C

CertifyOS

API-driven credentialing and provider enrollment platform

Overview

Automates 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 updates, ongoing monitoring, and cross-state licensure within a single workflow. It differentiates itself with end-to-end API-driven automation and NCQA-aligned compliance to reduce paperwork and administrative coordination. The goal is to help clients scale provider networks quickly, speed reimbursements, and let clinicians focus more on patient care.

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About CertifyOS

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

Industries

Data & AnalyticsEnterprise SoftwareHealthcare

Company Size

201-500

Company Stage

Series B

Total Funding

$59M

Headquarters

New York City, New York

Founded

2021

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Simplify's take

What believers are saying

  • September 2026 SharedCred launches with 1.4 million providers across initial payer partners.
  • CertifyOS said June 2025 Series B funding and tripled year-over-year growth strengthened expansion.
  • NCQA and Medicaid-standard verification across all licensure states creates sticky compliance infrastructure for payers.

What critics are saying

  • CAQH DataSpring remains the default provider-data backbone, compressing CertifyOS pricing power.
  • Medallion's September 2026 Andros acquisition strengthens a direct competitor with integrated credentialing services.
  • SharedCred fails if health plans keep separate workflows, making October 2026 adoption churn existential.

What makes CertifyOS unique

  • CertifyOS built API-first credentialing, licensing, enrollment, and monitoring for payer workflows.
  • Its September 2026 SharedCred program centralizes credentialing across UnitedHealthcare, Cigna, and Centene.
  • Candor Health partnership combines CertifyOS data infrastructure with real-time provider accuracy and survivorship.

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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
$45M
$65M
$100M

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Unlimited Paid Time Off
  • Company Equity

Growth & Insights and Company News

6 month growth

-1%

1 year growth

-2%

2 year growth

0%
PR Newswire
Sep 23rd, 2026
UnitedHealthcare, Cigna, and Centene join first national shared credentialing programme to cut $2B in healthcare costs

CertifyOS has launched the first National Shared Credentialing Program in the US, with initial participants including UnitedHealthcare, Cigna Healthcare, and Centene. The programme aims to eliminate redundant credentialing processes that currently cost the US healthcare system over $2 billion annually. The system creates a centralised platform where providers enter their information once, rather than submitting an average of 17 applications yearly. Health plans currently spend between $200 and $500 per provider per recredentialing cycle, whilst providers spend roughly $700 in time and effort per year on duplicate applications. CertifyOS will standardise credentialing verification across participating health plans, performing primary source verification to NCQA and Medicaid standards. The service is scheduled to launch in autumn 2026. The company, which entered the market in 2021, is backed by General Catalyst and Upfront Ventures.

Modern Healthcare
Sep 23rd, 2026
UnitedHealth, Cigna team with CertifyOS on provider credentialing - Modern Healthcare

UnitedHealth, Cigna team with CertifyOS on provider credentialing - Modern Healthcare. UnitedHealth, Cigna, Centene join forces on provider credentialing. September 23, 2026 05:00 AM CDT Health insurance companies are joining forces to simplify the arduous provider credentialing process.

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.

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