Monitoring for Health Plans
Keep your network compliant, stronger, and audit-ready
Certify Monitoring automates license, sanction and exclusion checks across hundreds of primary sources so you can mitigate provider risk, stay compliant, and streamline audits—spreadsheet free.
What It Solves
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You’re managing delegated entities without real oversight tools
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Provider sanctions or license changes go unnoticed until it’s too late
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Compliance checks are infrequent, manual, and hard to track
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Preparing for audits requires cobbling together logs and documents
Certify Monitoring delivers
Real-Time Alerts
Get notified instantly when a provider’s license expires, a new sanction is posted, or a board certification is issued.
Audit-Ready Oversight
Structured alert histories, change logs, and one-click reporting for NCQA, CMS, and URAC.
Delegation Dashboards
Monitor delegate compliance, upload rosters, and apply
rule-based tracking in one place.
Integrated Credentialing Workflows
Route alerts into re-credentialing queues automatically.
Why It Matters
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Reduce risk and avoid noncompliance penalties
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Eliminate provider status blind spots
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Cut down audit prep time from weeks to minutes
Certify Monitoring vs. Traditional Tools
Feature |
Traditional Monitoring |
|
|---|---|---|
|
Check Frequency |
Quarterly or annual |
Continuous, real-time |
|
Scope |
Manual checks |
Hundreds of automated sources |
|
Delegate Oversight |
None |
Configurable rules & dashboards |
|
Audit Prep |
Manual, spreadsheet-based |
Built-in, exportable logs |
|
Actionability |
Alerts buried in emails |
Structured feeds with routing |
Key Use Cases
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Delegation Oversight & Audit Readiness
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Network Risk Surveillance
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Integrated Credentialing Triggers
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Directory and Claims Accuracy
About Certify
Certify is the architect of modern provider data infrastructure — combining best-in-class technology, best-in-class data, and deep domain expertise to transform how healthcare operates. Our platform powers the full provider data lifecycle through a continuously updated source of truth, sourced from thousands of primary sources and accessible through a single API.
Want to dig deeper? Download the full PDF here