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70+ Health Plans Trust Simplify to Transform Their Most Complex Operations

The only platform that unifies benefits, provider, claims, and experience management for US healthcare payers—powered by AI and a single source of truth.
See How It Works
Explore by Challenge
Launch Faster

From 120 days to 5 for new plan launches
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9.5M+ benefit configs

Pay Smarter

95%+ auto-adjudication target with predictive denial prevention

40-60% denial reduction

Engage Better

AI-powered answers across voice, chat, web, and mobile

+10 NPS improvement

Activate Data

Five-stage data purification with Health Literacy Model™

Single source of truth

Scale with AI

Agentic automation that scales without adding headcount

Enterprise-grade, HITRUST certified

What Would You Like to Simplify?

From benefits and provider data management to claims configuration and member and provider experience, our AI-powered solutions simplify every critical aspect of payer operations

Product and Benefits Lifecycle

Launch new plans 10x faster. Eliminate compliance risk.

Benefits1™ replaces spreadsheets with intelligent automation—from plan design through CMS filing to mandated document generation.

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Provider Lifecycle

Improve provider data quality by up to 40%.

Provider1™ eliminates manual handoffs across credentialing, contracting, roster intake, and claims configuration.

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Claims Configuration

Target 95%+ auto-adjudication rates. Prevent denials.

Claims1™ integrates your benefit rules and provider data directly into your claims engine—eliminating the manual handoffs that cause most claims errors.

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Member and Provider Experience

Cut call volume 35% with answers that members understand.

Xperience1™ delivers accurate, compliant benefit information across every channel—voice, chat, web, and mobile—in plain language.

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Data Activation

Stop guessing, start knowing.

Context1™ transforms your fragmented payer data into activated, decision-ready intelligence—enriched with clinical context and compliance flags through our proprietary Health Literacy Model™.

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Enterprise AI & Automation

Scale operations without scaling headcount.

SimplifyX™’s agentic platform and Simplify Alpha’s outcome-driven services give your operations and IT teams the AI-first architecture to do more with less.

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One Platform. One Source of Truth. Compounding Value.

Most payers run benefits in one system, provider data in another, claims in a third, and member experience in a fourth. Every handoff creates errors. Every integration creates maintenance. Every silo creates cost.
Simplify Health Cloud™ eliminates this tax. Our solutions share a single data model, a single rules engine, and a single source of truth—so every additional solution you adopt makes every other solution smarter.

Outcomes Our Health Plans Achieve

A trusted partner for Payers, Simplify Healthcare has streamlined and scaled operations, delivering outstanding outcomes
Section 5 – Social Proof & Metrics
$9
In operational savings for every $1 invested in Benefits1™

Speed & launch

10×

Faster new plan launches vs. spreadsheet-based processes

Speed & launch

98%

Reduction in network loading time

Speed & launch

75%

Decrease in product build and Facets® load time

Efficiency

90%

Less effort spent on rework and manual QA

Efficiency

50%

Reduction in provider update effort

Efficiency

45%

Savings on translation costs

Member experience

50%

Reduction in average call handle time

Member experience

100%

Reduction in post-call documentation time and effort

What our customers are saying?

We are very proud of the service we provide and stand by every product we carry. Read our testimonials from our happy customers.
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

Sara Grant

Vice President, Large Health Plan

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

Luke Jacobs

Director, Management & Operations

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

Amber Page

Manager, Benefits Implementation

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Recognized for Market Leadership

Simplify Healthcare is positioned in the Leaders Category of the 2023 IDC MarketScape for U.S. Health Plan Product/Plan Benefit Configuration Solutions.

Read the full IDC report
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Ready to Modernize Your Group Benefits Strategy?

Learn how leading payers are gaining a competitive edge by automating group benefits at scale—powered by AI, clean data, and modular workflows.

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Industry Recognition

Ready to Simplify?

Whether you’re looking to accelerate plan launches, reduce claims errors, modernize member experience, or transform your IT operations—let’s start the conversation.
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