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Automate and reduce response time for member and provider benefit inquiry management



Thursday, April 22
1:00 – 1:30pm ET

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Automate CMS PBP bid submissions and ANOC/EOC document generation using a single source of truth and accelerate speed-to-market

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Thursday, May 6
1:00 – 1:30pm ET

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Slide1Inc 5000 Press Release Creative

Simplify Healthcare ranks 38 on the 2021 Inc. 5000 Regionals list of the Fastest-Growing Private Companies in the Midwest region


Welcome to Simplify Healthcare

Founded in 2008, we are one of the leading and fastest-growing enterprise payer solution providers, empowering Health Plans transform complex business processes, improve operational efficiency, and reduce admin costs.

Deep subject-matter expertise, Technology, and Innovation are hard-wired into our DNA

Harness the power of cloud to cut through the complexity of Benefit Plan Management and Medicare Plan Management with intelligent solutions and single source of truth. Explore our wide range of modular Health Plan solutions for operational excellence.

Our Success Story


Health Plans


YoY Growth


US MA PBP Filings
Simplify Healthcare - Health Plan Solutions Company

Our Client Success Metrics


Improved data reusability


Reduction in benefit product build timelines


Reduction in quotes to claims configuration timelines

Awards & Certifications

Simplify Healthcare ranks 645 on Inc. 5000
Simplify Healthcare included in Deloitte fast 500
Simplify Healthcare wins in Corp Magazine
Simplify Healthcare recognized by Corp Awards
Microsoft partner Health Plan IT solutions company
Simplify Healthcare is ISAE certified

Our Solutions

Leveraging end-to-end technology-driven and forward-thinking solutions to help Health Plans automate processes. Scale operations to unlock business value with our varied automated solutions.

Benefit Plan Management

Provider Data & Contract Lifecycle Management

Other Solutions

Ready to Get Started?

Let’s talk about your path to success! Get in touch with our experts to see how Simplify Healthcare can help you automate various administrative processes and improve operational efficiency.

Our solutions deliver measurable benefits enabling Health Plans to improve outcomes

eBenefitSync™ improves speed-to-market, accuracy, and cost-effectiveness of benefit plan design.

Increase data accuracy and consistency up to


Increase speed-to-market up to


Increase data reusability up to


Decrease claim recoveries up to


Decrease maintenance timeframes up to


eBenefitSync™ named ''Sole Leader'' in IDC's MarketScape.

2016 Vendor Assessment of U.S. Health Plan Product/Plan Benefit Configuration Solutions.
eBenefitSync - Product/ Plan Benefit Configuration Solutions recognition by IDC MarketScape

What our customers say

I’ve used their benefit administration product for over 4 years, and each time a new release is rolled out I am impressed with their ability.

Benefit Business Lead

eMedicareSync™ reduced 75% time and effort to build Medicare/Medicare Advantage products and auto-generated all documents.

Director – Marketing Communications

In my opinion, eProviderSync™ is the only end to end solution that can help solve the Provider data and contracting challenge.

Health Plan Provider Executive

Simplify Healthcare was able to meet the deadlines, even as our customer continued to add requirements while we were in trial testing.

VBR Project Manager

Case Studies

Leading Health Plans rely on Simplify Healthcare to work smarter, faster, and optimize operational efficiency. Read about our success stories and learn how we have enabled higher client satisfaction!
Case Studies thumbnails_​​​​​​​HealthNow

Reduce quotes to claims configuration processing timelines by 50%

A leading Health Plan on the East Coast was challenged due to disparate legacy systems and manual processes across the account operations unit. Their complicated quotes to claims configuration processes were slow and prone to errors and took 23-37 calendar days for varying complexity plans. eBenefitSync™ reduced their time for quotes to claims configuration process by 50%.
Request the Case Study

Reduce benefit product build timelines by 80%

A large health plan on the East Coast with 500M+ members and a very high growth rate was challenged with manual, outdated, and error-prone benefit product configuration processes, which affected their ability to streamline enrollment period activities and other benefit plan management processes without any last minute back and forth. eBenefitSync™ reduced their benefit product build timelines by 80% to 3.5 calendar days.
Request the Case Study

Create a single source of truth for benefit plans and improve speed-to-market by 70%

A consortium of large health plans was challenged by benefit plan data proliferation across their IT ecosystem. Their end-to-end benefit plan life cycle was error prone with disconnected manual processes involving a series of band-aid solutions. eBenefitSync™ improved their speed to market by 70% and reduced data redundancy by 90%.
Request the Case Study

Automate onboarding and renewals and improve customer service quality by 70%

A large TPA was struggling with a tedious manual process which involved capturing benefit plan and new group onboarding data across 20+ disjoint documents with 250+ pages each. eBenefitSync™ improved their speed-to-market and customer service quality by 70%.
Request the Case Study

Integrate with Core-Admin systems and improve data reusability by 98%

A large TPA was struggling with a tedious manual process which involved capturing benefit plan and new group onboarding data across 20+ disjoint documents with 250+ pages each. eBenefitSync™ improved its speed-to-market and customer service quality by 70%.
Request the Case Study

Podcast – Helping Health Plans with Administrative Automation

Discover how Simplify Healthcare helps Health Plans automate administrative operations and manage their benefit plan packages efficiently in this Podcast. Get rid of those spreadsheets and go down the path of automation with Mohammed Vaid.

Hosted by: David E. Willams – President, Health Business Group

Listen to the Podcast

Blog – Lessons learned from virtual onboarding of over 100 employees during the global pandemic.

Explore how Simplify Healthcare successfully onboarded over 100 employees virtually during the global pandemic using unique strategies to manage the remote workforce and maintain productivity. Things that seemed impossible a few months back are now the ‘new normal’ for our HR teams.

Read More

Upcoming Events & Webinars

*Please note that all event start and end times have been listed as per ET timezone.

Latest News

Want to know more about us? Stay in the know with latest updates, news, and events!
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Our Offices

Corporate Headquarters

600 N. Commons Dr, Suite 110
Aurora, IL 60504
Phone:(844) 720-6678

Mailing Address

22511 Telegraph Rd, Suite 218
Southfield, MI 48033
Phone:(844) 720-6678

Software Engineering Center

401/402, 4th Floor, Pentagon P-2
Magarpatta City, Pune – 411013 (INDIA)
Phone:(844) 720-6678