Axuall vs CertifyOS (2026)
Both sell verified provider data, and they sit on different sides of the same record. Axuall builds a verified record for each clinician from a large provider data network and sells it to health systems and staffing firms: Explore for recruiting, Confirm for credentialing and Sync, which pushes verified updates into systems such as Epic's provider master file. CertifyOS sells a provider data platform to health plans, health systems and digital health companies, verifying credentials against more than 600 primary sources as an NCQA certified verification organization and monitoring licenses and sanctions continuously. The choice follows the buyer. A health system keeping its own provider file current will look at Axuall first. A plan that needs certified verification and a directory feed will look at CertifyOS.
- Verified data flows into the systems a health system already runs: Sync pushes updates into Epic's provider master file, directories, rosters and scheduling tools, with exceptions routed to staff.
- Public API documentation and named integration targets make the connection checkable before a demo.
- Clinicians can hold their verified credentials in a digital wallet, so verification can be reused rather than repeated.
- NCQA certification as a credentials verification organization across all 11 verification elements, which is what a health plan's delegation audit asks for.
- Continuous monitoring of licenses, sanctions and exclusions, with one provider record delivered to directories, claims and analytics by API, webhooks or bulk export.
- The company reports eight of the ten publicly listed US health plans as clients, a concentration no other credentialing vendor here claims.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Axuall and CertifyOS are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Axuall | CertifyOS |
|---|---|---|
| Primary category | Healthcare Administrative Automation | Healthcare Administrative Automation |
| Founded | 2018 | 2020 |
| Headquarters | Cleveland, Ohio, United States | New York, New York, United States |
| Website | axuall.com | certifyos.com |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Axuall, based in Cleveland and founded in 2018, runs a provider data network that it describes as spanning more than 30 billion data points from public and private sources, real world practice patterns and primary source verification, assembled into a verified super record for each clinician.
Source: AI Health Index, September 2026
CertifyOS sells a provider data platform to health plans, health systems and digital health companies. It ingests rosters and data from more than 600 primary sources, verifies clinicians' credentials, monitors licenses, sanctions and exclusions continuously, and delivers one provider record to directories, claims and analytics systems through an API, webhooks and bulk export.
Source: AI Health Index, September 2026
Questions buyers ask
How do Axuall and CertifyOS work with the EHR?
For Axuall, the company publishes API documentation for developers from its footer, and it has integrated with HealthStream's CredentialStream through the hStream ecosystem so those customers can use its verified data without replacing their credentialing platform.
With CertifyOS, the company describes versioned REST endpoints, including one that pulls a provider's CAQH ProView data and one that returns a signed link to the provider's primary source verification file, and a webhooks endpoint that pushes events such as credentialing completed and provider terminated into customer systems. Its CAQH guide describes automatic rostering into CAQH, so CAQH is a named system read from and written to. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
How are Axuall and CertifyOS priced and sold?
In Axuall's case, the enterprise platform is sold as three products, Explore for recruiting intelligence, Confirm for onboarding and credentialing, and Sync for provider data maintenance, to health systems and staffing firms through a demonstration, with public API documentation for integration.
For CertifyOS, the company sells a platform with configurable products on top (credentialing, licensing, monitoring, roster management and SharedCred) through a demo, and quantifies return in percentages, 75 percent lower re-credentialing costs on the home page, with no rates. Nor is a unit of charge stated, whether per credentialing event, per provider under monitoring, per API call or a platform subscription. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
Which settings and specialties do Axuall and CertifyOS cover?
With Axuall, coverage extends to physicians, advanced practice providers, specialists and nurses.
In CertifyOS's case, specialty agnostic by design, with the company noting five core data entry points serve any provider type or specialty. Coverage is administrative rather than clinical, so it does not extend into care delivery. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
How much do Axuall and CertifyOS leave to the clinician?
For Axuall, the company has reported more than 200,000 primary source verifications a day at a match rate above 99 percent. Credentialing and privileging decisions remain with the medical staff office; the platform supplies verified data rather than approvals.
With CertifyOS, the credentialing decision itself stays with the customer: the company holds NCQA verification certification, and its own material places committee approval of providers with the health plan or health system. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Healthcare Administrative Automation page.
Neither publishes a price, and both sell through a demonstration. CertifyOS quotes 75 percent lower recredentialing costs and 80 percent shorter credentialing times with no customer, baseline or period behind either figure.
Neither publishes how its models are governed or tested, and in both the AI does the data work (matching, deduplication, reading rosters) rather than the verification decision. CertifyOS says nothing about where it runs. Ask each vendor for its verification error rate, how a disputed record is corrected, and who carries the cost when a directory entry is wrong.