Certify vs Modio Health
Two Credentialing & Provider Data vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Certify | Modio Health | |
|---|---|---|
| Pricing model | Not published · custom, scales with provider count | Subscription (per user or PMPM) · Quote-based, sized by provider count |
| Speed to go live | API-first platform, onboarding in weeks | Cloud setup; data migration paced |
| Automation model | Software platform · credentialing automation plus NCQA-certified CVO | Software platform · Credentialing system of record |
| Built for | Payers, Enterprise systems, Mid-size groups | Small practices, Mid-size groups, Enterprise systems |
| Security posture | SOC 2 Type II | SOC 2 Type II, HIPAA |
| Company maturity | 5 yrs (est. 2021) | 12 yrs (est. 2014) |
| Financial backing | $69M · Series B | Subsidiary of CHG Healthcare (acquired 2019) |
| Named customers | 3 named | None public |
| Published results | Specific numbers public | No public numbers |
| Documented integrations | None documented | 3 listed |
| Third-party validation | None found | KLAS / analyst cited |
Bottom line
- Pick Certify if you are a payer or provider network buried in credentialing and roster work and want it API-driven.
- Pick Modio if you need one shared system of record for provider credentialing, licensing, and expirables across teams and facilities without an enterprise IT project.
Certify
Provider intelligence platform for credentialing and enrollment
- Founded
- 2021
- HQ
- New York, NY
- Stage
- Series B
- Raised
- $69M
What it does
- One API for credentialing, licensing, enrollment, and monitoring
- Provider data refreshed from thousands of primary sources
- Delegated credentialing services for health plans
- Roster management and network data cleanup
- End-to-end provider data management platform, launched 2025
Where it's strong
- Built payer-first, with about 30 health plan customers including national and Medicare Advantage plans, so it understands plan-side credentialing and delegation.
- Case studies show real numbers: Select Health cut credentialing turnaround from over 6 months to 8 weeks.
- Fresh $40M Series B (June 2025) from Transformation Capital and General Catalyst gives it runway to build out the full provider data lifecycle.
What buyers should weigh
- Most customers are unnamed, so demand references that match your organization type and size.
- The end-to-end provider data platform launched in October 2025 and is young; the proven core is credentialing and verification.
- Provider organizations should confirm fit, since the product and go-to-market lean toward health plans.
Named customers
Oscar Health · Select Health · Lucet
Modio Health
Cloud credentialing platform for provider teams, part of CHG Healthcare
- Founded
- 2014
- HQ
- San Francisco, CA
- Stage
- Subsidiary of CHG Healthcare (acquired 2019)
- Raised
- n/a
What it does
- Centralized provider credential and license tracking
- Automated expiration alerts and renewals
- Primary-source verification support
- Payer enrollment tracking
- Exclusion and sanction monitoring
- Extended credentialing services (outsourced support)
Where it's strong
- Consistently strong KLAS scores (91.0 in the 2025 Credentialing report, rated five straight years) with a reputation for responsive service.
- Faster to deploy and easier to use than legacy enterprise credentialing suites, especially for mid-sized groups.
- CHG Healthcare ownership gives it stability and staffing-industry credentialing expertise without PE exit pressure.
What buyers should weigh
- Owned by CHG Healthcare, a staffing company, which some health systems weigh when the vendor's parent competes with their locum strategies.
- Built for credentialing teams rather than full medical staff governance, so hospitals needing privileging and peer review workflows may need more.
- Named customer references are scarce in public materials, so expect to rely on KLAS data and sales-provided references.
Integrations
Compare against the rest of Credentialing & Provider Data
Deciding between these two?
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