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Streamline Product Lifecycle with Intelligent Automation

Industry-leading Enterprise Product Catalog, Filing, DocGen, Sales Enablement
Streamline group plan operations with AI-driven sales tools, plan design, automated filings, and CMS-compliant documents—all in one unified platform.
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Innovate and Scale with a Modular Platform

Connecting the Payer Front, Middle, and Back Office
Growth Enablement. Scalable Architecture. Measurable Cost Reduction.

Enterprise Product Catalog

Standardize. Modularize. Scale with Confidence.

Modernize fragmented group portfolios with an AI-powered configuration foundation to streamline operations, improve data integrity, and accelerate implementation.

  • AI-Powered Product Standardization and Modularization
    Standardize and modularize product portfolios with AI to enable audit-ready plan definitions, reduce retesting and improve speed to market.
  • Mature Enterprise Product Catalog, Built for Scale
    Launch faster with 5,000+ attributes and 4,000+ rules refined over 15+ years for enterprise-grade configuration.
  • Unified Product Repository
    Centralize Medical, Dental, Vision, Rx, STD, LTD, Life, ASO Buy-Ups, P&C, Service products, Auxiliary plans and more—all in one governed catalog.
  • Actuarial and Underwriting Synchronization
    Auto-sync product catalog data with actuarial grids to eliminate dual-keying, discrepancies, and ensure real-time alignment.
  • Integration with CRM Systems
    Integrate product catalog with Salesforce and Microsoft Dynamics CRM for seamless interoperability enabling connected sales experience.

Regulatory Automation – DOI Filings, Document Generation, and Translation

One Platform. Full Compliance. Zero Rework.

Simplify DOI filings, document generation, and translation with built-in compliance tools.

  • Automated DOI Filing
    Submit range documents, CoCs, and contracts with fewer manual errors.
  • Configurable Guardrails
    Ensure filings match configurations with DOI-aligned templates and smart rules.
  • Generate 150+ Document Types
    From SBCs to proposals—create all mandated and marketing documents on demand or via self-serve or managed services.
  • 508-Compliant by Default
    Produce accessible, audit-ready outputs—automatically.
  • Integrated Translation and Fulfillment
    Eliminate vendor delays by translating on demand and routing documents directly to print partners.

Real-Time Insights and Filing Readiness

Stay Ahead of Deadlines. Eliminate Surprises. Ensure Compliance.

Powered by BNi (Benefits1™ Native Intelligence)—your embedded AI engine for execution and visibility.

  • Real-Time Operational Insights
    Access structured insights across benefit products and documents—powered by BNi’s native intelligence layer and integrated data model.
  • Proactive Filing Readiness Monitoring
    Manage your annual cycle for State and DOI filings with real-time dashboards and automated alerts that flag timeline risks before they escalate.
  • AI-Driven Quality Dashboard
    Replace manual QA with configurable checklists and smart validation logic—ensuring accuracy and compliance across filings and documentation.
  • Cross-Department Coordination
    Coordinate across compliance, product, and sales with intelligent workflows that eliminate email threads, reduce cycle time, and prevent aging.

End-to-End Integrations

Connect Systems. Accelerate Delivery. Maximize Value.

Ensure ecosystem-wide coordination with integrations that power plan accuracy and member satisfaction.

  • Enrollment Readiness
    Automate benefit plan data integration to expedite ready to enroll downstream processes using only the minimum necessary data—even while plan configuration is still in progress.
  • Enterprise Integration Toolkit
    Connect across your enterprise with support for ETL, API, batch, and streaming—delivered as a self-service, IT-ready framework.
  • Benefits Inquiry Integration
    Enhance member communications with Simplify Healthcare’s Benefits Inquiry Experience—delivering consistent, personalized responses through AI-enhanced logic across all service channels.
  • Claims Configuration Integration
    Integrate with Simplify Healthcare’s Automated Claims Configuration to update systems like TriZetto® Facets® and QNXT™, NASCO, and HealthEdge—driving value from your existing infrastructure.

AI-Powered Sales Enablement

Recommend Smarter. Quote Faster. Win More.

Equip sales teams, brokers, and account managers to close faster, reduce friction, and improve retention with AI-driven automation.

  • Plan Recommendations and Census Intake
    Use AI to recommend the right plans based on group demographics—cutting manual back-and-forth between operations and brokers.
  • Competitor Plan Matching
    Upload competitor documents and instantly match benefits—delivering sharper comparisons and stronger positioning in real time.
  • Natural Language Plan Customization
    Configure plans with conversational inputs and receive immediate insights on pricing, compliance, customization strength, and approval timelines.
  • Renewal Optimization
    Retain customers and reduce group spend with automated renewal recommendations that align cost and coverage goals.
  • Early Exception Visibility
    Surface approval thresholds early in the cycle—helping sales teams negotiate smarter and reduce downstream delays.
  • Real-Time Proposal Generation
    Produce branded, compliant proposals and pre-sales documents instantly—accelerating turnaround and increasing close rates.
  • Full Configuration Transparency
    Provide full visibility into plan design and configuration—eliminating black-box handoffs and increasing trust post-sale.
  • Sales Performance Analytics
    Track sold, quoted, and lost opportunities to identify trends and optimize performance over time.
  • Salesforce and CPQ Integration Toolkit
    Connect with Salesforce, CPQ tools, and downstream systems using ETL, API,batch, or streaming—ready for deployment by internal IT teams.

Compelling Business Case. Proven Value.
ROI in Year One. Platform Advantage

Benefits1™ is built to align teams, eliminate complexity, and deliver measurable outcomes across departments.

Product

  • Prioritize competitive design—not manual build work
  • Eliminate file versions, handoffs, and temp staffing
  • Improve transparency and quality at scale
  • 30% savings  on design, maintenance, validation and submission

Sales and Brokers

  • Enable self-serve tools and faster proposals
  • Improve membership growth and retention
  • 11 point  NPS increase

Marketing and Compliance

  • Generate compliant documents and translations
  • Eliminate formatting bottlenecks and reduce staffing needs
  • 70% savings  on document management and translation

Finance

  • Reduce admin costs and achieve measurable ROI in Year One
  • Industry-leading TCO: $1 on Simplify = $7  in internal/competitor cost

Operations

  • Automate claims configuration
  • Improve data accuracy and service quality
  • 80% faster time  to implement new group and renewal

IT

  • Deploy a scalable SaaS platform and minimize support overhead
  • Centralize high-value product data
  • Self-serve Enterprise Integration toolkit enabling full control on your IT ecosystem

Empower Benefits1™ with BNi (Ben-ny)
– Your AI Assistant for Smarter Plan Management

Meet BNi (Benefits1™ Native Intelligence)—an embedded AI assistant that enhances plan management through automation, insights, and context-aware guidance.
Tick Conversational AI Interface
Navigate plan configurations using intuitive, natural language commands.
Tick Document Intelligence
Search, compare, and summarize ANOCs, EOCs, SBCs, and other plan materials.
Tick Annual Readiness Monitoring
Track AEP milestones with real-time alerts to avoid delays and missed deadlines.
Tick Context-Aware Guidance
Surface plan-specific recommendations grounded in live configuration data.
Tick Proactive Design and Filing Insights
Receive strategic input on benefits design, actuarial data imports, and filing accuracy.
Tick Adoption Intelligence
Track feature usage, optimize workflows, and drive long-term platform value.
Experience a smarter way to manage benefits with BNi (Ben-ny). Read the Press Release

Leading Payers and TPAs Are Already Transforming Operations with the Platform Advantage

Across the industry, payers and TPAs are streamlining operations, accelerating delivery, and scaling with confidence—powered by automation, AI, and a modern approach to group benefit plan management.

Leading Payers and TPAs Are Already Transforming Operations with the Platform Advantage

Across the industry, payers and TPAs are streamlining operations, accelerating delivery, and scaling with confidence—powered by automation, AI, and a modern approach to group benefit plan management.

Trusted at Scale

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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.

Get the IDC Spotlight
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Change What’s Possible in Group Benefits

65+ health plans and TPAs didn’t wait for the future—they built it. With Simplify Healthcare, they moved fast, stayed compliant, and led with confidence.
Now it’s your move.
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Experience the Power of a Connected Ecosystem

Benefits1™ is just the beginning. Seamlessly integrate with Simplify Healthcare’s full suite of intelligent solutions—spanning product, provider, claims, benefits inquiry, documents, and custom app development—to ensure accuracy, efficiency, and compliance at every stage of the product, benefits, and provider lifecycle.

Simplify Provider Lifecycle

Streamline network adequacy, contracting, credentialing, roster files, data management, and claims config with an advanced, modular solution that delivers efficiency and effectiveness.

Explore Provider1™ →

Simplify Claims Configuration

Configure benefits and provider data directly into claims systems like TriZetto® Facets® and QNXT™ using intelligent automation.

Explore Claims1™ →

Simplify Benefits Inquiry Experience

Deliver accurate, consistent benefits information across all channels—powered by AI-enhanced guidance that improves member experience and boosts NPS.

Explore Xperience1™→

Simplify Document Management

Auto-generate 150+ mandated and marketing documents with built-in 508-compliance, translations, and integrated print fulfillment.

Explore Simplify Docs™ →

Simplify Custom App Development

Design and deploy custom apps faster with embedded AI and low-code development—tailored to your organization’s unique needs.

Explore SimplifyX™ →

We don’t just deliver software—we work alongside your teams to guide implementations, simplify adoption, and ensure sustained success.

Explore HealthConsult

Frequently Asked Questions (FAQs)

What our customers ask most about Benefits1™.Group

How does Benefits1™.Group support product standardization?

Our AI-powered engine helps modernize legacy products by working with your teams to standardize designs and reduce retesting. It creates a unified enterprise catalog with 5,000+ attributes and 4,000+ rules—enabling scalable, consistent benefit configuration.

Can it centralize all benefit products in one place?

Yes. It brings together Medical, Dental, Vision, Rx, STD, LTD, ASO Buy-Ups, Life, P&C, Service, and Auxiliary products into a single catalog—eliminating the need for multiple systems or spreadsheets.

Does it automate filings and document generation?

Benefits1™.Group automates DOI filings—including contracts, CoCs, and range documents—while enforcing guardrails tied to DOI-approved formats. It generates 150+ 508-compliant documents like SBCs, SOBs, and proposals via self-serve or managed service.

Is the platform integration-ready?

Yes. It integrates across your enterprise via ETL, APIs, batch, and streaming—and connects directly to Simplify Healthcare’s Benefit Inquiry and Claims Configuration solutions, supporting systems like TriZetto® Facets® and QNXT™, NASCO, and HealthEdge.

Can it generate ID cards before plans are finalized?

Yes. It enables timely, accurate ID card generation using only the minimum required data—even while full configuration is still in progress.

How does BNi help with compliance and visibility?

BNi delivers real-time insights into benefit data, monitors AEP readiness, and issues proactive alerts. It includes AI-powered dashboards and checklists to ensure compliance—eliminating the need for manual QA.

How does it improve coordination across departments?

Intelligent workflows and dashboards replace email chains—improving handoffs, reducing delays, and ensuring transparent collaboration across teams.

What sales enablement capabilities are included?

The platform supports AI-powered sales tools integrated with Salesforce, MS Dynamics, and CPQ. Features include plan recommendations, census intake, natural language customization, competitor plan matching, and real-time proposal generation.

Can we track quoting and sales performance?

Yes. Built-in analytics track quoted, sold, and lost deals—helping teams optimize strategy and performance year-over-year.