Simplify Healthcare
Member Level: SilverVendor 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™. We also offer Simplify Healthcare AI™ — our pre-built AI solutions for Payers to enhance sales, network performance, and service operations.
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
Case Study: Mid-size health plan investigates the ability to integrate with Facets from a single source of truth
The Most Group won a full implementation of eBenefitSync as the health plan's single source of truth for benefit plans with integration to Facets, Salesforce and generation of SBCs and QHP Plans & Benefits template.
Recording: The Most Group Demo - Benefit Plan Design Solution
Alliance member plans had requested the Health Plan Alliance organize a group demo with The Most Group, to allow member representatives the opportunity to learn more about this company and its product offerings.
Presentation: The Most Group Demo - Benefit Plan Design Solution
Alliance member plans had requested the Health Plan Alliance organize a group demo with The Most Group, to allow member representatives the opportunity to learn more about this company and its product offerings.