Madaket Health

Cambridge, MA, United States  All United States companies → Founded 2012
Practice Management Suite Prior Authorization Automation Revenue Cycle / Billing
Family Medicine Internal Medicine Pediatrics
Credentialing & Enrollment
Series B — $25.7M (Note: Some sources indicate $10M or $15M, but PitchBook, a financial data provider, reports $25.7M as of 2026)

Products

Madaket Payer Enrollment
Madaket Health
Credentialing & Enrollment
Madaket Health's Payer Enrollment platform is a comprehensive, cloud-based solution that simplifies and automates payer enrollment, managing provider profiles and coordinating participation opportunities with over 4,000 payers. It aims to reduce manual effort, eliminate errors, and accelerate provider onboarding, allowing healthcare organizations to enroll with payers quickly and efficiently.

See all 1 product →

About Madaket Health

Madaket Health is a healthcare technology company that specializes in automating provider data management through its SaaS-based Provider Data Exchange (PDX) platform. The company aims to streamline the often manual, error-prone, and time-consuming administrative processes involved in healthcare, such as credentialing, payer enrollment, licensing verification, data integration, and Electronic Data Interchange (EDI) transactions. By replacing fragmented and outdated systems with a connected, automated platform, Madaket Health helps healthcare organizations, including providers, payers, revenue cycle management systems, and health plans, operate more efficiently and reduce administrative waste.

For physicians, Madaket Health’s platform translates to a significant reduction in administrative burden, allowing more time to be dedicated to patient care. The platform automates critical functions like payer enrollment and credentialing, which are essential for receiving payments and ensuring compliance. By providing a single source of truth for provider data and integrating seamlessly with various stakeholders, Madaket Health helps ensure data accuracy and facilitates faster processing of administrative tasks. This focus on administrative efficiency and accuracy ultimately aims to improve operational workflows, enhance revenue cycles, and increase satisfaction levels for both providers and payers.

Focus Areas

provider data management payer enrollment credentialing EDI transactions electronic funds transfer (EFT) electronic remittance advice (ERA) roster management provider directory accuracy compliance

Business Intelligence

Key InvestorsExperian Ventures, Qiming Venture Partners USA, Salesforce Ventures, The PNC Financial Services Group, Eight Roads, Allen & Company LLC, F-Prime Capital Partners, Lux Capital, Waterline Ventures, Koa Labs
PartnershipsNextGen Healthcare, andros, TriZetto Provider Solutions, ABILITY Network, Verisys, ProviderTrust
Technologycloud-based SaaS platform, AI-powered workflows (implied by focus on automation and data exchange), SOC 2 Type 2-compliant

What Physicians Need to Know

Provider Data Management
Madaket Health offers a cloud-based platform that centralizes, standardizes, validates, and synchronizes provider data across the healthcare ecosystem. This includes managing comprehensive provider profiles with licenses, DEA registrations, certifications, and employment history in one place.
Payer Enrollment & Credentialing
Madaket automates the entire payer enrollment process, from data collection and validation to application submission and real-time tracking. They connect with over 4,000 payers in the U.S. and aim to reduce enrollment cycles from months to weeks, significantly cutting down on manual effort and errors.
EDI Transactions & EFT/ERA
The platform automates EDI, EFT, and ERA enrollments, supporting over 6,000 payer workflows and 350+ trading partners. This helps accelerate payment cycles and reduces manual effort in managing electronic transactions.
Roster Management & Directory Accuracy
Madaket provides automated roster management, including generating and delivering payer-specific rosters for quarterly updates. Their Provider Data Exchange (PDX) solution ensures real-time directory updates and compliance with regulations like the No Surprises Act.
Compliance
Madaket's platform is SOC 2 Type 2-compliant and continuously ensures data is complete, accurate, and up-to-date, helping organizations meet regulatory demands and mitigate risks. They specifically address compliance with the No Surprises Act.
Physician Tip

Madaket Health is designed to significantly reduce the administrative burden on physicians and their staff, allowing them to focus more on patient care. Key benefits include faster payer enrollment and credentialing (cutting times from months to weeks), fewer errors due to automated data entry and validation, and a centralized platform to manage all provider data. This means less time spent on paperwork, phone calls to payers, and correcting rejected forms, ultimately leading to quicker reimbursements and improved revenue cycles.

Madaket Health emphasizes seamless integration with existing healthcare systems, including CAQH for automatic profile synchronization, EHRs, and practice management systems. They also form strategic partnerships with other healthcare technology providers like NextGen Healthcare, Verisys, and ProviderTrust to enhance data accuracy and streamline processes across the payer-provider ecosystem.

Products by Madaket Health

1 product in the directory

Madaket Payer Enrollment
Madaket Health
Credentialing & Enrollment
Madaket Health's Payer Enrollment platform is a comprehensive, cloud-based solution that simplifies and automates payer enrollment, managing provider profiles and coordinating participation opportunities with over 4,000 payers. It aims to reduce manual effort, eliminate errors, and accelerate provider onboarding, allowing healthcare organizations to enroll with payers quickly and efficiently.

What the Web Says

Madaket Health offers a provider data management platform that streamlines credentialing, payer enrollment, and data maintenance for healthcare organizations. The platform aims to automate administrative tasks, improve compliance, and provide real-time insights into provider data. While there's a lack of extensive public product reviews on major platforms like G2, Capterra, and Glassdoor specifically for Madaket Health, the company emphasizes its ability to simplify complex healthcare administrative workflows.

Overall: Mixed

Strengths

  • Automates administrative tasks like credentialing and payer enrollment.
  • Simplifies complex payer connections.
  • Provides real-time, precise data for seamless care delivery.
  • Offers a centralized command system for managing and sharing provider information.
  • Aims to improve compliance and reduce errors.
  • Designed to accelerate cash flow by faster provider onboarding.

Limitations

  • Limited public product reviews available on major platforms like G2, Glassdoor, and Capterra.
  • Lack of detailed employee reviews on platforms like Glassdoor, making it difficult to assess company culture and work-life balance from those sources.

Based on reviews from: Elion Health, Slashdot, Salary.com, AWS Marketplace, Madaket Health Website, SourceForge, G2

Last updated: 2026-06-19

Videos

News, demos, and interviews about Madaket Health.

Loading videos...

Videos load interactively. If none appear, search YouTube for Madaket Health →

View all on YouTube

Press & Coverage

Business Wire
Madaket Health Achieving Rapid Growth Due to Increased Demand for Healthcare Administration Automation and Provider Data Accuracy
Madaket Health announced rapid growth in March 2025, driven by increased demand for accurate provider data and automation in healthcare administration. The company has strengthened its leadership and sales teams to meet this demand, highlighting the industry's need for better data to address regulatory pressures and inefficiencies.
2025-03
Business Wire
Madaket Health Appoints Megan Schmidt as Chief Executive Officer
Madaket Health appointed Megan Schmidt as its new CEO in March 2025, succeeding Eric Demers. Schmidt, an experienced healthcare leader, will guide the company's strategic growth to address the increasing need for provider data solutions.
2025-03
Madaket Health
Madaket Health 2025 Predictions: AI's impact on healthcare in 2025
Madaket Health's 2025 predictions highlight AI's transformative impact on healthcare, particularly in streamlining credentialing, enrollment, and improving data accuracy. CEO Eric Demers emphasizes the importance of strategic AI adoption to reduce administrative waste and enhance payer-provider collaboration.
2025-02
Medium (Authority Magazine)
Digital Transformation in Healthcare: Eric Demers Of Madaket Health On How Medical Practices Canu2026
In November 2024, Eric Demers of Madaket Health discussed how digital transformation can help medical practices provide better care by addressing provider data inaccuracies and streamlining administrative processes. He noted that provider directories are often only 50% accurate, leading to significant challenges in patient care.
2024-11
Business Wire
Madaket Health Selected by NextGen Healthcare to Facilitate Payer Enrollment Process
Madaket Health announced in October 2024 that NextGen Healthcare selected them as a partner to streamline the payer enrollment process for its provider network. This collaboration aims to expedite enrollment, reduce administrative burdens by 70%, and improve relationships between providers and payers.
2024-10
Madaket Health
Healthcare Data Inaccuracies: A Multi-Billion Dollar Problem
Eric Demers, CEO of Madaket Health, highlighted in September 2024 that poor data quality in healthcare costs the industry billions, with 80% of provider directory information containing errors. He advocates for rigorous data governance and technology-driven solutions to save over $1 billion annually.
2024-09
Madaket Health
Madaket Health Releases Provider Data Exchange to Help Payers Remain Compliant with the No Surprises Act
Madaket Health released its Provider Data Exchange in August 2023 to assist payers in complying with the No Surprises Act. This platform aims to ensure accurate and up-to-date provider data, which is crucial for regulatory adherence and reducing administrative complexities.
2023-08
Madaket Health
Press Release: Madaket Health Inks Partnership Extension with ABILITY Network
In March 2021, Madaket Health announced the renewal of its partnership with ABILITY Network to continue automating information flow between healthcare payers and providers. The collaboration focuses on using Madaket's EDI solution to improve administrative processes and reduce burdens for healthcare providers and payers.
2021-03

Frequently Asked Questions

Madaket Health offers a cloud-based platform that centralizes provider data, including licenses, DEA registrations, and certifications, to simplify and automate payer enrollment and credentialing. It integrates with CAQH to reduce manual data entry and provides a central task queue to manage the credentialing process efficiently.
Madaket Health's Provider Data Exchange (PDX) solution automates roster ingestion and updates to ensure real-time accuracy of provider directories. This helps organizations comply with regulations like the No Surprises Act, which requires directory updates within 48 hours. The platform also offers customizable rosters and real-time validation across the provider lifecycle.
Madaket Health's platform automates EDI, EFT, and ERA enrollments, connecting with over 6,000 payers and 350+ trading partners. This automation aims to reduce manual effort, accelerate payment cycles, and complete most enrollments within 1-2 days.
Madaket Health's platform is SOC 2 Type 2-compliant and helps organizations meet regulatory demands like the No Surprises Act by ensuring accurate and up-to-date provider data. It simplifies healthcare compliance by automating regulatory updates, ensuring data accuracy, and streamlining reporting.
While specific pricing details are not publicly available in the search results, Madaket Health emphasizes that, unlike many competitors, it does not cap the number of payers or plans for enrollment, allowing organizations to scale without additional costs. Their focus is on reducing administrative waste and improving efficiency, which can lead to cost savings.
Madaket Health partners with clearinghouses and other healthcare technology companies, such as TriZetto Provider Solutions and NextGen Healthcare, to integrate and streamline administrative processes. For current users needing assistance, they are directed to contact their clearinghouse or enrollment partner representative.
Madaket Health was founded in 2012 and has raised a total of $15 million in funding over two rounds, with its latest being a $10 million Series B round in July 2018. Investors include Qiming Venture Partners, Experian Ventures, The PNC Financial Services Group, and Salesforce Ventures. The company has approximately 40 employees and an estimated annual revenue of $4.3 million.

Related Companies

CAIMed, the Lower Saxony Center for Artificial Intelligence and Causal Methods in Medicine, is a research institution dedicated to advancing personalized healthcare through innovative AI and causal methodologies. The center aims to address widespread diseases such as cancer, cardiovascular diseases, and infections by linking research data, clinical data, and patient care data. This integrated approach, […]

Autoderm is a health technology company that provides a CE-marked AI dermatology screening API designed to analyze smartphone photos for various skin conditions. The company’s AI models are trained on a proprietary database of amateur smartphone images of skin diseases and are accessible via an API that can be integrated into various platforms, including electronic […]

OCTA is an AI-powered finance automation platform that aims to streamline financial operations and accelerate cash flow for businesses, particularly SMEs and enterprises in the Middle East, with a strong presence in the UAE and Saudi Arabia. The platform utilizes AI agents to automate tasks across the entire contract-to-cash cycle, including contract creation, e-signing, invoicing, […]

Skin Analytics is a British health technology company dedicated to the early and accurate diagnosis of skin cancer, aiming to reduce mortality from the disease. They achieve this through their flagship product, DERM, an AI-powered medical device. DERM is designed to provide dermatologist-quality skin cancer assessments, making them more accessible and reducing the burden on […]

MedTalk AI is an Australian-based healthcare AI company focused on streamlining clinical documentation for physicians and other healthcare professionals. The company’s flagship product is an ambient AI medical scribe that listens to real clinical conversations and converts them into structured, accurate notes in real-time. This technology aims to free clinicians from the burden of manual […]

allergoSMART is a healthcare AI company that offers the world’s first AI-based complete solution for personalized mite allergen avoidance. The company’s system, allergoSMART, provides a unique AI digital solution for individuals with dust mite allergies, combining targeted prevention and treatment through comprehensive home environment optimization. [3] It integrates symptom tracking, telemedicine, and air purification into […]

AI Tool Finder
AI-powered search. Results may not be comprehensive.