MedFax

What MedFax does

MedFax is the healthcare data solution brand of TruthMD, LLC, a privately held company founded in 2012 and headquartered in Alpharetta, Georgia. The company aggregates, curates, and distributes primary-source demographic, practice, licensing, certification, investigation, disciplinary, and legal record data on U.S. healthcare providers, maintaining profiles on 900,000+ physicians with 15+ years of historical depth. Its platform continuously ingests data from more than 20,000 public-record sources and applies proprietary machine learning, AI-based entity matching, automated quality analysis, and human review to deliver provider data with a stated 95%+ accuracy rate.

The product suite is organized around three core offerings—MedFax Provider Core® (foundational demographics and directory support), MedFax Provider Spotlight® (real-time license and exclusion monitoring and primary source verification), and MedFax Provider Detector® (pre-payment fraud detection for health plan Special Investigation Units)—plus a set of Medical Professional Liability modules covering CRM synchronization, new business acceleration, and risk management. Data is delivered via Software-as-a-Service, dedicated cloud, flat files, or API integrations, with a stated value proposition of reducing manual verification, returned mail, and underwriting cycle time.

MedFax sells exclusively to enterprise customers across four verticals: payers (health plans and managed care), government healthcare programs (Medicare/Medicaid), MPL insurers, and service providers (TPAs, clearinghouses, and intermediaries). The company operates a sales-led GTM motion with direct enterprise outreach (phone and contact form segmented by industry), supported by content marketing (white papers, webinars), earned media coverage, and industry-conference presence. CEO and founder Gemma Cunningham leads the company. No external funding rounds, M&A activity, or institutional investor information is disclosed in the available sources, indicating founder/private ownership and an operating history funded internally.

Name

MedFax

Legal name

TruthMD, LLC

Website

https://medfax.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

101–250 employees

Short description

MedFax (TruthMD, LLC) is a healthcare provider data platform that aggregates records on 900,000+ U.S. physicians from 20,000+ primary sources, delivering SaaS, API, and flat-file products to payers, government health programs, MPL insurers, and healthcare service providers.

Ownership category

akta.pro rank

Product category

Healthcare Provider Data and Analytics

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Computer Systems Design and Related Services (54151)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industry

Real-World Data (RWD) Platforms & Clinical Data Curation (HLACAIAJ)

Keywords

• Healthcare provider data
• Provider verification software
• Sanctions exclusion monitoring
• Healthcare data analytics
• Medical provider intelligence

Headquarters

HQ city

Alpharetta

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, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Software-as-a-Service (SaaS): MedFax is delivered as a cloud-based software solution with real-time data access and continuous updates.
2. Dedicated Cloud: Dedicated cloud deployment option for organizations requiring isolated infrastructure.
3. Flat Files: Data delivered as flat files for integration with existing systems.
4. API Access: Real-time API access for seamless integration within any IT environment and system.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

MedFax, presented by TruthMD, is a healthcare provider data platform that aggregates, curates, and continuously updates demographic, licensing, certification, sanctions, exclusion, and legal record data on U.S. healthcare providers from more than 20,000 primary sources. The platform delivers this validated data to enterprise customers in real time through SaaS, dedicated cloud, flat files, and APIs under products such as MedFax Provider Core®, MedFax Provider Spotlight®, and MedFax Provider Detector®, supporting use cases in network management, primary source verification, fraud detection, and risk management.

Product overview

MedFax is a healthcare data platform providing a portfolio of provider information solutions. The core platform aggregates, curates, and distributes demographic, practice, licensing, certification, investigation, disciplinary, and legal record data on every healthcare provider in the United States across a 15+ year history. The main product suite includes MedFax Provider Core® (foundational demographics), MedFax Provider Spotlight® (real-time license and exclusion monitoring), and MedFax Provider Detector® (fraud detection). For the Medical Professional Liability (MPL) market, MedFax offers specialized solutions including CRM Synchronization, New Business Acceleration, and Risk Management modules. Data is delivered in real-time via Software-as-a-Service, dedicated Cloud, flat files, and APIs, with 95+ percent accuracy achieved through proprietary machine learning and AI processing of 20,000+ primary data sources.

Differentiator

Problem solved

Functional benefit

Brands

• MedFax Provider Core: Foundational provider demographic information advancing directory-digital experience and improving overall claims adjudication.
• MedFax Provider Spotlight
• MedFax Provider Detector

Products and services

• MedFax Provider Core®
• MedFax Provider Spotlight® Real-time provider license and exclusion records delivered for mandated sanction monitoring, primary source verification, and network management. Provides 15 years of complete, validated historical data unified under a single NPI for payers, government agencies, and MPL carriers.
• MedFax Provider Detector® Applies MedFax's distinctive dataset with proprietary algorithms to identify fraudulent claims pre-payment, creating a bad actor lead generator for health plan Special Investigation Units (SIUs). Identifies potential provider issues before claims are paid.
• MedFax MPL CRM Synchronization Synchronizes medical professional liability carrier Customer Relationship Management platforms with MedFax data to ensure accurate, up-to-date policyholder information. Reduces returned mail by over 80% and provides accurate target marketing lists with contact details at group and practitioner levels for MPL insurers.
• MedFax MPL New Business Acceleration Automatically pre-populates quick quotes, applications, and underwriting tools using MedFax provider data, reducing the time from initial contact to fully underwritten policy from weeks to days for medical professional liability insurers.
• MedFax MPL Risk Management Augments underwriting data sources with comprehensive provider information to improve capacity and time to underwrite policies for MPL carriers. Enables real-time risk monitoring of books of business with immediate notifications of changes for patient safety, underwriting, and claims departments.

Quantifiable outcome

• 95+ percent accurate provider data delivered from more than 20,000 primary sources in real-time
• +2 more outcomes

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature4 records

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Market position

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/truthmd

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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 MedFax