Provider data forms the backbone of healthcare operations, but for health plans, managing that data remains a significant challenge. Issues like inaccurate directories, credentialing delays, and fragmented systems lead to higher administrative costs, delays in care, and provider burnout.
Startup Certify is tackling this by building a modern data infrastructure that unifies provider information across sources and systems, aiming to become the single source of truth for provider data. The company recently raised a $40 million Series B round led by Transformation Capital, with continued support from General Catalyst, Upfront Ventures, and new backing from SemperVirens, bringing its total funding to $69 million. The funds will accelerate product development, engineering, and go-to-market efforts.
Certify’s platform consolidates provider data from thousands of primary sources—like state boards and national clearinghouses—using AI and machine learning to match and verify information at scale. It supports health plans and digital health companies with end-to-end needs like credentialing, licensing, monitoring, and roster management, offering clean, standardized, and real-time data.
CEO Anshul Rathi emphasizes that rather than applying tech to outdated workflows, Certify is rebuilding the system entirely. Initially launched in 2021 as a credentialing platform, Certify used that entry point to expand into a broader infrastructure solution. The company reports strong results among clients, including a 40% reduction in administrative costs, 30% improvement in data accuracy, and 99.8% field-level precision, reducing onboarding times from months to days.
Rathi highlights rising regulatory demands—such as the No Surprises Act and new NCQA credentialing standards taking effect July 1—as key drivers of demand for accurate and accessible provider data. Certify’s platform continuously pulls from verified sources and flags license expirations in advance, ensuring readiness for evolving compliance requirements.
AI plays a core role in Certify’s platform, helping resolve provider identities, extract document fields, and generate credentialing summaries. However, Rathi stresses that the foundation for transformative AI lies in the quality of the data it relies on. Certify focuses on building the "middleware" that cleans, integrates, and governs provider data at scale.
Beyond operational efficiency, the impact is broader: reducing friction for providers and improving access and trust for patients. Verified provider data ensures faster onboarding, less redundancy, and more accurate directories—making the healthcare system more connected and transparent.
According to Scott Rosen, partner at Transformation Capital, Certify is poised to lead in provider data infrastructure, rearchitecting the foundational systems healthcare depends on. As the industry pushes toward unified, scalable, and intelligent provider operations, Certify aims to be at the center of that transformation.
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