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.

Ambulatory Practice

HIPAA

11-50

Digital Health Provider

Candid Health

1-100

101-500

501-2000

Virtual-First Provider

Specialty Practice

Primary Care Clinic

Provider / Payer

Consultant

Behavioral Health

Metabolic Health

Primary Care

Women's Health

Other

Men's Health

Thirty Madison

Ophelia

Nourish

Mood Health

Monument

Pediatrics

Modern Pediatrics

MedTruly

Mantra Health

Little Otter

Geriatric Care

Heyday Health

Form Health

Brightside

Allara Health

Cardiology

Neurology

Chronic Care

Change Healthcare

- *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.

Athenahealth

Availity Essentials

Optum Claims Management

Trizetto

Waystar

Purchasing Team

User

Implementation Team

Product Oversight

- *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.

Apero

Enter Health

Gentem

- *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 Health's 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.

- *Product Usage:* The product has been used for about a year and a half for revenue cycle management and it is adapted for scaling up operations, including new features like remote patient monitoring-based billing.
- *Strengths:* Its expertise, understanding of venture-backed companies, scalability, and tech focus made it stand out from the competition; it also provides proactive services and handles issues effectively, even offering support for troubleshooting.
- *Weaknesses:* The product had minor issues which were promptly addressed with transparency; there were also some gaps in functionality which, though identified and prioritized by the company, led to delays in delivery.
- *Overall Judgment:* The reviewer has had a positive experience with the product and its performance, communication, and support from the vendors, considering it to be one of the best vendors in delivering value from their product.

Candid Health

Integrations (19)