Breaking
$40M Series B closed June 2025, led by Transformation Capital Six fields replace the 40-page credentialing form Two minutes to credential a provider, down from months 99.8% field-level data accuracy 2 to 20 states - the Oscar Health scale-up he helped build ~$69M total raised for CertifyOS
Anshul Rathi, Founder and CEO of CertifyOS
New York, NY
Founder · CEO · Engineer

Anshul Rathi

He decided healthcare's provider data should feel like an API call, not a fax machine - then spent years building the operating system to prove it.

Founder & CEO, CertifyOS
Ex-Oscar Health
Brown + Nagpur
6
DATA ELEMENTS, NOT 40 PAGES
<2min
TO CREDENTIAL A PROVIDER
~$69M
TOTAL FUNDING RAISED
~270
PEOPLE, REMOTE-FIRST

An engineer who looked at healthcare's paperwork and saw a database problem

By the numbers, by the fields, by the fax machines he wanted gone.

Open a doctor's application to join an insurance network and you used to find 40 pages waiting. By the time someone keyed it all in by hand, half the information had already gone stale. Anshul Rathi watched that happen up close, and his reaction was not sympathy - it was the urge to rewrite the schema.

Today Rathi is the founder and CEO of CertifyOS, a New York company that credentials a clinician in under two minutes using six pieces of information. The pitch is almost rude in its simplicity: provider data should be one source of truth, refreshed against primary sources, available through a single API. Most of healthcare still treats it like a filing cabinet. He treats it like infrastructure.

The conviction came from the inside. Rathi was one of the earliest employees at Oscar Health, the venture-backed insurer, where he was handed the job of building provider network management more or less from scratch. Over roughly six years he helped construct the company's provider data infrastructure and watched Oscar grow from two states to twenty. Scaling that fast teaches you exactly where the plumbing leaks.

What he kept running into was a market full of point solutions - tools "primarily built for compliance and security," as he has put it, that checked a regulatory box but never fixed the underlying mess. The data stayed dirty. The forms stayed long. And the consequences, he realized, were not abstract.

Archaic provider data credentialing processes were having real-world consequences - potentially delaying or restricting a patient from receiving necessary care. Anshul Rathi, on why he started CertifyOS

He conceived CertifyOS in 2018 and started building during the pandemic, turning lockdown into a launchpad. The name is also the thesis: an operating system for certification. Instead of patching the old workflow, he wanted to replace the fax-and-form ritual with software that behaves the way engineers expect software to behave.

That belief hardened into three rules he repeats like a refrain. API-first: eliminate manual data entry. Data-first: wire directly into primary sources and verify provider records on a monthly cadence so they never rot. Automation-first: ask for six key data elements and let the system do the other 39 pages of work. The platform now tracks more than 1,600 data points per provider, which is a strange and specific number that tells you exactly how seriously he takes the word "complete."

How CertifyOS is built

01

API-first

Standardized APIs that eliminate the need for manual data entry. Credentialing should be a call, not a clipboard.

02

Data-first

Direct connections to primary sources, with provider data re-verified monthly so it never goes stale on the shelf.

03

Automation-first

Six key data elements replace the 40-page application. The system does the rest, in minutes instead of months.

One API. One provider ID. Frictionless data.

Strip away the product and you find a single ambition that has not moved since 2018. Rathi wants a healthcare industry where one source of truth for provider data exists for everyone touching it - the plan, the system, the digital health startup, the patient on the other end. Less paperwork, more care, and a lower cost of healthcare as the byproduct.

The market has started to agree. CertifyOS raised a $14.5M Series A in 2022 to harden its automation for credentialing, licensing and enrollment. Then in June 2025 it closed a $40M Series B led by Transformation Capital, with returning backers General Catalyst and Upfront Ventures and new investor SemperVirens joining in. Total funding climbed to roughly $69M, on the back of revenue that, by the company's account, tripled year over year. Clients report up to 40% lower administrative costs and a 30% jump in data accuracy, with the platform hitting 99.8% field-level accuracy.

Provider data chaos remains one of the most overlooked drivers of cost, delay, and abrasion in healthcare today. Anshul Rathi, on the Series B

He is careful not to call any of it a finish line. When the Series B landed, his framing was deliberately unsentimental: "This funding is the latest marker in Certify's dramatic growth trajectory." A marker, not a monument. The new capital goes into product, engineering and go-to-market - the unglamorous work of making the plumbing reach more buildings.

From Nagpur to Brown to a remote-first company

Rathi's path reads like an engineer's, because it is one. He earned a Bachelor of Engineering in electrical and electronics engineering from Nagpur University in India, then a Master of Science in innovation management from Brown University, where he later served as an Entrepreneur in Residence. Before Oscar Health he worked at Packet and did a stint as a venture analyst at WAM Partners, the William Moses Co. - a useful vantage point for someone who would later have to raise tens of millions himself.

The throughline is patience with hard, boring problems. He spent six years living inside the provider-data swamp before he was confident enough in the fix to name it. That is not the timeline of someone chasing a trend; it is the timeline of someone who wanted to be right. CertifyOS runs as a remote-first company of around 270 people, and Rathi still talks about the work in the flat, declarative language of someone describing a system spec rather than a moonshot.

ORIGINStudied engineering in Nagpur, India, then a master's at Brown University.
BEFORE CERTIFYEntrepreneur in Residence at Brown; venture analyst at WAM Partners; engineer-operator at Oscar Health.
THE SCALE-UPHelped Oscar Health grow from 2 states to 20 while building its provider data backbone.
THE DETAILCertifyOS tracks 1,600+ data points per provider - a number that doubles as a worldview.
The Arc

A career spent getting closer to the problem

EARLY CAREER
Venture analyst at WAM Partners (William Moses Co.); earlier work at Packet.
2014 - 2020
Among Oscar Health's earliest employees. Builds provider network management and data infrastructure as the insurer scales from 2 states to 20.
2018
Conceives CertifyOS while still inside the problem at Oscar.
2020
Founds CertifyOS and builds the platform through the pandemic.
2022
Raises a $14.5M Series A for the credentialing automation platform.
JUNE 2025
Closes a $40M Series B led by Transformation Capital; total funding reaches ~$69M.
OCT 2025
Unveils an expanded provider data platform to streamline operations and cut costs.

The thesis, said plainly

We are trying to create a backend data infrastructure that acts as a single source of truth for provider data across the U.S. healthcare industry.
Provider data chaos remains one of the most overlooked drivers of cost, delay, and abrasion in healthcare today.
Archaic provider data credentialing processes were having real-world consequences - potentially delaying or restricting a patient from receiving necessary care.
This funding is the latest marker in Certify's dramatic growth trajectory.
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