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What is Pareto Intelligence?

Pareto Intelligence is a cutting-edge platform focused on healthcare analytics and technology, dedicated to boosting the financial health and compliance of health plans and risk-bearing provider organizations while simultaneously enhancing clinical communication and outcomes within value-based care frameworks. At its core, it features a centralized healthcare data environment that integrates, standardizes, and enriches diverse clinical, claims, and social determinants of health data, offering holistic insights into patients and programs that support sophisticated analytics and reporting. Its suite of tools includes risk adjustment and revenue integrity solutions that uncover undocumented risk gaps, improve risk scores, assist with RADV audit readiness, reconcile premiums, and ensure full and compliant revenue capture. Furthermore, Pareto offers payment integrity solutions that pinpoint both underpaid and overpaid claims, thus improving Section 111 reporting and benefit coordination. By harnessing these advanced capabilities, healthcare organizations are empowered to make data-driven decisions that can lead to enhanced patient outcomes, operational efficiency, and overall quality of care. This innovative approach not only streamlines processes but also fosters a culture of continuous improvement within the healthcare sector.

What is Candor Health?

Candor Health represents a cutting-edge healthcare intelligence platform that employs artificial intelligence to transform fragmented provider data into dependable and actionable insights by integrating, authenticating, reconciling, and evaluating information from numerous sources and extensive claims databases. This process guarantees that healthcare organizations have access to up-to-date and standardized details about physicians, healthcare facilities, specialties, affiliations, insurance plans, locations, and other critical attributes. In addition, the platform continuously tracks and updates provider information nearly in real-time, which boosts the accuracy of directories, streamlines roster management, and supports compliance and network adequacy by providing tools for searching, filtering, and analyzing provider networks with clinical significance. Among its suite of services, Candor offers solutions such as Physician 360 and Facility 360, which automate data update processes, address gaps in network access, and enable smarter network design, all while removing "ghost providers" and enhancing care navigation. Consequently, healthcare organizations can realize greater operational efficiency, better patient care outcomes, and a more comprehensive understanding of their provider networks through the platform’s extensive capabilities. By utilizing these features, organizations are well-equipped to meet the evolving demands of the healthcare landscape.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Pareto Intelligence

Company Location

United States

Company Website

paretointel.com

Company Facts

Organization Name

Candor Health

Date Founded

2022

Company Location

United States

Company Website

candorhealth.com

Categories and Features

Categories and Features

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