Candid Health
Automated billing infrastructure for digital health
Our take
Candid Health is a revenue cycle automation platform that handles medical billing from claim creation through payment posting. Founded in 2019 by Nick Perry, Doug Proctor, and Adam Reis, it targets the same problem traditional billing services solve with headcount: getting claims out clean, tracking denials, and reconciling payer payments. Its core is a rules engine that encodes payer-specific billing logic so claims are corrected before submission instead of denied after, exposed through APIs and prebuilt integrations with EHRs like Elation, Healthie, Canvas, and Medplum. The natural buyer is a telehealth company, specialty group, or MSO with high claim volume and an engineering team.
The company serves 200+ healthcare organizations, with named customers including Talkiatry, Nourish, Allara, Tia, and Ophelia. Talkiatry publicly reported cutting manual billing work by 40% while claims volume grew 45% year over year. Investor momentum has been strong: an 8VC-led $29M Series B in mid-2024, then a $52.5M Series C led by Oak HC/FT just six months later in February 2025, bringing total funding to $99.5M. It positions itself as billing infrastructure for the digital health generation, sitting between DIY clearinghouse rails (like Stedi, which Candid itself uses) and full-service outsourced RCM.
What it does
- Automated claim creation, coding rules, and submission
- Rules engine that fixes claim errors before submission
- Denial tracking and automated resubmission workflows
- Payment posting and ERA reconciliation
- RCM reporting and analytics across payers
- GenAI features for billing operations
Where it's strong
- The rules-engine approach measurably cuts manual billing work; Talkiatry reported 40% less manual effort while absorbing 45% year-over-year claims growth.
- API-first design plus prebuilt EHR integrations (Elation, Healthie, Canvas) fit cleanly into digital health tech stacks.
- Well funded and growing fast, with $99.5M raised, 200+ customers, and back-to-back rounds six months apart.
What buyers should weigh
- It is built for tech-forward provider groups and telehealth companies with standardized, high-volume claims; complex hospital and facility billing is not its proven ground.
- Getting full value from the platform usually requires engineering work on integration and data plumbing, not just a billing-team rollout.
- It is a young venture-backed vendor competing against large incumbents like Waystar and R1, so weigh long-term durability and your negotiating position at renewal.
Latest
Raised a $52.5M Series C led by Oak HC/FT in February 2025, six months after its $29M Series B, then won a Fierce Healthcare Innovation Award in the Financial Solutions category in November 2025.
Also in Claims & Clearinghouses
Waystar
Public RCM platform spanning claims to patient payments
Availity
Payer-owned network for claims and eligibility
Stedi
API-first clearinghouse for developers
Change Healthcare (Optum)
The largest US medical claims clearinghouse, now part of Optum
Experian Health
Patient access, coverage discovery, and claims tools from Experian
Office Ally
Low-cost all-payer clearinghouse with practice software attached
Track this market
First Pass covers Claims & Clearinghouses and the rest of the getting-paid stack every week.