Problem

Alma, a national network of mental health care providers, faced significant challenges in their provider credentialing and monitoring process; including:

Onboarding Timelines

As incoming provider volume outpaced their
credentialing infrastructure, Alma’s network
growth stalled, resulting in lost revenue and
delays in patient care.

Inflexible Systems

Inability to adapt file formats led to bottlenecks - preventing new providers from being credentialed, and existing providers from being continuously monitored - increasing sanctioned or incorrect provider data inclusion, and hindering network growth.

Manual Review

Inaccurate and unreliable data: Without scalable infrastructure, maintaining accurate provider data was cumbersome, requiring 3.5 weekly hours of manual review.

With over 10% of files affected with errors, reliability
was always in question, and the prospect of audits
became a concern.

Alma implemented Certify's credentialing and monitoring solutions and saw:

1. Quick and efficient provider network growth due to real-time credentialing
    and monitoring.

Results:

• 83% Reduction in Credentialing TATs (from 17 days to 3)

• Audit preparedness via Certify’s NCQA certification
  
  

2. A reduction in onboarding friction driven by on-demand file verifications which             completed in minutes, not weeks. This improved provider relations and increased       
   data accuracy and reliability.

Results:

• 50% Reduction in provider escalations around prolonged credentialing times
  
  
  

3. Manual error review by Alma's Credentialing team was no longer necessary, due to        programmatic logic and ongoing workflow configuration removing bottlenecks, and 
    quickly enabling provider network expansion.

Results:

• 85% Time reduction on labor to QC and resolve errors and delays

• Enabled focus on strategic growth opportunities
  
  

About Certify & Alma

Together, both companies have a shared focus on improving
the mental healthcare provider and client experience, ultimately enabling better care delivery for therapy seekers.

From alignment around automation and configurability to improving provider networks to joint alignment around meeting the needs of clients, Certify is an extension of their customers, a partner constantly adapting and growing our product to meet the broader goals of the industry.