Enable provider self-service and transparency

A configuration of the Provider1™ Platform for improving Payer-Provider collaboration.

Increase the speed of getting data from the provider and into your directory and claims system

Improve your compliance with the No Surprises Act

Self-Serve Onboarding and Enrollment

Manage the onboarding process and documents using the Collaboration portal/portlet.

Contracting

Providers can redline, accept, sign, and view the contract through the Collaboration portal/portlet.

Load Roster Files and Data Updates

Providers can drag and drop roster files on the Collaboration portal/portlet, eliminating the manual steps of emailing these to the Payer.

Load Credentialing Documents

The Collaboration portal/portlet can also accept credentialing documents to be stored and routed to the credentialing process.

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

Frequently Asked Questions (FAQs)

Here is what our customers usually ask us

How does the collaboration portal simplify the Provider onboarding process?

When a Provider receives the invitation to join, the link takes the Provider to an onboarding form which initiates the processThe payer has complete control over configuring this process and enabling as much automation as possibleOnboarding can happen in parallel with the contracting process to get providers onboarded and enrolled as quickly as possible

How are contracts managed through the Collaboration Portal/portlet?

The payer has control over whether the provider can edit the contractStandard contracts can be made available for electronic signature by providers with no or limited editing. Non-standard contracts can be redlined and negotiated, then signed via electronic signature. Providers can quickly access the contracts and critical reimbursement data via the Portal

How does the Collaboration Portal simplify provider data management?

Roster files submitted through the Collaboration Portal will be automatically picked up and loaded into Provider1™.PDM. All data ingested goes through the IntelliMatch™ process that consists of business-defined rules, system validations, and address standardization to ensure only clean data makes it through into the system. Providers can also manage individual provider records or update information on the supplier, facility, organization, and locations. The Collaboration Portal will offer providers a view into their data that they can manage directly, eliminating the need for the Payer’s staff to receive this data and key it in themselves