Candor Health for Health Plans

Know exactly how accurate your provider directory is and fix it.

Every health plan knows its provider directory is flawed. The challenge isn't finding problems — it's knowing how to fix them. Until Candor.

Candor's AI-native platform is the provider data intelligence layer behind accurate directories, compliant networks, and confident attestation. Powered by purpose-built provider data agents, Candor processes 120,000+ sources and 4 billion claims monthly — turning fragmented inputs into continuous intelligence health plans can act on.

See your Accuracy Scorecard

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Know exactly how accurate your provider directory is and fix it.

120K+

source ingested

4B+

claims processed monthly

95%+

of sources refreshed monthly

How it works

Navigating Your Path to Clarity and Precision.

1

Ingest your roster

Submit your provider roster in any format. Candor standardizes and maps it against 120,000+ sources and 4 billion monthly claims.

2

Get your Accuracy Scorecard

See exactly what's accurate, what's not, and where, attribute by attribute, with evidence behind every finding.

3

Act on a prioritized plan

Your Prioritized Action Plan tells you what to fix, in what order, and why with cited evidence for every correction.

4

Monitor continuously

Daily refreshes and proactive change alerts keep your directory current between audits, not just before them.

Built for

Built for the Teams Accountable for Directory Accuracy

Network Management & Adequacy

Search providers by specialty and geography to find and recruit the providers you need to fill adequacy gaps and expand your network. Supports expansion into new states and geographies.

Compliance & Regulatory

Know your CMS position before the audit notice. Every correction is source-attributed, giving you defensible documentation for attestation and NCQA requirements.

Accuracy & Operations

Any roster, any format. Compare your data against 120,000+ sources and get back what's accurate, what's not, and what to fix.

Member Experience

Clinical expertise data — conditions treated, procedures performed — gives care management teams the depth to match members to the right provider on the first call.

Accuracy Scorecard

Know your accuracy score before the auditors do.

Every health plan knows its provider directory is flawed. The challenge isn't finding problems — it's knowing how to fix them. Until Candor.

Overall Accuracy Score

Simulated CMS Compliance Score

Prioritized Action Plan

A single, board-ready measure of directory integrity.

Audit-ready visibility into where you stand against regulatory thresholds.

For every attribute and inaccuracy: the provider record, what to fix, and cited evidence behind every correction

"Candor transformed our provider data from a painful, manual workflow into a trusted infrastructure layer. It’s reduced hours of effort and given us the confidence to match members with the right in-network providers at scale."