Simplify product, benefits, and provider lifecycle management

Powering connected benefits and provider journeys on a foundation of clean and rich product, benefits, and provider data across the Payer ecosystem
Cloud Based Health Plan Management Solutions

Introducing BNi™ (Ben-ny): The AI-Powered Benefits1™ Assistant

Read more →

We help Payers manage

Without clean benefits and provider data, Payers will continue to struggle to deliver product innovations, manage admin/operational costs, and improve stakeholder experience

Click on image to enlarge

Improve speed to market

70%

Membership growth powered by real-time data across channels

Increase compliance

100%

Compliance with filing and mandated materials

Provider and network maintenance

50%

Improved transparency in provider processes

Improve provider onboarding timelines

70%

Provider self-service capabilities

Reduce average call time

70%

Reduced steps and time required to answer a benefits inquiry

Reduce product configuration time

75%

Automated update of benefits and provider data in the Core-Admin system

Claims error due to benefits and provider data

0

Automated benefits and provider claims configuration and integration

Improve process efficiency

67%

Accurate benefits and provider data across  systems

Improve Member NPS

11 points

Improved member and provider experience with easy-to-understand benefits and provider content

Simplify Health Cloud™

Power your connected product, benefits, and provider data journeys
Connected Benefit Journey Infographics

Click on image to enlarge

Connected Provider Journey

Click on image to enlarge

Maximize Your Existing Investments

Simplify Health Cloud™ powers the connected product, benefits, and provider data journeys for 65+ Health Plans
Accelerate and scale your products and benefits
Benefits1-half-circle-infographics
Explore Benefits1™ »
Next Generation Provider Lifecycle Management
Provider1-half-circle-infographics
Explore Provider1™ »
AI Powered Intelligent Benefits Inquiry Experience
Service1-half-circle-infographics
Explore Service1™ »
Integrate Benefits and Provider Data with Claims
Claims1-half-circle-infographics
Explore Claims1™ »
Deliver a Dynamic Data-driven Benefit Plan Shopping Experience
Experience1-half-circle-infographics
Explore Experience1™ »
Build rapidly. Lead with AI. Integrate Seamlessly.
Explore Simplify App Fabric™ »

Enterprise Scale

A trusted partner for Payers, Simplify Health Cloud™ has streamlined and scaled operations delivering outsized outcomes
Homepage Stats Infographics

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

Industry Recognition

Industry Recognition

Golden Bridge Award-2023 Logo
Inc 2023 - Logo
W.E. Matter Awards Logo-2022
HITRUST Certificate Logo
Microsoft Partner Logo

What Our Customers Say

Associate Director

Product Management and Implementation

We were incredibly happy with the Simplify Healthcare team and their ability to think outside the box. They were super-responsive working with us to get accurate outputs, in a timely manner. We also appreciate the full transparency between our team and Team Simplify on open issues
Manager

Benefits Implementation

What I appreciate about Simplify Healthcare is that they anticipate what will be needed to complete the entire project end-to-end, which minimizes late project life cycle budget increases
Vice President

Large Health Plan

The Simplify Healthcare team took the time to understand the unique aspects of our business processes and worked with us to identify areas and opportunities where we could streamline work and utilize technology optimally