Simplify Healthcare

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.