Your Health Plan Knows Its Directory Is Wrong. Here’s Why.
Candor Health CEO Sury Agarwal joins the Provider Data Dorks podcast to explain why better data on its own hasn’t fixed provider directories, and where the fix needs to happen.
Most health plans already know their provider directory has errors. What surprised Candor Health CEO Sury Agarwal is what happens next. Candor has given plans current, verified corrections, with every discrepancy flagged and scored for confidence, and been told it’s exactly what they need. Then the directory stays the same. In one case, Candor found a doctor who passed away in December still generating more than 150 claims through May.
On this episode of Provider Data Dorks, the CertifyOS podcast, Sury talks with Nick Helfrich and Mitch Gorodokin about how directory fixes have evolved, why better data on its own hasn’t solved the problem, and why the real fix has to happen where the data is created.
Hosts
Nick Helfrich
Chief Commercial Officer, CertifyOS
Mitch Gorodokin
SVP of Business Development, CertifyOS
Guest
Sury Agarwal
CEO and Co-founder, Candor Health
In this episode
How directory accuracy efforts have evolved over four generations, and where the first three fell short
Why attestation passes an audit but doesn’t make a directory accurate
A doctor whose claims kept coming in five months after his death
What stops plans from using corrections, including network adequacy rules and rosters that undo the fix
Why neither payers nor providers have a reason to shrink their networks
The shift from delegated to direct credentialing
What healthcare can learn from Uber about certainty
Listen to the full episode on YouTube, or find Provider Data Dorks on Spotify and Apple Podcasts.
Standardize provider roster ingestion, reduce reconciliation overhead, and improve provider directory reliability with Candor Health.
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