Orderly Health

What Orderly Health does

Orderly Health is a Denver-based, AI/ML-powered provider data management platform serving the U.S. healthcare ecosystem. Founded in 2015 as a B2C patient navigation chatbot and pivoted in 2019 to its current B2B focus, the company addresses the systemic problem of inaccurate provider directory data across payers, providers, and health technology companies. It ingests public, partner, and proprietary data sources to validate, normalize, and continuously update provider information for every clinician holding a National Provider Identifier (NPI) in the United States, citing the industry baseline that 30% of provider data changes annually.

The product suite consists of three integrated modules sold under a single platform: Orderly Data Updates, which delivers traceable field-level corrections and a documented average accuracy lift of over 20%; the Roster Automation Suite, which translates, normalizes, and validates rosters in an average of 21 seconds and has processed over 57,000 rosters (decreasing upstream data errors by up to 94%); and the Orderly Provider Directory, a real-time directory of 6.4 million practitioner profiles, 61,000 entity affiliations, and 500+ specialties delivered via REST APIs, scheduled flat files (JSON/XLSX/CSV), or an online portal. The underlying technology stack combines machine learning, generative AI, and proprietary mathematical frameworks—including the "Ideal True Accuracy" formula and field-specific decayed confidence modeling—that explicitly separate empirical accuracy from observational agreement rates. A healthcare-specific phone attestation service provides audio-based verification to support compliance with the No Surprises Act and the CMS 90-day verified update rule.

Orderly monetizes primarily through quote-based subscription and multi-year enterprise contracts; the Provider Directory is the only product with a publicly disclosed pricing tier (annual national/regional subscription or usage-based). The go-to-market motion is enterprise/B2B sales-led, with an inside-sales overlay, an 8-week onboarding process, and a dedicated customer success function. As of June 2024 the company filed to raise $3M in debt financing, and in 2025 it was acquired by First Choice Health—a regional payer and prior flagship customer—which now operates Orderly Health as a subsidiary under its umbrella.

Name

Orderly Health

Legal name

Orderly Health

Website

https://orderlyhealth.com

Company type

Private

Founded year

2015

Operating status

Acquired

Headcount range

11–50 employees

Short description

Orderly Health is an AI/ML-powered provider data management platform serving U.S. payers, providers, and health tech companies. It delivers the Orderly Provider Directory (6.4M profiles), Roster Automation Suite, and Data Updates via API. Acquired by First Choice Health in 2025.

Ownership category

akta.pro rank

Product category

Healthcare Provider Data Management

NAICS

Offices of Physicians (6211)

SIC

Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Healthcare Data Quality, Profiling & Observability (HLACAIAE), Consent, Preference & Data Rights Management (incl. HIPAA/GDPR support) (HLACAIAG)

Keywords

• Provider data management
• Healthcare data accuracy
• Roster automation
• Provider directory software
• AI healthcare data

Headquarters

HQ city

Denver

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. Orderly Provider Directory: Priced as an annual national subscription, within a region or clinician group, or billed through a usage-based model; flexible pricing scaled to customer budget and business size.
2. Orderly Provider Directory (Usage-Based Option): Optional usage-based billing alternative for accessing the Orderly Provider Directory, enabling Orderly to scale with customer growth.
3. Data Updates Subscription: Recurring subscription (recommended monthly or quarterly cadence) for AI-enabled provider data corrections and traceable updates; quotes provided via custom "Impact Estimate" rather than posted pricing.
4. Roster Automation Suite: Subscription/contract-based engagement with an 8-week onboarding implementation period; bundled with onboarding services and customer success support.
5. Professional Services / Onboarding: Implementation, configuration, and customer success services bundled with product subscriptions, including dedicated onboarding teams and business rule configuration.
6. Debt Financing (Capital Raise): In June 2024, Orderly filed a notice to raise $3,000,000 in new debt financing to expand operations and accelerate product development.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels10 records

Core offering

Orderly Health provides an AI and machine learning-powered provider data management platform that validates, cleans, and corrects healthcare provider directory data. Its three core offerings — Orderly Data Updates, Roster Automation Suite, and Orderly Provider Directory — serve healthcare payers, providers, and health tech companies with traceable, field-level corrections, automated roster processing, and API-based access to 6.4 million clinician profiles.

Product overview

Orderly Health operates a platform-plus-modules architecture under a unified provider data management offering, serving healthcare payers, providers, and health tech companies. The platform centers on three core modules: (1) Orderly Data Updates, an AI/ML-powered solution that scans provider directories for errors and delivers traceable field-level corrections to achieve accuracy lifts of over 20%; (2) Roster Automation Suite, which automates the translation, normalization, and validation of provider roster data across any input format (processing rosters in ~21 seconds with over 57,000 rosters processed to date); and (3) Orderly Provider Directory, a real-time directory of 6.4 million clinician profiles and 61,000 entity affiliations accessible via REST APIs, scheduled flat file transfers, or online portal. All three modules share an underlying proprietary AI/ML pipeline (combining machine learning and generative AI) that ingests public, partner, and proprietary data sources, applies field-specific confidence scoring and temporal decay modeling, and surfaces field-level justifications to support compliance with the No Surprises Act, the Consolidated Appropriations Act of 2021, and the REAL Health Providers Act. Founded in 2015 in Denver, CO as a patient navigation chatbot and pivoted to its current provider data focus in 2019.

Differentiator

Problem solved

Functional benefit

Products and services

• Orderly Data Updates AI and ML-powered solution that scans provider directories for errors, delivering traceable field-level corrections with source citations and reason codes. Achieves an average accuracy lift of over 20% across provider directory data by combining data from thousands of public, partner, and proprietary sources. Includes CMS-compliance-ready outputs (timestamps, reason codes), phone attestation support for the No Surprises Act, and delivers Data Health Assessments, Change Files, Clean Files, and Impact Reports.
• Roster Automation Suite Automates the translation, normalization, and validation of provider roster data in any format. Delivers 80-90% productivity increases for data teams, processes an average roster in 21 seconds, and has processed over 57,000 provider rosters. Includes AI-enabled error detection, built-in QA controls, a modular rules library, and Error Reports analytics. Helps customers comply with the 90-day verified update rule and the Consolidated Appropriations Act's 48-hour processing rule.
• Orderly Provider Directory A centralized, real-time provider directory combining curated clinician and entity data from public, partner, and proprietary data sources. Contains 6.4 million practitioner profiles, 61,000 affiliations, and over 500 clinician specialties. Accessible via flexible APIs, scheduled flat file transfer (JSON, XLSX, CSVs), or online portal. Features elastic search, field-level confidence scores, Care Categories, Provider Tags, and entity profiles tracing clinician-to-facility relationships.

Quantifiable outcome

• >20% accuracy lift across provider directory
• +11 more outcomes

Named customers11 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability10 records

Feature8 records

Partnerships

Eleven partnerships are on record, tiered flagship, core and minor.

• First Choice HealthflagshipStrategic or Co-development Partner · 1 January 2025First Choice Health acquired Orderly Health to redefine provider data management (per PR Newswire announcement referenced on the Orderly homepage). First Choice Health is also a flagship customer — using Orderly's Roster Automation Suite to process rosters in 70+ formats from their delegated population and eliminate the operational backlog. Orderly now powers "What's Next in Provider Data" alongside First Choice Health.
• TechstarscoreStrategic or Co-development PartnerOrderly team mentors with Techstars' network of advisors, described as "some of the industry's foremost thinkers." Orderly's careers page references Techstars (spelled "Techstar") as a strategic mentor network for growth.
• 500 Startups (500.co)coreStrategic or Co-development PartnerOrderly team mentors with 500 Startups' network of advisors; referenced alongside Techstars on the careers page as a partner mentor network driving growth.
• Accenture (Healthtech Innovation Challenge)minorGTM or Marketing PartnerOrderly Health was named among eleven finalists in the Accenture Healthtech Innovation Challenge, providing brand visibility and recognition in the healthcare innovation ecosystem.
• WellfoundminorGTM or Marketing PartnerOrderly Health posts all open positions through Wellfound (formerly AngelList Talent) to reach startup-oriented candidates.
• CloudflarecoreTechnology or IntegrationCloudflare provides bot management and traffic optimization/distribution services for orderlyhealth.com; integrated to filter traffic, protect against malicious bots, and route analytics data.
• Google (Analytics, Fonts, Tag Manager)coreTechnology or IntegrationGoogle services integrated: Google Analytics (Universal Analytics & GA4) for web analytics, Google Fonts for typography, and Google Tag Manager for tag management.
• HubSpotcoreTechnology or IntegrationHubSpot CRM integrated as Orderly Health's user database management platform for sales, marketing, and customer relationship workflows.
• Mailchimp (Intuit)coreTechnology or IntegrationMailchimp widget integrated for email newsletter capture and management (the Orderly monthly newsletter subscription).
• SendgridcoreTechnology or IntegrationSendgrid integrated for email address management and transactional/message sending from Orderly Health.
• WP EnginecoreTechnology or IntegrationWP Engine hosts the orderlyhealth.com website as the platform services provider.

Scale indicators16 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Ribbon Health: Ribbon Health provides a provider data platform with an API-first directory, data verification, and workflow tools for payers, providers, and digital health companies. It is the closest direct competitor to Orderly's Orderly Provider Directory and Data Updates products, serving the same buyer personas with a similar accuracy-and-coverage value proposition.
• Availity: Availity operates a large-scale provider data and clinical information network serving health plans and providers with provider directory management, eligibility, and data exchange. It overlaps directly with Orderly's payer-facing provider data and roster automation offerings.
• Quest Analytics: Quest Analytics provides provider directory accuracy, network management, and access solutions for health plans and providers, including geocoding and provider network adequacy. It directly competes with Orderly's accuracy and compliance-focused offerings for payers.
• CAQH (Council for Affordable Quality Healthcare): CAQH operates the CAQH ProView directory and related provider data solutions used across the U.S. healthcare ecosystem for credentialing and directory management. It competes directly with Orderly's Roster Automation Suite and Data Updates for payer and provider data accuracy workloads.

Broad incumbents

• Surescripts: Surescripts operates the dominant U.S. health information network for e-prescribing and clinical information exchange, including provider directory and pharmacy data assets. It is a broad incumbent with overlapping provider and prescriber data capabilities relative to Orderly's pharmacy-adjacent use cases (e.g., Truveris).
• Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems and payers with data warehousing, population health, and quality measurement. It shares the healthcare data platform orientation with Orderly but operates at a much broader, enterprise-warehouse scale rather than provider-directory specialization.
• Definitive Healthcare: Definitive Healthcare is a healthcare commercial intelligence and provider data company serving life sciences, providers, and payers with analytics on clinicians, facilities, and affiliations. It overlaps with Orderly's provider directory and entity affiliation data, but sells primarily analytics/insights rather than workflow automation.
• Veradigm (formerly Allscripts) Provider Data Solutions: Veradigm and adjacent legacy EHR/PMS vendors offer provider data and directory modules bundled with their electronic health record and practice management systems. They overlap with Orderly's provider directory capabilities as part of broader clinical and administrative software suites rather than as a standalone accuracy platform.
• LexisNexis Risk Solutions (Health Care): LexisNexis Risk Solutions offers provider data, identity, and referential data products used across healthcare payers and providers as part of a broader risk and analytics portfolio. It overlaps with Orderly's provider data and identity resolution capabilities, but as a much larger incumbent with a wider product set.

Emerging players

• Madaket Health: Madaket Health automates provider data management tasks such as credentialing, roster updates, and payer enrollment for healthcare organizations. It addresses overlapping provider data workflow pain points with Orderly's Roster Automation Suite, but with a narrower focus on enrollment and credentialing.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/orderlyhealth
• LinkedInlinkedin.com/company/orderlyhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds9 records

Investors6 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 Orderly Health