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Candid Health

Also known as: Candid Agents

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Healthcare agentindependentVerified 2026-07-22

Autonomous RCM platform whose rules engine and Candid Agents automate claims end to end, including logging into payer portals to retrieve EOBs, with a published touchless claim rate definition and rates above 95%.

Candid Health is an autonomous revenue cycle platform built by Palantir alumni that automates the end to end claims process: submission, follow up, payment integrity, denial management, and appeals. Its configurable rules engine validates billing data continuously, auto-fixes claims when payer requirements differ across contracts and credentialing data, and draws on claim outcomes across its customer base. Candid Agents log into payer portals, retrieve stale claims and EOB documents, and handle payment posting with billers reviewing and approving in one click. The company publishes the definition of its touchless claim rate metric, reporting touchless claim rates above 95 percent and net collections of 97 to 99 percent for customers including Talkiatry, Tia, Nourish, Ophelia, and Cortica. Claims auto-generate from events like chart note signing via EHR integrations, and public API documentation supports custom integration.

Vendor details

Canonical URL

https://candidhealth.com

Category

Healthcare agent

Funding status

Series C stage (Oak HC/FT participation); founded by Palantir alumni Nick Perry and Doug Proctor

Company status

independent

Use cases & customers

Primary use cases

autonomous claims submissiondenial management and appealspayment postingpayer portal retrievalrevenue cycle reporting

Target customers

digital health companiesmulti-location provider groupsMSOs

Deployment options

SaaS

Integrations

API-first with public docs plus out-of-the-box EHR integrations (Healthie bidirectional, Elation native); Availity as primary clearinghouse; lockbox, eligibility, and credentialing connections.

Capability coverage

9.5 / 14 capabilities · 68%

Integrations & Tool CallingFlexible modern APIs plus out of the box EHR integrations including bidirectional Healthie and native Elation connections, with Availity as primary clearinghouse, Candid integration pages 2026-07-22 Full
Workflow OrchestrationAutomates the end to end claims process across submission, follow up, payment integrity, denial management, and appeals through an autonomous rules engine and Candid Agents, Candid materials 2026-07-22 Full
Knowledge Grounding & RAGComprehensive data models unify provider rosters, charge rates, and fee schedules, with a rules engine drawing on claim outcomes across the customer base; a data and rules architecture rather than a knowledge architecture, Oak HC/FT and Out-Of-Pocket analyses 2026-07-22 Partial
Human Oversight & GuardrailsCandid Agents keep billing experts in the loop and in control: billers review retrieved EOBs for accuracy and approve in one click before agents complete posting, Candid materials 2026-07-22 Full
Security, Identity & GovernancePlatform stated first party as fully HIPAA compliant with encryption; no SOC 2 or other attestations documented in retrieved materials, Candid integrations FAQ 2026-07-22 Partial
Observability & AuditabilityReal time reporting on payer trends and bottlenecks with comprehensive revenue cycle visibility, plus a published definition of the touchless claim rate metric, Candid site 2026-07-22 Full
Memory & State PersistenceNo documented persistent agent memory capability, Candid materials 2026-07-22 Unable to verify
Deployment & Data ResidencySaaS platform; no self host or residency options documented, Candid materials 2026-07-22 Partial
Prebuilt Agents, Templates & PacksPrebuilt and custom rules engine with out of the box integrations and reporting, plus Candid Agents for portal retrieval and posting workflows, Candid automation docs 2026-07-22 Full
Triggers & Channel CoverageClaims auto generate on events like chart note signing, the platform monitors claims 24/7, and auto hold triggers fire when CPT codes fail configured criteria, Candid automation docs and Healthie integration 2026-07-22 Full
Model Flexibility & RoutingNo customer facing model choice or routing documented, Candid materials 2026-07-22 Unable to verify
APIs, SDKs & MCP ExtensibilityAPI first platform with public developer documentation at docs.joincandidhealth.com and custom rules that flow across the customer's tech stack, Candid integrations page 2026-07-22 Full
Testing, Debugging & OptimizationConfigurable rules provide control but no customer facing testing or evaluation tooling is documented, Candid materials 2026-07-22 Unable to verify
Browser & Computer UseCandid Agents log into payer portals, hunt down stale claims, and pull EOB documents into the platform, documented first party, Candid materials 2026-07-22 Full

Pricing

Contact sales

Contact onlyHigh variable cost

What is public

No public pricing. Candid publishes its touchless claim rate definition and customer performance figures (95%+ TCR, 97-99% net collections) but no commercial terms.

Variable cost rationale

Enterprise pricing scoped to claims volume and payer mix, consistent with RCM platform norms; no public rates.

Sales call required

Yes — required for paid access

Free / trial

Demo available

Verified 2026-07-22

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