#United States #New York #Provider Data #CertifyOS #Candor Health

CertifyOS and Candor Health Partnership: Transforming Provider Data Management

In a groundbreaking move in the healthcare technology sector, CertifyOS has announced a strategic partnership with Candor Health aimed at redefining how provider data is managed, verified, and operationalized. Both companies bring unique strengths to the table, combining CertifyOS's advanced Master Data Management capabilities with Candor's cutting-edge data accuracy solutions. This collaboration is poised to streamline provider data accuracy, reduce administrative burdens, and ultimately enhance healthcare outcomes.

The Need for Accurate Provider Data

The healthcare industry has long struggled with the challenges of maintaining accurate and timely provider data. From managing provider credentialing to ensuring compliance with evolving regulations, health plans have faced significant difficulties. Provider data inaccuracies have led to operational inefficiencies, claim denials, and unsatisfactory member experiences. The partnership between CertifyOS and Candor Health addresses these critical pain points.

Sury Agarwal, CEO of Candor Health, highlighted the importance of the partnership, stating, "Integrating our up-to-date provider data with CertifyOS's MDM infrastructure creates a unified solution that not only validates and manages provider information but also enables instant actions across a provider network." This highlights the necessity of not just having accurate data but also having the capability to act on it efficiently.

Integration of Technologies

The alliance between these two innovative companies aims to create an integrated platform that leverages the best of both worlds. CertifyOS's infrastructure will ingest provider information from diverse sources and resolve any inconsistencies through AI-driven methods. This ensures that health plans can access a single source of truth in real time. On the other hand, Candor Health's AI capabilities continuously verify critical details such as practice locations, specialties, and licensure.

By merging these solutions, health plans can gain a comprehensive view of their providers, enabling them to optimize network operations and improve care delivery. As stated by Anshul Rathi, CEO of CertifyOS, "Accuracy without lasting survivorship and action is meaningless." The integration of these technologies promises to provide not just a snapshot of provider data but a robust framework for sustained accuracy and relevance.

Enhancing Provider and Member Experience

The collaboration is not only designed to address operational challenges but also to enhance the overall experience for both providers and members. By transitioning from a reactive to a proactive approach in managing provider data, health plans will be able to streamline onboarding processes, avoid claim denials, and mitigate fraud risks more effectively.

With this partnership, health plans can expect a significant reduction in administrative workloads while simultaneously improving service delivery. This alignment with provider needs directly translates into better health outcomes for members, who ultimately benefit from more reliable and accessible healthcare services.

Looking Forward

As both companies continue to refine and roll out this integrated solution, the potential implications for the healthcare industry are profound. By arming health plans with sophisticated tools to manage provider data, CertifyOS and Candor Health are paving the way for more efficient healthcare systems.

Organizations interested in exploring this partnership and the tools it offers can easily reach out for tailored demos to see how their operations can be enhanced. By prioritizing accuracy and operational efficiency, this strategic partnership may very well redefine expectations in the realm of provider data management.

About CertifyOS and Candor Health

CertifyOS is heralded as an innovative architect of provider data infrastructure, having entered the market in 2021. Initially launched as a credentialing platform, it now encompasses the full provider data lifecycle with an emphasis on continuously updated, reliable information.

Candor Health specializes in AI-driven provider data accuracy solutions, addressing one of the most persistent challenges in healthcare: unreliable provider information. The company is committed to transforming fragmented records into a unified intelligence platform, promoting operational efficiency and better care outcomes.

Through this groundbreaking partnership, CertifyOS and Candor Health are not only setting new standards for provider data management but are also leading the charge towards a future where healthcare data is not just accurate but actionable.