Madaket

What Madaket does

Madaket Health operates a cloud-based Provider Data Management (PDM) SaaS platform that automates administrative workflows for healthcare payers, providers, clearinghouses, and management services organizations. The platform is composed of interconnected modules: a centralized Provider Profile that serves as the data hub, Provider Data Exchange for real-time directory management, Payer Enrollment with 4,000+ pre-configured payer connections, EDI/EFT Enrollment for financial workflow automation, Roster Management for real-time status tracking, and Analytics & Insights for performance visibility. The infrastructure is SOC 2-certified and the platform is available on AWS Marketplace. Madaket reports 5M+ platform transactions processed, 90%+ admin task automation, EDI connections reaching 85% of U.S. providers, and service to 80% of provider groups nationwide.

The company's primary customer segments are health plans and payers, provider groups and health systems, and clearinghouses and MSOs, with secondary segments in telehealth, dental, and mental health. Its go-to-market is enterprise field sales with quote-based pricing and annual SaaS subscriptions, supplemented by content marketing through The Edge of Healthcare podcast, the Broken by Default podcast, and the Madaket Minute video series.

Founded in 2012 and headquartered in Cambridge, Massachusetts, Madaket (legal entity Madaket, Inc.) has raised approximately $10M in disclosed venture funding, with a $10M Series A in July 2018 led by Qiming Venture Partners and participation from Experian Ventures, PNC, and Salesforce Ventures. The company is privately held, remote-first, and recently refreshed its senior leadership with Megan Schmidt as CEO (September 2025) and Elizabeth (Liz) Weier as SVP of Strategy and Innovation (March 2026).

Name

Madaket

Legal name

Madaket, Inc.

Website

http://www.madakethealth.com/

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

Madaket Health provides a cloud-based Provider Data Management SaaS platform that automates enrollment, credentialing, and EDI/EFT workflows for healthcare payers, providers, clearinghouses, and MSOs, with 4,000+ payer integrations and SOC 2-certified infrastructure.

Ownership category

akta.pro rank

Product category

Healthcare Provider Data Management

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB)

akta.pro secondary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

Keywords

• Provider data management
• Payer enrollment automation
• EDI enrollment platform
• Healthcare SaaS
• Credentialing automation

Headquarters

HQ city

Cambridge

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure

Revenue model

1. SaaS Platform Subscription: Madaket operates as a SaaS platform offering subscription-based access to its Provider Data Management platform. The platform is accessed through a SaaS Portal requiring separate written agreement (SaaS Agreement). Pricing is quote-based for enterprise customers.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

Madaket Health provides a cloud-based Provider Data Management (PDM) SaaS platform that automates healthcare provider data workflows — including payer enrollment, credentialing, EDI/EFT enrollment, roster management, and provider directory data exchange. The platform connects providers, payers, health systems, clearinghouses, and MSOs via 4,000+ pre-configured payer connections to streamline administrative operations and ensure provider data accuracy.

Product overview

Madaket Health offers a unified Provider Data Management (PDM) platform that consolidates provider data workflows from enrollment to compliance. The platform is architected as an all-in-one system comprising interconnected modules: Provider Profile (central data hub), Payer Enrollment (4,000+ payer connections), Provider Data Exchange (directory management), EDI/EFT Enrollments (financial workflow automation), Roster Management (real-time status tracking), and Analytics & Insights (performance visibility). The platform serves providers, payers, health systems, clearinghouses, MSOs, telehealth organizations, dentists, pharmacists, and mental health professionals, and is SOC 2-certified with deployment available on AWS Marketplace. Madaket also produces content brands including The Edge of Healthcare podcast and Broken by Default podcast.

Differentiator

Problem solved

Functional benefit

Products and services

• Provider Data Management (PDM) Platform The central SaaS platform that automates provider data workflows and delivers data visibility across providers, payers, and partners. It replaces fragmented, manual, siloed systems with a unified, SOC 2-certified solution covering provider profile management, payer enrollment (4,000+ payer connections), EDI/EFT enrollment, roster management, and analytics.

Quantifiable outcome

• 90%+ admin task automation
• +3 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

One partnership is on record.

• AWS MarketplacecoreTechnology or IntegrationMadaket's Provider Data Management (PDM) platform is available on AWS Marketplace, making it enterprise-ready and accessible where customers already work. This cloud marketplace listing enables AWS customers to procure and deploy Madaket's platform through their existing AWS infrastructure and procurement processes.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Ribbon Health: Ribbon Health offers a provider data API and directory platform for health plans, digital health, and provider organizations. It competes at the data layer with Madaket's Provider Data Exchange and increasingly with AI-augmented directory accuracy use cases.
• ProviderTrust: ProviderTrust offers provider data management, credentialing, and exclusion monitoring software used by health systems and payers. It directly overlaps with Madaket's provider profile and compliance automation modules.
• Andros: Andros provides payer-provider connectivity and credentialing network solutions, including provider enrollment and roster management. It overlaps with Madaket's payer enrollment and EDI/roster capabilities and is also listed as a partner.

Direct peers

• Availity: Availity operates a large payer-provider data exchange and clearinghouse network with administrative and clinical data workflows. It overlaps with Madaket's Provider Data Exchange and EDI/EFT enrollment modules and serves many of the same health plans and providers.
• Kyruus: Kyruus provides a provider data management and directory platform used by health systems and payers to maintain accurate provider profiles and improve patient access. It is a direct competitor in the provider directory and profile management category.
• Symplr: Symplr is a leading healthcare operations platform with deep provider credentialing, payer enrollment, and provider data management capabilities. It directly competes with Madaket's payer enrollment and provider profile modules and targets the same health system and payer buyers.

Broad incumbents

• CAQH (Council for Affordable Quality Healthcare): CAQH operates national provider data and credentialing initiatives, including CAQH ProView and directory solutions adopted broadly by payers. It is a broad incumbent competitor in provider data standardization that Madaket must integrate with or compete against.
• TriZetto Provider Solutions (Cognizant): TriZetto, a Cognizant company, is a major payer-side administrative platform with provider data and enrollment modules. It is a broad incumbent competitor and listed partner of Madaket, illustrating the partner-competitor overlap in this space.
• Inovalon (Ability Network parent): Inovalon owns Ability Network, a listed Madaket partner, and operates a broad healthcare data and analytics platform with provider data capabilities. It represents both a partner and a large incumbent that could expand into Madaket's niche.
• Veradigm (formerly Allscripts) Provider Data Solutions: Veradigm is a large EHR and practice management vendor offering provider data, credentialing, and payer connectivity capabilities. It is a broad incumbent that competes for the same provider administrative workflow budgets Madaket targets.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@BrokenByDefaultPodcast
• Xx.com/madakethealth
• Facebookfacebook.com/madaket-health-1080669758626015
• LinkedInlinkedin.com/company/madaket-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds4 records

Investors9 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Madaket