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Lunch and Learn Session

One-stop Digital Platform to Automate Processes From Quotes to Claims for ACA QHPs

October 6, 2022 | 13:00–13:45 ET

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Session Overview:
The dynamics of the Healthcare Payer industry keep changing at a rapid pace. To be nimble in the Individual and Small Group markets, Health Plans must be able to improve every area of operations including benefits design, filings, document generation, claims adjudication, Group enrollment, and benefit inquiries. Health Plans can leverage Benefits1™ Digital Payer Platform to streamline end-to-end ACA Qualified Health Plan operations, drive innovation, and accelerate business growth.

Join our Lunch and Learn session to discover how the Payers benefits process can be automated from quotes to claims. Ensure 100% accuracy and timeliness by creating a single source of truth for all stakeholders across workflows.

Key Takeaways:
  • One-stop solution to manage all ACA Qualified Health Plans, enable robust collaboration and audit, and simplify Small Group and Individual filings
  • Accelerate sales cycle, digitize sales experience and enrollment experience, manage Group data in one place, and simplify Group and Member communications
  • Errata-free compliance with SBCs, SOBs, and QHP PBTs
  • Make data-driven decisions with real-time reporting and insights
  • Seamless API integrations with claims and other systems with hundreds of out-of-the-box API endpoints
  • Deliver quick, accurate, and complete benefit explanations to Members and Providers


Phil Decker

Senior Director, Product Solutions

As Senior Director of Product Solutions, Phil is responsible for managing product backlogs for eBenefitSync™, eGroupEnroll™, and eClaimsEngine™. In addition, he oversees and mentors the Product Consultant team at Simplify Healthcare who work hand-in-hand with our clients to best leverage the capabilities of our Commercial business products. He is involved in strategic and directional decisions made for client implementations and can frequently be found at a whiteboard charting out new capabilities and features that solve real-world problems.
Tasneem Kapuswala

Director, Product Solutions

Associated with Simplify Healthcare for a decade – Tasneem is responsible for collaborating and co-creating products with the team in areas of eBenefitSync™, eACASync™ for Individual and Small groups including generation of Plans, QHP benefit templates, SOBs, and SBCs. A graduate in Microbiology and MS biology from Texas University, Tasneem brings unique expertise to the table while ensuring the team is unblocked and is in sync, marching towards the product goal.