Health data company CertifyOS has unveiled its new Provider Hub platform, technology that allows insurers greater insight into key data across their provider network.
Through Provider Hub, payers can tap into unified and real-time provider data that are critical to operations. The company said in an announcement that these data have traditionally been managed in siloed systems, spreadsheets and outdated tools that hinder effective use.
When payers lack access to complete or usable provider data, it can have a negative impact on a slew of key business functions, Certify said, including compliance with key regulations, member experience and claims processing.
The Provider Hub takes in and cleanses, normalizes and validates key provider data from multiple sources, including credentialing, directories, claims and other internal systems. The platform leans on artificial intelligence to support this effort, according to the announcement.
Anshul Rathi, CEO of CertifyOS, told Fierce Healthcare that he got his start in healthcare data working at Oscar Health, an experience that highlighted a gap in the market for a platform that could clean up provider data.
"Based on my experience, every part of healthcare operations—from payment integrity to member care to care routing your regulatory ops—is impacted by the lack of provider data, and yet provider data is fragmented, inaccurate and extremely costly," Rathi said.
The Provider Hub provides insights into using those key data across the enterprise, leading to fewer siloes, less delays and lower costs, according to the announcement.
CertifyOS said it has already secured multiple deals with customers looking to use its data management tech.
Rathi said the platform allows users to submit data in any format, and it can then clean them up and ensure they're usable within the Provider Hub. The team also works with the clients to determine which of their workflows are most in need of automation or otherwise assistance from tech and builds the implementation of the platform out from there.
The hub is designed in such a way that it can be flexible to adapt to the needs of unique payers that sign on, per the announcement.
"Then once you get the data in the format that you know, we then automate the workflows that are most expensive so that your teams can focus on the workflows or work that is more meaningful, that is more high ROI for a manual intervention, and not something that the system can do," he said.
The launch is built off a $40 million cash infusion secured over the summer.