How provider data works

Does Candor Health do credentialing?

No. Credentialing verifies a provider's licenses, training and history, and it is done by a credentials verification organization or credentialing software. Candor Health keeps the practice data that credentialing depends on accurate, and works with CertifyOS so the two run as one system.

The plain answer

Credentialing says who a provider is, and Candor Health says where they are and what they do today

Both touch the same provider, so the roles get mixed up. Here is the split.

  1. 01

    What is credentialing, and who does it?

    Credentialing is primary source verification of a provider's licenses, education, training, work history and sanctions before a plan contracts with them or a hospital grants privileges. Verisys does it as an NCQA-accredited credentials verification organization. symplr and CertifyOS sell credentialing software. Atlas Systems PRIME runs credentialing and roster reconciliation as a service for payers. CAQH, now DataSpring, is where clinicians self-report their credentials once and re-attest every 120 days for the plans they authorize.

    Verisys: Our story
  2. 02

    What does Candor Health do?

    Candor Health builds each provider record from 120,000+ sources and 4 billion+ claims a month and scores every field: practice locations, phone numbers, specialties, network participation and whether the provider is accepting new patients. It republishes the data daily and delivers it by API, flat files, MCP or a self-serve platform.

    Candor Health: verified company information
  3. 03

    Where do the two meet?

    Credentialing confirms a provider is qualified. It does not tell you where they practice this month, which phone number works or whether they are taking patients. Attested data goes stale between cycles, and CMS found at least one inaccuracy at 48.74% of the directory locations it checked. Candor Health fills the gap between attestations with evidence from claims and other sources.

    CMS Online Provider Directory Review Report, Round 3
  4. 04

    How does the CertifyOS partnership work?

    In October 2025 CertifyOS and Candor Health announced an end-to-end provider data management system for health plans. CertifyOS provides the infrastructure layer, including entity resolution, survivorship logic and downstream workflow integration. Candor Health provides the accuracy layer that keeps the data in it current.

    CertifyOS and Candor Health partnership announcement

Who does this

Who does credentialing

The organizations that verify providers' qualifications, and how each works with Candor Health.

  • Credentialing and provider data infrastructure for health plans, including entity resolution, survivorship logic and workflow integration.

    With Candor Health

    Formal partner since October 2025. CertifyOS runs the infrastructure and Candor Health is the accuracy layer inside it, so plans get one system. Read the announcement

  • An NCQA-accredited credentials verification organization, known for its FACIS sanctions and exclusions database and outsourced credentialing.

    With Candor Health

    Verisys confirms a provider is qualified and not excluded. Candor Health keeps their practice locations, phones and network data current.

  • Credentialing, enrollment and provider data management software for hospitals, health systems and health plans. It is the system of record for the provider data an organization already holds.

    With Candor Health

    Candor Health checks the records in symplr against outside evidence and supplies corrections by API or files.

  • CAQH, now DataSpring logo

    CAQH, now DataSpring

    DataSpring for clinicians

    Where clinicians self-report credentials and practice data once and re-attest every 120 days for the health plans they authorize. Rebranded DataSpring in 2026.

    With Candor Health

    Candor Health takes CAQH data in as one of 120,000+ sources and checks it against claims, so the record stays right between re-attestations.

  • Atlas Systems PRIME logo

    Atlas Systems PRIME

    Atlas PRIME

    Provider data software plus outreach services for payers, including credentialing, roster reconciliation and calling every provider to validate directories.

    With Candor Health

    Candor Health's scores show which records are likely wrong, so outreach calls can go where they matter most.

FAQ

Other questions people ask

  • No. Candor Health does not verify licenses, education or sanctions. A CVO such as Verisys, or credentialing software such as CertifyOS or symplr, does that. Candor Health keeps the practice data in those systems accurate.

  • Yes, for credentialing and attested data. Candor Health takes CAQH data in as one of 120,000+ sources and checks it against claims and other evidence, so your directory stays right between attestations.

  • That is a credentialing or compliance check, not what Candor Health is for. Candor Health covers where the provider practices, how to reach them, their specialties and which networks they accept.

  • CertifyOS runs the infrastructure, including entity resolution, survivorship logic and workflow integration. Candor Health supplies the continuously verified data and scores. Health plans get one system rather than two.

See how your credentialed roster scores today

Credentialing confirmed who they are. Send the roster and Candor Health shows which locations, phone numbers and specialties are still right.