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Case Studies

How Sidecar Health Scaled Their Members' Ability to Shop for Care Nationwide

Learn how Candor helped Sidecar Health deliver accurate provider data, better provider search, and transparent care nationwide.

July 2026
Blog
July 2026

Provider Data Inaccuracies Solved: Introducing the Candor Accuracy Scorecard

Candor’s new Accuracy Scorecard measures provider data accuracy, benchmarks it against CMS, and delivers a tiered action plan to fix it — so leadership can measure, manage, and monitor with confidence.
Provider Data Inaccuracies Solved: Introducing the Candor Accuracy Scorecard
Blog
June 2026

Your Highest ROI Before AI? Fixing Your Provider Data

AI Is only as good as the data beneath It. Automation cannot resolve this fundamental problem; it can only accelerate the propagation of existing inaccuracies. Before the next modernization project goes live, fix the data everything depends on.
Sury Agarwal
Sury Agarwal
Your Highest ROI Before AI? Fixing Your Provider Data
Blog
June 2026

5 Reasons Your Provider Directory Is Wrong

Your provider directory was wrong before anyone noticed. And by the time someone did notice — a member denied care, a claim rejected, a regulator asking questions — the damage was already done. Here are five root causes that explain why your provider directory keeps breaking.
Sury Agarwal
Sury Agarwal
5 Reasons Your Provider Directory Is Wrong
Case Studies
June 2026

How Sana Benefits Scaled Care Navigation with AI-Native Provider Intelligence

As Sana scaled its care navigation model, fragmented provider data slowed referrals and limited growth.
Sana Benefits
Blog
May 2026

Why Provider Data Keeps Breaking — And Why Patching the Symptoms Doesn't Work

Provider directories don't fail because of bad luck or sloppy work. They fail because they're built on fragmented sources, self-reported data, infrequent refresh cycles, and no validation layer. Here's what it actually takes to fix the architecture, not just the symptoms.
Sury Agarwal
Sury Agarwal
Why Provider Data Keeps Breaking — And Why Patching the Symptoms Doesn't Work
Press Release / Interviews
April 2026

Finding the Right Doctor Is a Data Problem in Disguise

For the first episode of Candid Conversations, Candor Health CEO Sury Agarwal sat down with Sameer Sethi, former Chief AI and Data Officer at Hackensack Meridian Health to find out where it all went wrong.
Finding the Right Doctor Is a Data Problem in Disguise
Blog
March 2026

CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name

A new CMS rule is making Medicare Advantage provider directory accuracy public, measurable, and a C-suite responsibility. Here's what plans need to know before the September 2026 deadline.
Sury Agarwal
Sury Agarwal
CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name
Blog
January 2026

The Overlooked Bottleneck of Provider Data Accuracy

Most provider data accuracy initiatives focus on validation. But for many health plans, the real operational bottleneck begins much earlier — before validation workflows ever start. By the time inaccurate provider data surfaces in provider directories, referral systems, or claims workflows, inconsistencies may already exist across multiple downstream systems. Duplicate provider records, missing NPIs, outdated affiliations, and taxonomy mismatches often originate during provider roster ingestion itself. As provider networks become more fragmented and provider data volumes continue to grow, health plans are increasingly realizing that provider data quality is not just a validation challenge. It is an ingestion challenge.
Lucky Tavag
Lucky Tavag
The Overlooked Bottleneck of Provider Data Accuracy
Blog
December 2025

Provider Data Accuracy Without Compromising Network Adequacy

Provider data accuracy and network adequacy are deeply connected, yet often at odds. In this Modern Healthcare article, learn how improving accuracy reveals access gaps and how health plans can stay compliant while protecting member access.
Sury Agarwal
Sury Agarwal
Provider Data Accuracy Without Compromising Network Adequacy
Blog
November 2025

Four Takeaways for Smarter Provider Data Systems

Provider data accuracy has moved from operational nuisance to regulatory and reputational priority. In a recent Fierce Healthcare webinar, Candor Health, CertifyOS, and Oscar Health examined what it actually takes to build provider data infrastructure that holds up under current compliance demands and member expectations. One theme ran through the entire conversation: accuracy and infrastructure have to evolve together.
Sury Agarwal
Sury Agarwal
Four Takeaways for Smarter Provider Data Systems
Press Release / Interviews
October 2025

What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?

PRNewswire, Oct. 16, 2025 | NEW YORK, NY Two companies, one mission: helping health plans maintain accurate, operational, and continuously validated provider data through a unified provider data management system.
What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?
Blog
September 2025

Understanding the REAL Health Providers Act and No Surprises Act

For health plans, provider directory accuracy has long been an operational problem. Federal legislation is now turning it into a compliance obligation with financial penalties attached. The No Surprises Act (NSA), which took effect in 2022, and the proposed REAL Health Providers Act, expected to take effect in 2026, establish a new accountability framework for how provider data is collected, verified, and maintained. Together, the laws signal a broader regulatory shift: provider directory accuracy is moving from administrative burden to enforceable compliance requirement.
Sury Agarwal
Sury Agarwal
Understanding the REAL Health Providers Act and No Surprises Act
Blog
April 2025

Making Healthcare Search More Reliable

Provider search is broken in ways that are easy to overlook until they affect patient outcomes. Today, most patients begin their healthcare journey online, yet many still struggle to confidently identify the right provider, verify insurance coverage, or determine whether appointment availability is actually current. When directories contain outdated network participation, incomplete specialty information, or inaccurate availability, even well-designed search experiences begin to break down.
Julianne Zech
Julianne Zech
Making Healthcare Search More Reliable
Blog
January 2025

Building Inclusive Healthcare for LGBTQ Communities

For many LGBTQ individuals, finding healthcare is not simply about locating the nearest provider. It often involves determining whether care will feel safe, respectful, and affirming before an appointment is ever scheduled. Yet most provider search experiences offer very little visibility into that reality. Discriminatory laws, culturally incompetent providers, and gaps in provider directory data continue to create significant barriers to equitable healthcare access for LGBTQ communities. The result is not only delayed care, but measurable downstream health consequences. Research consistently shows that LGBTQ individuals are more likely than their peers to delay medical care due to fears of discrimination — a pattern directly linked to worsening health outcomes and reduced continuity of care.
Julianne Zech
Julianne Zech
Building Inclusive Healthcare for LGBTQ Communities
Blog
January 2025

Improving Healthcare Interoperability with Accurate Provider Data

Real-World Solutions for Records Requests and Patient Referrals
Rob Nolan
Rob Nolan
Improving Healthcare Interoperability with Accurate Provider Data
Blog
November 2024

Navigating Provider Data Challenges in Mental Health

Mental health provider directories have become a growing point of failure across behavioral health networks. Patients seeking care are often met with disconnected phone numbers, inaccurate insurance information, or providers who are no longer accepting new patients. A New York State Attorney General report found that 86% of listed in-network mental health providers were unavailable or inaccurately listed.
Julianne Zech
Julianne Zech
Navigating Provider Data Challenges in Mental Health
Blog
September 2024

The Limits of Specialty Alone: Why Provider Search Needs Clinical Expertise

Provider specialty classifications were never designed to explain how providers actually practice. A common challenge faced in the healthcare industry is being able to search and find the doctors and facilities that specialize in treating a certain condition.
Julianne Zech
Julianne Zech
The Limits of Specialty Alone: Why Provider Search Needs Clinical Expertise
Blog
July 2024

How Aligned Marketplace Built a More Reliable Provider Network

Finding a doctor who is actually in-network, accepting new patients, and available for an appointment is more difficult than it should be. For healthcare organizations building provider networks, that challenge often comes down to one issue: inaccurate provider data. Aligned Marketplace encountered that problem firsthand while building a national advanced primary care network and found that maintaining reliable provider availability required a more active approach to network monitoring.
Sury Agarwal
Sury Agarwal
How Aligned Marketplace Built a More Reliable Provider Network
Blog
July 2026

Provider Data Inaccuracies Solved: Introducing the Candor Accuracy Scorecard

Candor’s new Accuracy Scorecard measures provider data accuracy, benchmarks it against CMS, and delivers a tiered action plan to fix it — so leadership can measure, manage, and monitor with confidence.
Provider Data Inaccuracies Solved: Introducing the Candor Accuracy Scorecard
Blog
June 2026

Your Highest ROI Before AI? Fixing Your Provider Data

AI Is only as good as the data beneath It. Automation cannot resolve this fundamental problem; it can only accelerate the propagation of existing inaccuracies. Before the next modernization project goes live, fix the data everything depends on.
Sury Agarwal
Sury Agarwal
Your Highest ROI Before AI? Fixing Your Provider Data
Blog
June 2026

5 Reasons Your Provider Directory Is Wrong

Your provider directory was wrong before anyone noticed. And by the time someone did notice — a member denied care, a claim rejected, a regulator asking questions — the damage was already done. Here are five root causes that explain why your provider directory keeps breaking.
Sury Agarwal
Sury Agarwal
5 Reasons Your Provider Directory Is Wrong
Blog
May 2026

Why Provider Data Keeps Breaking — And Why Patching the Symptoms Doesn't Work

Provider directories don't fail because of bad luck or sloppy work. They fail because they're built on fragmented sources, self-reported data, infrequent refresh cycles, and no validation layer. Here's what it actually takes to fix the architecture, not just the symptoms.
Sury Agarwal
Sury Agarwal
Why Provider Data Keeps Breaking — And Why Patching the Symptoms Doesn't Work
Press Release / Interviews
April 2026

Finding the Right Doctor Is a Data Problem in Disguise

For the first episode of Candid Conversations, Candor Health CEO Sury Agarwal sat down with Sameer Sethi, former Chief AI and Data Officer at Hackensack Meridian Health to find out where it all went wrong.
Finding the Right Doctor Is a Data Problem in Disguise
Blog
March 2026

CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name

A new CMS rule is making Medicare Advantage provider directory accuracy public, measurable, and a C-suite responsibility. Here's what plans need to know before the September 2026 deadline.
Sury Agarwal
Sury Agarwal
CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name
Blog
January 2026

The Overlooked Bottleneck of Provider Data Accuracy

Most provider data accuracy initiatives focus on validation. But for many health plans, the real operational bottleneck begins much earlier — before validation workflows ever start. By the time inaccurate provider data surfaces in provider directories, referral systems, or claims workflows, inconsistencies may already exist across multiple downstream systems. Duplicate provider records, missing NPIs, outdated affiliations, and taxonomy mismatches often originate during provider roster ingestion itself. As provider networks become more fragmented and provider data volumes continue to grow, health plans are increasingly realizing that provider data quality is not just a validation challenge. It is an ingestion challenge.
Lucky Tavag
Lucky Tavag
The Overlooked Bottleneck of Provider Data Accuracy
Blog
December 2025

Provider Data Accuracy Without Compromising Network Adequacy

Provider data accuracy and network adequacy are deeply connected, yet often at odds. In this Modern Healthcare article, learn how improving accuracy reveals access gaps and how health plans can stay compliant while protecting member access.
Sury Agarwal
Sury Agarwal
Provider Data Accuracy Without Compromising Network Adequacy
Blog
November 2025

Four Takeaways for Smarter Provider Data Systems

Provider data accuracy has moved from operational nuisance to regulatory and reputational priority. In a recent Fierce Healthcare webinar, Candor Health, CertifyOS, and Oscar Health examined what it actually takes to build provider data infrastructure that holds up under current compliance demands and member expectations. One theme ran through the entire conversation: accuracy and infrastructure have to evolve together.
Sury Agarwal
Sury Agarwal
Four Takeaways for Smarter Provider Data Systems
Press Release / Interviews
October 2025

What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?

PRNewswire, Oct. 16, 2025 | NEW YORK, NY Two companies, one mission: helping health plans maintain accurate, operational, and continuously validated provider data through a unified provider data management system.
What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?
Blog
September 2025

Understanding the REAL Health Providers Act and No Surprises Act

For health plans, provider directory accuracy has long been an operational problem. Federal legislation is now turning it into a compliance obligation with financial penalties attached. The No Surprises Act (NSA), which took effect in 2022, and the proposed REAL Health Providers Act, expected to take effect in 2026, establish a new accountability framework for how provider data is collected, verified, and maintained. Together, the laws signal a broader regulatory shift: provider directory accuracy is moving from administrative burden to enforceable compliance requirement.
Sury Agarwal
Sury Agarwal
Understanding the REAL Health Providers Act and No Surprises Act
Blog
April 2025

Making Healthcare Search More Reliable

Provider search is broken in ways that are easy to overlook until they affect patient outcomes. Today, most patients begin their healthcare journey online, yet many still struggle to confidently identify the right provider, verify insurance coverage, or determine whether appointment availability is actually current. When directories contain outdated network participation, incomplete specialty information, or inaccurate availability, even well-designed search experiences begin to break down.
Julianne Zech
Julianne Zech
Making Healthcare Search More Reliable
Blog
January 2025

Building Inclusive Healthcare for LGBTQ Communities

For many LGBTQ individuals, finding healthcare is not simply about locating the nearest provider. It often involves determining whether care will feel safe, respectful, and affirming before an appointment is ever scheduled. Yet most provider search experiences offer very little visibility into that reality. Discriminatory laws, culturally incompetent providers, and gaps in provider directory data continue to create significant barriers to equitable healthcare access for LGBTQ communities. The result is not only delayed care, but measurable downstream health consequences. Research consistently shows that LGBTQ individuals are more likely than their peers to delay medical care due to fears of discrimination — a pattern directly linked to worsening health outcomes and reduced continuity of care.
Julianne Zech
Julianne Zech
Building Inclusive Healthcare for LGBTQ Communities
Blog
January 2025

Improving Healthcare Interoperability with Accurate Provider Data

Real-World Solutions for Records Requests and Patient Referrals
Rob Nolan
Rob Nolan
Improving Healthcare Interoperability with Accurate Provider Data
Blog
November 2024

Navigating Provider Data Challenges in Mental Health

Mental health provider directories have become a growing point of failure across behavioral health networks. Patients seeking care are often met with disconnected phone numbers, inaccurate insurance information, or providers who are no longer accepting new patients. A New York State Attorney General report found that 86% of listed in-network mental health providers were unavailable or inaccurately listed.
Julianne Zech
Julianne Zech
Navigating Provider Data Challenges in Mental Health
Blog
September 2024

The Limits of Specialty Alone: Why Provider Search Needs Clinical Expertise

Provider specialty classifications were never designed to explain how providers actually practice. A common challenge faced in the healthcare industry is being able to search and find the doctors and facilities that specialize in treating a certain condition.
Julianne Zech
Julianne Zech
The Limits of Specialty Alone: Why Provider Search Needs Clinical Expertise
Blog
July 2024

How Aligned Marketplace Built a More Reliable Provider Network

Finding a doctor who is actually in-network, accepting new patients, and available for an appointment is more difficult than it should be. For healthcare organizations building provider networks, that challenge often comes down to one issue: inaccurate provider data. Aligned Marketplace encountered that problem firsthand while building a national advanced primary care network and found that maintaining reliable provider availability required a more active approach to network monitoring.
Sury Agarwal
Sury Agarwal
How Aligned Marketplace Built a More Reliable Provider Network
Case Studies
June 2026

How Sana Benefits Scaled Care Navigation with AI-Native Provider Intelligence

As Sana scaled its care navigation model, fragmented provider data slowed referrals and limited growth.
Sana Benefits
Press Release / Interviews
April 2026

Finding the Right Doctor Is a Data Problem in Disguise

For the first episode of Candid Conversations, Candor Health CEO Sury Agarwal sat down with Sameer Sethi, former Chief AI and Data Officer at Hackensack Meridian Health to find out where it all went wrong.
Finding the Right Doctor Is a Data Problem in Disguise
Press Release / Interviews
October 2025

What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?

PRNewswire, Oct. 16, 2025 | NEW YORK, NY Two companies, one mission: helping health plans maintain accurate, operational, and continuously validated provider data through a unified provider data management system.
What Does the CertifyOS and Candor Health Partnership Mean for Provider Data Management?

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