AI-Ready Data. Connected Systems. Trusted Control.

The Foundation for the AI-Powered Health Plan

AI is only as effective as the data, systems, and controls behind it. Simplify1™ creates a unified foundation that helps health plans eliminate friction, reduce complexity, and enable trusted AI across every workflow.

Know

Payer Ontology

A shared understanding of your business, data, processes, and relationships across the enterprise.

Connect

Action Registry

A governed framework that connects AI to the systems you already run, ensuring actions are secure, compliant, and auditable.

Act

Agent Studio

Purpose-built agents and workflows that automate work, accelerate decisions, and drive operational outcomes.

Know

Payer Ontology

A prebuilt model of payer operations that maps to the systems you already run without moving or copying your data. It creates a shared understanding of your business and provides the context AI needs to make informed decisions.

One answer, everywhere

Benefits, members, providers, and claims are defined consistently across teams, channels, and AI agents.

Faster time to value

Start with a payer-specific foundation rather than spending months modeling your organization from scratch.

Lower cost per use case

Reuse the same intelligence layer across workflows, reducing the effort and cost of every new AI initiative.

PayerOntology MemberBenefitsClaimsAuthorizationsProvidersContracts
Connect

Action Registry

Every action an agent takes is executed within the system that owns the record. Your business rules remain in control, and every step is transparent and auditable.

Act, not just advise

Agents don't stop at recommendations. They complete work directly in operational systems.

Your rules still apply

Core administration, claims, CRM, and other systems continue to validate every transaction.

Audit-ready by default

Every action is tracked with a complete record of what was used, what was decided, and what changed.

An agent requests an actionChecked: conditions, permissions, approvalsExecuted in the system that owns the recordRecorded: sources, decision and result
Act

Agent Studio

Build AI agents and orchestrated workflows that understand payer operations and execute work on a governed foundation.

Work that finishes

Agents complete end-to-end workflows, including the documentation and follow-up required to close the loop.

People where they matter most

Human review and approval can be inserted wherever judgment, oversight, or compliance requires it.

Scale without sprawl

Every new agent reuses the same ontology, actions, and controls, reducing duplication and simplifying governance.

AgentStudio UnderstandActReviewDecide

Your Path to the AI-Ready Health Plan.

Whether you choose a solution, a workflow, or a platform-first approach, Simplify1™ powers every path with a payer-specific foundation for trusted AI, connected operations, and intelligent automation.

Adopt a Solution

Accelerate outcomes with purpose-built solutions for benefits lifecycle, claims operations, customer experience, provider operations, and performance insights.

Explore Solutions›

Deploy a Workflow

Address targeted business challenges quickly with pre-built AI agents and workflows that work with the systems you already use.

Discover Workflows›

Build Your Own

Create custom agents and workflows by empowering your teams through training and certification with Simplify Academy™.

Meet the Academy›

One platform. Smarter decisions. Better outcomes.

Bring together the data, intelligence, and workflows needed to run a more agile, efficient health plan.

Request a Demo ›