Simplify Healthcare
Software DevelopmentUnited States501-1000 Employees
Simplify Healthcare enables Payers to achieve growth and cost efficiencies with its industry-leading platform, people, and processes. Established in 2008, Simplify Healthcare has taken on some of the toughest challenges facing payers by simplifying payer operations, connecting their front, middle, and back office with a payer-focused platform-centric approach. Our offerings — Benefits1™, Provider1™, Service1™, Claims1™, and Xperience1™ offer precise solutions to complex challenges in delivering rich products, benefits, and provider data. Simplify Healthcare AI™ also empowers Payers with pre-built AI solutions for Payers to enhance sales, network performance, and service operations. Benefits1™ — Establishes a single source of truth for product and benefits data with automated business rules and workflows to meet compliance and mandated document generation. Provider1™ — Creates the master record for provider data with automated rules and workflows to streamline provider management processes like contracting, onboarding, credentialing, reimbursement models, and provider directories. Claims1™ — A rules-driven claims management platform that transforms benefits and provider data for Core-Admin systems, enabling claims adjudication and configuration testing. Xperience1™ — Xperience1™ enables payers to streamline and elevate benefits communication across the entire member journey, from plan shopping and enrollment to customer service and self-service. Simplify Docs™ — A highly scalable, AI-powered, tech-driven fully managed document generation and language translation workflow for all mandated (ANOC, EOC, SB, SBC, etc.) and non-mandated materials (Benefit Highlights, Rider Booklets, etc.) for all Lines of Business, enabling business process automation and significant cost takeout. Simplify Healthcare AI™ — A suite of pre-built AI solutions for Payers to accelerate time to value.
1-888-653-2347 
support@leadiq.com 
