CertifyOS, a provider data intelligence company, has launched a new platform to help payers manage provider data in their network, the company announced last week.
New York City-based CertifyOS serves health plans and digital health companies and is working to streamline access to provider data, whether that’s for provider directories or medical claims. Its new AI-powered platform, called the Provider Hub, takes data from a range of sources — credentialing, directories, claims, rosters, etc. — and cleans it and unifies it into a single file for payers.
The platform integrates directly with downstream systems, such as contracting, directories and claims systems. It identifies when there are gaps in the data and flags issues to help support decision-making. In addition, it continuously