@ycombinator: Candid Health (W20) is rebuilding the medical billing stack for healthcare providers, automating the work required to g…

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Summary

Y Combinator W20 startup Candid Health, which rebuilds medical billing stacks with automation and AI agents, discusses scaling to 200+ organizations, $7B in annual claims processing, and a recent $120M Series D in this fireside chat with co-founder and CEO Nick Perry.

Candid Health (W20) is rebuilding the medical billing stack for healthcare providers, automating the work required to get claims submitted correctly and providers paid. Medical billing is a $200–300 billion market, and much of it still runs on decades-old software and manual processes. Today, @candid_health serves more than 200 healthcare organizations, processes about $7 billion in claims each year, and recently raised a $120 million Series D to keep expanding into the broader healthcare market. In this fireside, co-founder and CEO @nick_perry joins @gustaf to share how Candid went from manually reviewing every claim to building the automation layer behind the business. He also explains where AI and agents fit into medical billing, and why the goal is to prevent denials before they happen. 00:00 — What Candid Health Does 00:26 — Why Medical Billing Is So Complicated 02:13 — How Medical Claims Actually Work 07:27 — The $300B Medical Billing Market 09:14 — Finding Candid’s Wedge 11:00 — Winning the First Customer 13:00 — Doing Things That Don’t Scale 15:33 — Automating RCM With Software and AI 17:55 — From Palantir to Candid Health 19:25 — The Moment They Hit Product-Market Fit 20:44 — Building the Team and Culture 23:39 — From the First 10 Customers to Scale 27:24 — Where AI Agents Matter Most 30:14 — Raising a Series D and What Comes Next 37:33 — The Startup Lesson Nick Wishes He Knew
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Cached at: 10/28/26, 08:27 AM

Candid Health (W20) is rebuilding the medical billing stack for healthcare providers, automating the work required to get claims submitted correctly and providers paid.

Medical billing is a $200–300 billion market, and much of it still runs on decades-old software and manual processes. Today, @candid_health serves more than 200 healthcare organizations, processes about $7 billion in claims each year, and recently raised a $120 million Series D to keep expanding into the broader healthcare market.

In this fireside, co-founder and CEO @nick_perry joins @gustaf to share how Candid went from manually reviewing every claim to building the automation layer behind the business. He also explains where AI and agents fit into medical billing, and why the goal is to prevent denials before they happen.

00:00 — What Candid Health Does 00:26 — Why Medical Billing Is So Complicated 02:13 — How Medical Claims Actually Work 07:27 — The $300B Medical Billing Market 09:14 — Finding Candid’s Wedge 11:00 — Winning the First Customer 13:00 — Doing Things That Don’t Scale 15:33 — Automating RCM With Software and AI 17:55 — From Palantir to Candid Health 19:25 — The Moment They Hit Product-Market Fit 20:44 — Building the Team and Culture 23:39 — From the First 10 Customers to Scale 27:24 — Where AI Agents Matter Most 30:14 — Raising a Series D and What Comes Next 37:33 — The Startup Lesson Nick Wishes He Knew

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