Skip to contentLive Directory, Not a Snapshot
Provider status, location, and network participation update in real time, not on a quarterly refresh.
Provider Network & OperationsHealthOS Provider: A Directory
HealthOS Provider: A Directory
That's Actually Current
Onboarding, credentialing, eligibility, referrals, and reimbursement for IPAs, ACOs, and health systems, kept current automatically by AI PASS instead of refreshed on a quarterly cycle.
HITRUSTSOC 2 Type IICMSHL7 FHIR
DirectoryCredentialingReferralsContracts
Quality Score88.4
Credentialed3,455
Pending PSV27
Dr. Alvarez CardiologyCredentialing complete
ActiveNorthside Medical GroupDirectory listing verified
ActiveGroup NPI 10442License renewal due in 12 days
ReviewAIAI PASS re-verified 1,204 licenses overnight and surfaced 9 records that need a credentialing specialist.
Workspace Overview
What Is HealthOS Provider?
HealthOS Provider is the workspace where credentialing, directory, referral, and contract data live for IPAs, ACOs, health systems, and the networks they operate. It reads and writes to the same live record CAPS and Plan use, so a change to a provider's status or contract is visible everywhere the moment it happens, supporting CMS Interoperability Rule directory obligations without a separate export process.
Shared Data Core
Directory and credentialing data connect directly to claims, eligibility, and quality data across HealthOS.
AI PASS Monitors Continuously
License, sanction, and network adequacy checks run in the background, not just at recredentialing.
Platform Foundation
Directory Accuracy That Doesn't Depend on a Refresh Cycle.
Most provider directories go stale the moment they're exported. HealthOS Provider runs on the same secure, shared core as every HealthOS workspace, so directory and credentialing data stay accurate by default rather than by manual maintenance.
Immutable Security & Audit
Credentialing decisions and directory changes are logged, supporting HITRUST and SOC 2 Type II obligations by default.
Shared Data Core
Directory, credentialing, and contract data connect directly to the same record CAPS and Plan already use.
AI PASS Embedded Intelligence
Primary source verification and network adequacy monitoring run continuously in the background.
Inside Provider
Five Modules. Everything Provider Network Operations Run On.
Pick a module to see what your team actually touches inside it.
Credentialing & Enrollment
Primary source verification checks license, board certification, sanctions, and exclusion lists automatically, so credentialing staff review results instead of chasing documents.
Primary Source VerificationLicense MonitoringRecredentialingDelegated Credentialing
Pending PSV27
Attestations Due18
Avg Cycle Time9.2d
Dr. AlvarezCredentialing complete
ActiveDr. ChenLicense verification in progress
In ProgressGroup NPI 10442Sanction check flagged
ReviewHow Work Moves
From Application to Active In-Network Provider.
The same visibility carries forward for the life of the provider relationship.
A provider or group submits credentialing information through the portal or a delegated feed.
AI PASS checks licenses, certifications, and exclusion lists automatically, flagging anything that needs review.
Fee schedules and contract terms are finalized and linked to the provider's record.
The provider goes live in the directory the moment credentialing and contracting are complete.
Sanctions, license renewals, and quality metrics are tracked continuously.
The Intelligence Layer, Inside Provider
Keeping a Network Current Is a Monitoring Problem. AI PASS Treats It Like One.
AI PASS runs primary source verification and network adequacy checks continuously in the background, surfacing only what actually needs a credentialing specialist's attention.
Learn more about AI PASSLive decision intelligence● Active
Group NPI 10442Needs Review01 / Review
Analysis completeState license verified · Board certification current · Primary source check returned an updated sanction record requiring human review.
RecommendationRoute to credentialing specialist with the source record and comparison history attached.
Confidence 97%
Why HealthOS Provider?
The Numbers Behind the Console.
What IPAs, ACOs, and health systems typically see after moving network operations onto Provider.
4.4/5Quality rating
32%Increase in Care Gap Closure
22%Fewer Readmissions
Why Provider
What Changes When Network Operations Run on Provider.
The difference shows up the moment someone actually needs the directory to be right.
The Old Way
- Directory listings are exported quarterly and are already stale by the time anyone uses them.
- Credentialing means chasing documents by phone and email, one provider at a time.
- Referrals leak out of network because nobody can see live specialist capacity.
- Reimbursement disputes start from two different spreadsheets of contract terms.
On Provider
- Directory updates reflect across HealthOS the moment a provider's status changes.
- AI PASS runs primary source verification automatically, flagging only what needs review.
- Referrals route to in-network providers with visible open capacity by default.
- Fee schedules and contract terms are visible in one place, shared by every workspace.
Security & Compliance
Built to the Standards Your Compliance Team Already Holds You To.
Role-based access control, encryption in transit and at rest, and a complete audit log across every module — the same baseline for every HealthOS workspace.
HITRUSTSOC 2 Type IINCQAHL7 FHIR R4CMS Interoperability RuleEDI 837 · 835 · 270 · 271
FAQ
Frequently Asked Questions.
Does HealthOS Provider support delegated credentialing?
Yes. IPAs, ACOs, and other delegated entities can manage their own credentialing workflows while staying visible to the health plans they contract with.
How does the directory stay compliant with the CMS Interoperability Rule?
Directory data lives on the same live record used across HealthOS, so updates to a provider's status or network participation are reflected immediately rather than on a batch export schedule.
Can this replace our existing credentialing vendor?
HealthOS Provider is built to run credentialing, directory, and network management natively, and is commonly used to consolidate a previously separate credentialing vendor and directory tool.
Is HealthOS Provider secure and compliant?
Yes. Provider aligns with HIPAA, HITRUST, SOC 2 Type II, and CMS requirements, with a complete audit log across every module.
One Console, One Suite
Six Workspaces. One Record.
Every HealthOS workspace reads and writes to the same core. Start with Provider, connect the rest whenever your team is ready.
Get Started
See HealthOS Provider in the context of your operations.
Bring your line of business and your hardest workflow — we’ll show you how it runs on one intelligent platform.
