CertifyOS gets $14.5 million for Frictionless Vendor Intelligence

CertifyOS gets $14.5 million for Frictionless Vendor Intelligence

What you should know:

– New York-based CertifyOS Raises $14.5M in Series A Funding Led by General Catalyst and Received Accreditation from the National Committee for Quality Assurance (NCQA), a dedicated private nonprofit organization improving the quality of health care.

– CertifyOS provides API-first accreditations, licenses and registrations to payers, health systems and fast-moving digital health enterprises.

Supplier Intelligence Platform

Launched by former Oscar Health employees, CertifyOS is led by a team with deep expertise in vendor licensing and accreditation processes. The CertifyOS platform was built based on deep insights from its leaders’ combined experiences in accrediting over 40,000 vendors. Complete product automation across the platform creates systemic efficiencies, reducing an average month-long process to minutes. The platform is UI-agnostic and can integrate with any third-party platform, allowing payers to seamlessly continue provider operations without changing technical architecture, systems or procedures .

CertifyOS plans to use the new capital to grow its business, product and engineering teams, enhance its existing insurance accreditation platform, and expand product offerings to include hospital accreditation, privileges, network accuracy, suitability and directory management.

CertifyOS currently serves dozens of customers across the United States, including VillageMD and Thirty Madison. The company’s data infrastructure provides an unparalleled solution to supplier data processing, reducing turnaround times from an industry standard 28 days to just under two minutes. By transforming the existing licensing and accreditation system, CertifyOS creates significant cost savings for users, reducing administrative costs by an average of 40%.

“This funding reinforces market conviction of the importance of integrating vendor data silos to make information accessible, transparent and actionable,” said Anshul Rathi, CEO of CertifyOS. “Our Series A funding will allow us to build the mid-tier infrastructure that connects all of the disparate data sources currently hosting data from major vendors, eliminating the boundaries and frictions of scaling the networks that exist. in health care today.”

NCQA Accreditation

The 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% of health plans nationwide. Accreditation for CertifyOS is an important validation for the company, which has used NCQA measurement standards since its inception. Now, CertifyOS will be able to retain additional assurance providers as customers, many of which require accreditation as a prerequisite.

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