Reinvent Group Setup and Simplify the Onboarding and Enrollment Process

Leverage Benefits1™ to improve the connected enrollment journey for the Group during onboarding process.

Automate and Streamline Group Lifecycle Management

Manage Group Data in One Place

Create a single source of truth for all the new and existing Group information, including Group setup, membership, and broker information and improve data accuracy.

Digitize Group Enrollment and Onboarding Experience

Digitize Group onboarding and enrollment experience to reduce back and forth between the Payer and the Group.

Robust Collaboration and Audit

Enable cross-functional teams and business processes by activating out-of-the-box workflows with audit management across unlimited users.

Automate and Streamline Group Lifecycle Management

Manage Group Data at One Place

Create a single source of truth for all the new and existing Group information, including Group setup, membership, and broker information and improve data accuracy.

Digitize Group Enrollment and Onboarding Experience

Digitize Group onboarding and enrollment experience to reduce back and forth between the Payer and the Group.

Robust Collaboration

Engage all internal as well as external stakeholders via integrated use-case-specific workflows.

End-to-End Compliance With Documents

Simplify Group Communication

Dynamically generate print-ready documents to meet regulations and streamline Group communication from a 508-compliant document automation engine.

Power Your Business Decisions With Data

Informed Decisions With Reporting and Insights

Take advantage of the full suite of standard and custom reporting and analytics options across the platform.

Power Your Business Decisions With Data

Informed Decisions With Reporting and Insights

Take advantage of full suite of standard and custom reporting and analytics options across the platform.

Integrated Operational Excellence

Automate Claims Configuration

Keep your claims system always in sync with Group enrollment information connected out-of-the-box.

Accelerated Sales Cycle

Digitize sales experience for Small Groups by fully integrating Group enrollment information with your CRM (Salesforce, MS Dynamics, etc.) ecosystem.

Seamless API Integrations

Take advantage of hundreds of out-of-the-box API end points to integrate with other areas of your architecture ecosystem.

Listen to Our Customers

Frequently Asked Questions (FAQs)

Here are the answers to the most frequently asked questions about implementing end-to-end Group setup, onboarding, and enrollment solution and partnering with Simplify Healthcare.

What is Group lifecycle management?

The Group setup management manages Group information, onboarding, and enrollment process while ensuring that new Groups or changes to existing Groups can be delivered efficiently and accurately. The process includes the setup of Groups, membership/enrollment, broker information, and other related 3rd parties.

What are the challenges with the traditional Group setup processes?

Manual and traditional Group setup management processes can create issues such as last-minute rush, inaccurate data due to information spread across multiple sources and formats, insignificant errors, and overall operational inefficiency. Since downstream systems require Group-specific information, maintaining this manual setup often leads to inaccuracy or out-of-date information residing in your critical systems, creating potential client satisfaction issues.

Why use a Group setup and management solution?

With our Group lifecycle management solution, eGroupEnroll™, Payers and TPAs can easily capture group setup information, including but not limited to ASO setup, ASO fees, performance guarantees, Group setup, vendors, etc. The automated solution consolidates information in one place while ensuring accurate plan design, group support, and integration of their 3rd party relationships (e.g., PBMs, vendors). Health Plans and TPAs can now more rapidly set up Groups and ensure that new Groups or changes to existing groups can be delivered quickly and accurately.

What kind of information can be captured/managed with an automated Group setup solution?

With eGroupEnroll™, Payers and TPAs can flexibly capture all types of client setup information:

  • ASO setup
  • ASO fees
  • Performance guarantees
  • Group setups
  • Vendors

They can also annotate and track regulatory and business communication content changes from a single source of truth.

How can you automate Group setup and management?

eGroupEnroll™ is a cutting-edge single source of truth solution enabling Health Plans and TPAs to rapidly set up Groups while ensuring that new Groups or changes to existing clients are delivered quickly and accurately. It consolidates all Group set up information into one place and creates a single source of truth. Once configured, the ongoing maintenance of Group information and future clients’ addition becomes much easier to manage. Additionally, since this information is centrally stored, it can be integrated into downstream systems to ensure that they always have current and accurate information.

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Simplify Healthcare launches eGroupEnroll™, an end-to-end Group setup solution for Health Plans

Simplify Healthcare, a leading healthcare technology solutions company providing robust end-to-end solutions for Health Plans, announced the launch of its new solution, eGroupEnroll™.

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