Simplify Healthcare

Simplify Healthcare

Software Development

Aurora, Illinois 139,820 followers

Simplify Product, Benefits, and Provider Lifecycle Management

About us

Simplify Healthcare powers connected benefits and provider journeys for Payers through a scalable, enterprise-grade, secure, compliant, and configurable cloud platform — Simplify Health Cloud™. Our offerings — Benefits1™, Provider1™, Service1™, Claims1™, and Experience1™ offer precise solutions to complex challenges in delivering rich products, benefits, and provider data. Simplify Healthcare also empowers Payers to build enterprise solutions with speed and innovation on a low-code platform — Simplify App Fabric™. Additionally, Simplify Healthcare AI™ provides pre-built AI solutions for Payers to enhance sales, network performance, and service operations. Benefits1™ — Establishes a single source of truth for product and benefits data with automated business rules and workflows to meet compliance and mandated document generation. Provider1™ — Creates the master record for provider data with automated rules and workflows to streamline provider management processes like contracting, onboarding, credentialing, reimbursement models, and provider directories. Service1™ — Empowers CSAs with an AI- and NLP-powered search engine to resolve benefits inquiries from members. Claims1™ — A rules-driven claims management platform that transforms benefits and provider data for Core-Admin systems, enabling claims adjudication and configuration testing. Experience1™ — A rules-based content management platform that pulls updated benefits data to enable content generation, streaming, and personalization for members. Simplify App Fabric™ — A configurable, low-code platform for rapid, secure application development and deployment within a Payer’s ecosystem.

Industry
Software Development
Company size
501-1,000 employees
Headquarters
Aurora, Illinois
Type
Privately Held
Founded
2008
Specialties
Healthcare IT, Payer Solutions, Benefit Systems, Benefit Data Synchronization, Value-based Payment, Reimbursement Solutions, Benefit Plan Management , Value-Based Reimbursement, Value-Based Reconciliation, Provider Data, Medicare Advantage, Provider Lifecycle Management, Digital Business Process Transformation, ANOC/EOC, CMS PBP, Provider Contract Management, Provider Directory, Medicare Compliance, ACA Compliance, SBCs and SOBs, Qualified Health Plans, Healthcare Contract Management, Medicaid Benefit Plan Management, CMS Compliance, Low-code application, Healthcare IT Consulting, Claims Management, Customer Service, Provider Credentialing, and Group Health Plans

Locations

  • Primary

    600 N Commons Dr

    Suite 110

    Aurora, Illinois 60504, US

    Get directions
  • Suites 401 / 402, Pentagon Tower – P2

    Magarpatta City, Hadapsar

    Pune, Maharashtra 411013, IN

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