational efficiency, and better care outcomes. To learn more, visit www.candorhealth.com.

PR Newswire
Oct 2nd, 2025
CertifyOS Launches the Only End-to-End Provider Data Management Platform Designed to Eliminate Fragmentation and Reduce Costs

CertifyOS launches the only end-to-end Provider Data Management platform designed to eliminate fragmentation and reduce costs.

FinSMEs
Jun 26th, 2025
Certify Raises $40M in Series B Funding

Certify raises $40M in Series B funding.

TradingView
Jun 26th, 2025
Certify Secures $40M Series B Funding

Certify has secured $40 million in Series B funding to advance its healthcare provider data infrastructure.

PR Newswire
Jun 26th, 2025
Certify Secures $40M Series B Funding to Continue Building the Healthcare Provider Data Infrastructure of the Future

/PRNewswire/ -- Certify, the provider data intelligence company, today announced a $40 million Series B funding round led by Transformation Capital, with...

Recently Posted Jobs

Sign up to get curated job recommendations

CertifyOS is Hiring for 6 Jobs on Simplify!

Find jobs on Simplify and start your career today

Don't see your dream role? Check out thousands of other roles on Simplify. Browse all jobs →