Simplify Healthcare
Member Level: SponsorVendor Overview
Description of Services: Simplify Healthcare powers connected benefits and provider journeys for Payers through a scalable, enterprise-grade, secure, compliant, and configurable cloud based software platform — Simplify Health Cloud™. Packaged on the Simplify Health Cloud™ — Benefits1™, Provider1™, Service1™, Claims1™, and Experience1™ provide Payers with discrete and precise solutions to complex problems and opportunities in delivering a rich set of products, benefits, and provider data. Simplify Healthcare also enables Payers to build enterprise solutions with speed and innovation on a configurable, secure, and low-code application development platform — Simplify App Fabric™.
Benefits1™ — Creates a single source of truth for product and benefits data with automated business rules and workflows to fulfill all compliance and mandated document generation requirements.
Provider1™ — Creates the master record for all provider data with automated rules and workflows to simplify provider management processes like contracting, onboarding, credentialing, reimbursement models, roster file management, and provider directories.
Service1™ — Enables customer service representatives to handle and resolve all benefits inquiries with an AI- and NLP-powered search engine to provide accurate responses to benefit inquiries from members, providers, employers, and brokers.
Claims1™ — Business rules and workflow-driven claims management platform that transforms benefits and provider data into a consumable format for the Core-Admin systems while enabling claims adjudication and configuration testing.
Experience1™— Rules-based master content management platform that pulls up-to-date benefits data from repositories to enable the generation, streaming, and personalization of content to members based on rules and customer metadata.
Simplify App Fabric™ — Configurable, low-code application platform that enables rapid, secure application development and zero-friction deployment within a Payer’s technology ecosystem.
Simplify Healthcare ranks No. 159 among 300 honorees on the list of FORTUNE America’s Most Innovative Companies, No. 96 on the 2023 Financial Times List of The Americas’ Fastest-Growing Companies, No. 132 on the 2023 Inc.5000 Regionals list of America’s fastest-growing private companies in the Midwest region, No. 199 on the 2022 Deloitte Technology Fast 500 list, No. 842 on the Inc. 5000 42nd Annual List of the Fastest-Growing Private Companies in America, No. 15 on the Crain’s 2022 Fast 50 list of the fastest-growing companies in Chicago, No. 135 on the 2022 Financial Times List of The Americas’ Fastest-Growing Companies, and has won the Big Innovation Award in 2022 and 2023 for its member and provider benefits inquiry platform (Service1™).
For more information, please visit simplifyhealthcare.com
Primary Service: Automation, Workflow and IT Services
Secondary Service: Automation, Workflow and IT Services
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600 N Commons Drive
Suite 110
Aurora, IL 60504
844-720-6678
https://www.simplifyhealthcare.com/
Documents
Presentation: Accelerate speed to market for MA plans
Simplify Healthcare will help you discover in this presentation how Payers can leverage the Benefits1TM Digital Payer Platform to improve speed to market for their MA plans and streamline day-to-day business operations to drive stakeholder delight, membership retention and growth, and operational excellence.
Recording: Accelerate speed to market for MA plans
Simplify Healthcare will help you discover in the video presentation how Payers can leverage the Benefits1TM Digital Payer Platform to improve speed to market for their MA plans and streamline day-to-day business operations to drive stakeholder delight, membership retention and growth, and operational excellence.
Presentation: Future of Benefits Plan Management
Simplify Healthcare will help you to discover how the Benefits Digital Payer Platform enables innovative product strategies that can have a measurable impact on new business and renewal revenue; AND provides an end-to-end operational foundation to catalog, configure, manage, integrate, record products, plans and benefits, and generate documents to materially reduce administrative costs.
The Provider Directory & Data Problem
eProviderSync is a rules-based, configurable SaaS solution that solves Payers' provider data management accuracy problems through confirmation, management, and syncing of provider information across applications. It is an end-to-end provider data management solution that enables Payers to solve specific pain points at the application level.
The Future of Medicare Plan Management
The momentum behind Medicare Advantage is only growing as more baby boomers age into eligibility, and experts don't expect the energy around the program to slow down any time soon. Going into 2022 and beyond, the strategic positioning of Medicare Health Plans will increasingly depend upon competitive plan benefit design, targeted geographic and population enrollment expansions, and strong plan performance credibility.
Recording: Reduce Call Handle Times for Benefit Inquiries
In this video recording presentation, discover how you can reduce call handle times, improve FCRs, and accurately answer benefit inquiries to improve Star ratings using eServiceSync, a unique AI and NLP-based automation solution.
Simplify Commercial Benefit Plan Management
eBenefitSyncTM is a SaaS-based turnkey modular Large Group benefit plan management solution for Healthcare Payers and Third Party Administrators (TPAs), and Administrative Service Organizations (ASOs). It eliminates errors and inefficiencies in Excel grids-driven traditional benefit plan management by creating a single source of truth for all benefit data, auto-generating documents, and streamlining processes right from quotes to claims processing.
Presentation: Reduce Call Handle Times for Benefit Inquiries
Simplify Healthcare presents how you can reduce call handle times, improve FCRs, and accurately answer benefit inquiries to improve Star ratings using eServiceSync, a unique AI and NLP-based automation solution.
Recording: Automate Provider Lifecycle Management
Simplify Healthcare presents a solution that can address your No Surprises Act (NSA) needs by providing a master provider record and contract repository that can keep downstream systems updated.
Presentation: Automate Provider Lifecycle Management
Join this webinar as you will see a solution that can address your No Surprises Act (NSA) needs by providing a master provider record and contract repository that can keep downstream systems updated.