Simplify Healthcare

Software DevelopmentIllinois, United 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™, Claims1™, and Xperience1™ offer precise solutions to complex challenges in delivering rich products, benefits, and provider data. SimplifyX™ is an AI-first enterprise company pioneering agentic AI to transform how organizations design, operate, and scale solutions by embedding intelligent agents directly into workflows.

Benefits1™ — A unified platform for configuring, filing, publishing, and governing benefits across Medicare, Medicaid, ACA, Group, and Medigap.

Provider1™ — A unified, yet modular, platform that automates provider roster file management, data management, onboarding, contracting, credentialing, and claims configuration.

Claims1™ — The solution standardizes and automates how payers configure claims platforms like TriZetto® Facets® and QNXT™, homegrown systems, and other top 5 Core Admin platforms—reducing rework, ensuring accuracy, and improving data reliability by 99%.

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™ — Delivers seamless document generation and language translation workflows for all mandated materials (ANOC, EOC, SB, SBC, etc.) and non-mandated content (Benefit Highlights, Rider Booklets, etc.) across all lines of business.

SimplifyX™ — Industry-specific, production-ready enterprise applications with intelligent AI Agents orchestrating every step from requirements to release.

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