Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Candor Health is an innovative healthcare intelligence platform that leverages artificial intelligence to convert disjointed provider data into reliable and actionable insights by assimilating, validating, reconciling, and rating information from a multitude of sources and vast claims databases. This ensures that healthcare organizations possess current and standardized data regarding physicians, healthcare facilities, specialties, affiliations, insurance coverage, locations, and other essential attributes. Moreover, it consistently monitors and refreshes provider information almost in real time, enhancing directory precision, simplifying roster management, and aiding in compliance and network adequacy by offering tools for searching, filtering, and analyzing provider networks with clinical relevance. Among its offerings, Candor provides solutions like Physician 360 and Facility 360, which automate the process of data updates, bridge gaps in network access, and facilitate more intelligent network design, all while eliminating the presence of "ghost providers" and improving care navigation. As a result, healthcare organizations can achieve better operational efficiency and improved patient care outcomes through the platform's comprehensive features.
Description
Utilize a cloud-based healthcare delivery system to effectively manage your members' healthcare and networks. This system streamlines the claims processing for managed care organizations by automating various tasks such as eligibility verification, referral and authorization handling, provider contracting, benefit management, auto adjudication of claims, capitation for primary care and specialty services, EOB/EFT check processing, as well as EDI transfers and reporting. It can be implemented as a cloud solution or operated in-house, making it suitable for a range of entities including managed care organizations (MCOs), independent physician associations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. By simplifying the intricate processes involved in managing eligibility, referral authorizations, and claims, this system enhances operational efficiency. Its features are designed to optimize data integrity while minimizing the need for manual data entry, thus improving overall accuracy and productivity. Additionally, the flexibility of deployment options ensures that organizations can choose the best fit for their operational needs.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Candor Health
Founded
2022
Country
United States
Website
candorhealth.com
Vendor Details
Company Name
Imagine Software
Founded
2000
Country
United States
Website
www.imagineteam.com
Product Features
Product Features
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
Yes
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
Yes
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
Yes
Quotes/Estimates
Yes
Remittance Advice
Yes
Revenue Cycle Management
Accounts Receivable
No
Claims Management
No
Collections Management
No
EHR/EMR Integration
No
For Healthcare
No
ICD-10 Compliance
No
Insurance Verification
No
Medical Billing
No
Patient Portal
No
Patient Registration
No
Patient Scheduling
No
Payment Processing
No