RCM Automation & AI Rules Engine | Candid Health
Candid Health secures $120M in Series D funding to fuel autonomous RCM
AUTOMATION & AI
Collect more. Spend less.
Candid's advanced rules engine manages the complexity of your RCM operations by automating end-to-end workflows – eliminating manual intervention and getting you paid faster by proactively avoiding denials, rejections, and incorrect adjudications.
Eliminate manual work
Automate billing workflows to free up your team.
Get paid more, faster
Accelerate time to payment and drive up payor net collections.
Proactively avoid denials
Submit claims correctly the first time through continuous program improvement.
DYNAMIC RULES ENGINE
Save time with preconfigured payer rules
Streamline your claims submission process immediately using Candid’s reverse-engineered rules that are continuously refined and kept up-to-date with the latest payer requirements.
CONFIGURABLE RULES ENGINE
Deploy custom rules to suit your unique business
Create custom business logic, add unique rules, and enforce your own workflows so you can manage your claims at scale with control and precision.
COMPREHENSIVE DATASETS
Access all your data to automate more
Purpose built, Candid Health enables you to compile the industry's most extensive datasets - including provider rosters, credentialing and custom key/value pairs – empowering providers to automate a greater portion of their insurance claims process and significantly reduce manual effort.
SMART CLAIM AUTOCORRECTION
Eliminate errors to get paid faster
The Candid Health platform monitors claims 24/7 by validating and autocorrecting all of your billing data – from credentialing to provider details – so you know the data is accurate and proactively updating.
“We have a smaller team, even with more claim volume, and the metrics are better than they've ever been before."
Robert Krayn
CEO, Talkiatry
“We’ve saved both time and costs by eliminating a lot of the manual processes we previously relied on. We haven’t had to scale the RCM team linearly as we scaled the company, which is a great indication of the efficiency gains we’ve been able to realize.”
Marina Kemper
Head of Business Operations, Nourish
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Top questions answered
+What are the benefits of an automated RCM system vs. traditional?
Automated RCM reduces errors in the claim submission process which in turn increases the amount our customers collect for their claims and the speed of doing so. Fewer errors to correct also reduces cost.
+How is Candid using AI to improve revenue cycle performance?
Candid leverages novel ML and AI technologies to streamline and automate the feedback loop between claim insights and systemic solutions, deployed directly via the Candid rules engine.
+Is training offered to help us set up custom rules?
Yes, while customers are able to directly manage these rules themselves, Candid provides training and support to help clients set up custom rules and optimize their rules engine to enable strong performance on the platform.
+What do you mean by autonomous RCM?
Autonomous RCM refers to systems that use AI and automation to automatically manage and optimize revenue cycle tasks, minimizing direct manual intervention.
+How does Candid work with the rest of my healthcare technology stack?
Candid integrates with your existing technology stack through APIs and custom integrations to support a seamless workflow.
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