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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

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Candor Health

Founded

2022

Country

United States

Website

candorhealth.com

Vendor Details

Company Name

Pareto Intelligence

Country

United States

Website

paretointel.com

Product Features

Product Features

Alternatives

Alternatives