Becker’s Healthcare Podcast AI Powered Revenue Cycle Transformation with Doug Proctor of Candid Health
Dec 9, 2025
Doug Proctor, COO and co-founder of Candid Health, shares his expertise in revolutionizing revenue cycle management with AI and machine learning. He discusses how to build a strong data foundation and the importance of selecting the right problems to solve. Doug outlines innovative solutions like LLM-driven eligibility workflows that streamline claims processing. He emphasizes the need for scalable AI strategies and offers practical advice for healthcare leaders to enhance operational efficiency while integrating technology.
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Palantir Origins Shaped Candid's Approach
- Doug Proctor and Nick Perry met at Palantir and brought cross-domain experience to Candid Health.
- Their backgrounds in healthcare and defense influenced Candid's platform approach and technical rigor.
AI Best Suited For Repetitive RCM Tasks
- AI works best on high-volume, low-complexity RCM tasks where it can accelerate human workflows.
- Combining ML clustering with LLMs yields rule recommendations that automate repetitive work and improve throughput.
Prioritize Low-Consequence Automation First
- Target AI at repetitive, detail-oriented tasks that consume staff time rather than high-consequence clinical decisions.
- Use AI to accelerate, not fully replace, human workflows in those areas.