symplr Payer vs. Certify

Cut costs, eliminate data silos, and improve member outcomes through a unified and automated provider data solution. symplr Payer acts as a dependable single source of truth for provider data, ensuring regular reconciliation and verification against primary sources. This system greatly enhances data quality, accessibility, and transparency, while also reducing provider frustrations by removing unnecessary information requests. By adopting symplr Payer as the core repository for provider data throughout the organization, payers can share accurate and timely information with multiple downstream systems. Our thorough and flexible provider data management solution supervises all pre-contract and renewal negotiations. You can optimize and standardize your contracting workflows while carefully documenting contract details such as sentinel events, trigger dates, process steps, fee schedule information, and beyond. Moreover, the innovative architecture of symplr Payer allows your organization to seamlessly integrate contracting and credentialing processes. This not only simplifies management but also significantly boosts overall efficiency in handling provider data, paving the way for more streamlined business operations. In doing so, your organization can foster stronger relationships with providers and ensure a more effective service delivery.

Certify presents a modern, API-driven solution for credentialing, licensing, and enrollment specifically designed for payors, healthcare systems, and emerging digital health companies. We deliver crucial insights that significantly improve the efficiency of clinicians, teams, and healthcare organizations. Our intuitive one-click credentialing feature allows for the effortless creation of high-quality provider networks. The real-time, automated credentialing process we offer complies with NCQA standards, facilitating the growth of provider networks. We maintain ongoing compliance through our automated monitoring systems, ensuring your provider networks remain up-to-date. By removing the complexities and administrative tasks associated with licensing, we empower you to effortlessly tap into new markets. Becoming part of our network accelerates your reimbursement processes, enabling you to dedicate more time to patient care. Our efficient system supports cross-state licensure for all types of licenses across the United States, while also simplifying the enrollment process for providers looking to expand into unfamiliar territories. You can conveniently track your enrollment status with our customized dashboards, and leverage our advanced techniques to effectively refine, standardize, and improve your provider data. This all-encompassing service not only guarantees compliance but also encourages growth in an increasingly competitive healthcare environment. Ultimately, with Certify, you can navigate the complexities of healthcare credentialing and licensing with confidence and ease.