Drive Innovation for Group Benefit Plans Design

A configuration of the Benefits1™ platform for end-to-end management of Group (Large, Midsize, Small (Non-ACA)) and ASO Health Plans
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commercial benefit plan management, accelerate growth for commercial payers, benefit product configuration, sbc compliance, real time reporting and automate benefit plan configuration, benefit plan product, Benefits1™.Group (formerly eBenefitSync™)

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

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Enable a connected benefits journey for the Group Health Plan market

Meet the shifting demands of Group Benefits Plan Management
Group Health Plan Image

One-Stop Solution for All Products

Create accurate Group Benefit Plans from a single source of truth

Simplify Group Filings

Efficiently manage Group filings for multiple states from one platform

Robust Collaboration

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

Errata-Free Compliance

Achieve 100% compliance with Group plan materials, including SBCs, SOBs, contracts, SPDs, amendments, and riders

Power your connected benefits journey with integrations

Extend the capabilities of Benefits1™.Group with a host of integrations to achieve end-to-end lifecycle management of your Group Health Plans
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.Actuary

Accelerate actuarial inputs to design changes and portfolio ideation

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.IntegrationHub

Use API and events to communicate data in a model that is easily consumable by target systems

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.Sales

Enable sales and sales ops to customize benefits for groups via seamless integration with a sales CRM system

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.SuperUser.Studios

Empower superusers to maintain design, rules, and workflow configurations while also establishing governance

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.DataServices

Use a relational database to drive reports and analytics on the source of truth data or communicate it in a model that is easily consumable by target systems

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.SelfServe

Enable interaction with the groups to present and gather approvals and signatures on contracts prior to sales

.AI

Leverage the power of Generative AI to incorporate periodic code set changes published by the CMS into Benefits1™ and provide context-aware help from the product assistant

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Service1™

Deliver accurate and complete answers to members, providers, employer groups, and brokers/agents for benefit inquiries

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Claims1™

Enable automated claims configuration, code set level configuration of benefits, and testing to support claims adjudication

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Experience1™

Automate dynamic content generation and stream accurate, compliant, and consistent benefits data across the enterprise

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

What Our Customers Say

Chief Information Officer

Former Health Plan

They help teams to do their jobs better and faster by dummy-proofing various aspects of the product build. Benefits1™.Group enables and encourages consistent product builds, and allows for group-specific benefit requests
Manager

Benefits Implementation

I found the team very enterprising, innovative, and committed, with the way they executed their responsibilities, overcame challenges, explored solutions, and solved problems
Manager

Benefits Testing

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

Frequently Asked Questions (FAQs)

Here is what our customers usually ask us

How can you automate Group product configuration, filing, and document generation?

Benefits1™.Group is a turnkey solution designed for Group benefit product configuration and filing automation. It helps create a single source of truth for all product information, automates plan development and document generation, and automates state filings. Benefits1™.Group has easy-to-use administrative screens that allow non-technical staff to define and maintain configuration rules with precision control

Why use the Group Benefits Plan management solution?

Benefits1™.Group is specifically designed for Payers, TPAs, and ASOs. It is a ready-to-go solution that seamlessly integrates with the existing technology infrastructure and starts performing without wasting time and money on customization and implementation. It helps improve the speed to market for Group benefit plans by 70% and cuts efforts/costs by up to 75%

What are the top challenges that Benefits1™.Group solves?

Benefits1™.Group solves the following top three challenges:

  • Establishes a single source of truth to ensure data accuracy and consistency
  • Automates accurate document generation to improve compliance
  • Eliminates data and team silos to improve operational efficiency

What are the processes automated by Benefits1™.Group?

Benefits1™.Group automates the following processes in a benefit plan’s lifecycle:

  • Plan design, configuration, and maintenance
  • Workflows
  • Documents
  • Filing
  • Reporting
  • Sales

What kind of documents can be generated with Benefits1™.Group?

With the Benefits1™.Group, Health Plans can auto-generate 508-compliant documents, SBCs, SOBs, contracts, SPDs, amendments, and riders

Case Studies

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

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

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

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Press Releases

A leading Health Plan on the East Coast reduced their quotes to claims configuration processing timelines by 50% with eBenefitSync™

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A large Health Plan on the East Coast configured its benefit product builds in 3.5 calendar days

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A large health plan in Pennsylvania turns benefit product builds in 7 days with eBenefitSync™, meeting enrollment goals

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