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Candid Health
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Candid Health

Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.

Product Overview

Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.

Customers Served

Digital Health Provider
Ambulatory Practice

Company Info

Founded
2019
Headcount
11-50
Total Funding
$18.3M
Latest Round
Series A
Latest Round
04/01/2022

Company Socials

LinkedIn
X
Crunchbase
YouTube
Vimeo
GitHug

Quick Take

Pricing

Starting at $1500/month
Cost Scales with Claims Volume

Use Cases

Candid Health works with

(1) digital health providers,

(2) physician groups,

(3) management services organizations (MSOs),

(4) and electronic medical record platforms.

Core Differentiators

Candid’s revenue cycle automation platform delivers

(1) a robust, extensible data integration foundation for bringing together all key RCM data sets into a single environment and

(2) a highly configurable rules engine for managing the complexity of claims and remit processing, which in turn power

(3) a fully featured claim operations workspace and rich, granular data and reporting

Reviews

Candid Health Transcript
View Product Page

5/5
13 min readReviewed on: 11/15/2023
Reviewer
Title: Director of Implementation
Organization Type: Virtual-First Provider
Specialty: Metabolic Health
Summary
  • Product Usage: Candid is mainly used for post-visit claims adjudication, including claim submission, payment posting, denial management, accounts receivable, and reporting.

  • Strengths: The product offers a clear user interface, sufficient denial management functionality, responsive customer service and is more cost-effective compared to competitors.

  • Weaknesses: The product lacks the ability to bulk edit claims and some configuration options are not available to end users but must be done by their engineering team.

  • Overall Judgment: Despite minor areas for improvement, the product is a valuable, cost-effective solution to revenue cycle management, with excellent customer service and a straightforward user interface.

Other Products Considered

Candid Health Transcript
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4/5
13 min readReviewed on: 11/09/2023
Reviewer
Title: Finance Lead
Organization Type: Virtual-First Provider
Specialty: Behavioral Health
Summary
  • Product Usage: The product is used for back-end revenue cycle processes, from claim submission to payer and patient payment reconciliation.

  • Strengths: The product is flexible, accepts APIs, and works with a variety of claim formats.

  • Weaknesses: The product is a startup, meaning they are still building and developing certain features that established products already have.

  • Overall Judgment: The reviewer deemed their choice of Candid Health to be the right one as it provides flexibility and partnership that other mature products might not offer.

Candid Health Transcript
View Product Page

4.5/5
22 min readReviewed on: 09/18/2023
Reviewer
Title: Engineering Lead
Organization Type: Virtual-First Provider
Specialty: Metabolic Health
Summary
  • Product Usage: Candid Health is used to submit claims, handle EFT/ERA and EDI enrollments, perform preliminary checks on claims, and manage the claims process through an integrated workflow.

  • Strengths: Candid Healths key strengths include a highly responsive team, a tech-focused approach, and a flexible rules engine.

  • Weaknesses: Ambiguity in service scope was a challenge initially which led to some confusion about responsibilities, the CSV export feature has been less reliable, and larger-scale operations may want to bring certain services in-house to handle higher complexity.

  • Overall Judgment: Candid Health comes highly recommended for its high-quality sales process, support, and account management, with particularly positive remarks on its ability to improve workflows and its desire to grow with customer base.

Customers

21
Verified customers
Type
75%
19%
6%
0
2
4
6
8
10
12
Virtual-First Provider (12)
Specialty Practice (3)
Primary Care Clinic (1)
Specialty
17%
17%
13%
13%
39%
0
2
4
6
8
10
Behavioral Health (4)
Metabolic Health (4)
Primary Care (3)
Women's Health (3)
Other (9)
Provider Headcount
50%
33%
17%
0
1
2
3
1-100 (3)
101-500 (2)
501-2000 (1)
Showcased Customers
Tia
Type: Specialty Practice
Specialty: Primary Care, Women's Health
Thirty Madison
Type: Specialty Practice
Specialty: Men's Health, Women's Health
Ophelia
Headcount: 1-100
Nourish
Type: Virtual-First Provider
Specialty: Metabolic Health
Headcount: 101-500

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