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Average Ratings 0 Ratings

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ease
features
design
support

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Description

CORE unites various sectors of the industry to speed up automation and enhance business processes that simplify healthcare for patients, providers, and health plans alike. By leveraging the most reliable source of provider and member information, CAQH empowers healthcare organizations to cut expenses, enhance payment accuracy, and revolutionize their business operations. In the rapidly changing healthcare environment, ongoing advancements in payment and claims processing are crucial. Healthcare providers and health plans nationwide rely on CAQH to gather and oversee professional data, verify primary sources, and keep track of sanctions. Consequently, this leads to more efficient administration, improved regulatory compliance, and superior management of provider information. Ultimately, the collaboration fosters innovation and ensures that all stakeholders benefit from a more effective healthcare system.

Description

CertifyOS offers an API-driven approach to credentialing, licensing, and enrollment tailored for payors, health systems, and fast-growing digital health enterprises. We provide essential insights that enhance the performance of clinicians, teams, and healthcare organizations alike. With our user-friendly one-click credentialing solution, you can create top-tier provider networks effortlessly. Our real-time, automated credentialing adheres to NCQA standards, making it easier to expand provider networks. We ensure continuous compliance through automated ongoing monitoring of your provider networks. By eliminating the uncertainties and administrative burdens of licensing, we enable you to expand into new markets without hassle. Join our network and expedite your reimbursement processes, allowing you to focus more on delivering care. Our streamlined approach facilitates cross-state licensure across all 50 states for any category of license, while also simplifying the payor enrollment process for providers entering new markets. Monitor your enrollment progress conveniently with our tailored dashboards, and utilize our superior methodology to refine, standardize, and enhance your provider data effectively. This comprehensive service not only supports compliance but also fosters growth in a competitive landscape.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

Azure Marketplace No 
Salesforce Data 360 Yes 
mTrip No 

Integrations

Azure Marketplace Yes 
Salesforce Data 360 No 
mTrip Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

CAQH

Founded

2000

Country

United States

Website

www.caqh.org

Vendor Details

Company Name

CertifyOS

Founded

2018

Country

United States

Website

www.certifyos.com

Product Features

Credentialing

Appointment Management No 
Certification Tracking No 
Committee Management No 
Document Management No 
Expiration Management No 
License Verification No 
Online Applications No 
Privileging No 

Product Features

Credentialing

Appointment Management No 
Certification Tracking No 
Committee Management No 
Document Management No 
Expiration Management No 
License Verification No 
Online Applications No 
Privileging No 

Alternatives

Alternatives

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