Cloud Based Solutions for Healthcare Payers

Case Studies

Simplify Healthcare Helps a Large Payer Accelerate ROI by Completing Benefits1™.Group (formerly eBenefitSync™) Implementation in Just 5 Weeks

Discover how a large Healthcare Payer in the West leveraged Benefits1™.Group to simplify the benefits plan design and filing process for its Small Group and Individual Qualified Health Plans.

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Easy Benefits Configuration and Filing

Streamline the filing preparation process to save approximately 180 hours

Cost-Effective Solution

Budget-friendly solution for the ACA plans

Focus on Innovation

Errata-Free Compliance

Auto-generate 508-compliant QHP PBT, SBCs, and SOBs

Reallocate resources to ACA product development

Simplify Qualified Health Plan management and improve data quality and accuracy

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Independent Health's Digital Transformation Powered by Benefits1™.Medicare (formerly eMedicareSync™) Automation Suite for End-to-End PBP Management and Document Generation

Read this case study by Simplify Healthcare to learn how a large Healthcare Payer leveraged Benefits1™.Medicare’s end-to-end PBP management and document generation capabilities to accelerate speed to market, increase compliance, and reduce production timelines.

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End-to-End Compliance

Generated fully compliant ANOC, EOC, and SB documents

Speed to Market

25% improvement in speed to market

Improved member experience

Operational efficiency

33% reduction in production timelines

Early delivery of documents, reduced call center activity

More time for product innovation and quality delivery

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A Large Health Payer Leveraged Benefits1™.Medicare (formerly eMedicareSync™) VAP to Timely and Cost-Effectively Create Compliant ANOCs/EOCs and SBs

Read this case study by Simplify Healthcare to learn how a large Health Payer in the Northeast leveraged Benefits1™.Medicare Value Assurance Package to timely and cost-effectively generate compliant ANOCs/EOCs and SBs.

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Zero Compliance Issues

Generated fully compliant ANOC, EOC, and SB documents

Cost-Effective Solution

Budget-friendly solution for document generation

Peace of Mind

100% Accurate Documents

Built documents with zero errors

No last-minute rush or long and stressful working hours

Elbow-to-elbow support for end-to-end document generation

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A Large Payer Improved SBC Generation Timelines by up to 50% with Benefits1™.Group (formerly eBenefitSync™)

A large Healthcare Payer on the East Coast with more than half a million members and a very high growth rate was challenged with an outdated tool and inefficient SBC generation process. The Payer creates more than 7,000 SBCs every year. It was looking for a solution that could accurately auto-generate SBCs and integrate SBCs to the central data repository.

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Automated SBC Generation

Reduced the time required to generate SBCs by up to 50%

Improved Compliance

Enabled the downstream of compliant documents to targeted systems

Automated Exporting of SBCs

Streamlined Workflows

Created a robust and efficient workflow that boosted productivity and efficiency

Enabled transfer of SBCs to the client’s central data repository in a few clicks.

Automate SBC Generation and Integration to Central Repository

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A Large Health Plan Automated its State Filings and Benefit Plan Configuration With Benefits1™.Group (formerly eBenefitSync™)

A large health plan in the Northeast, providing small and large group coverage and serving more than a million members, needed a solution that could ensure all its benefit information from thousands of plans was up-to-date, reusable, and available enterprise-wide. It also needed to expedite the benefit plan development process and compliance by automating state submissions, a regulatory mandate.

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Access to a Single Source of Truth

Eliminated 95% of data redundancy and minimized errors

Reduced Operational Costs

Achieved the ability to seamlessly suspend and reinstate products and plan packages in real-time

Improved Member Satisfaction

Automated State Filings

Automation of state filings process by generating necessary documents accurately in a few clicks

Improvement in member service through better manpower allocation resulting from efficient processes

Automate State Filings and Benefit Plan Configuration

Enabling Payers to Deliver Improved Health Outcomes

We simplify and transform end-to-end connected journeys from the Payer’s back office to their digital front door.

The #1 Intelligent Benefits Digital Platform

The Only Payer Hosted Collaboration Platform

An Award-Winning Benefits Inquiry Management Platform

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The #1 Intelligent Benefits Digital Platform

The Only Payer Hosted Collaboration Platform

An Award-Winning Benefits Inquiry Management Platform

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