Simplify Healthcare

Simplify Healthcare powers connected benefits and provider journeys for payers through a scalable, enterprise-grade, secure, compliant, and configurable cloud platform—Simplify Health Cloud™. Its offerings—Benefits1™, Provider1™, Service1™, Claims1™, and Experience1™—offer precise solutions to complex challenges in delivering rich products, benefits, and provider data. Simplify Healthcare also empowers payers to build enterprise solutions with speed and innovation on a low-code platform—Simplify App Fabric™. Additionally, Simplify Healthcare AI™ provides 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. Service1™ empowers CSAs with an AI- and NLP-powered search engine to resolve benefits inquiries from members. Claims1™ is a rules-driven claims management platform that transforms benefits and provider data for core-admin systems, enabling claims adjudication and configuration testing. Experience1™ is a rules-based content management platform that pulls updated benefits data to enable content generation, streaming, and personalization for members. Simplify App Fabric™ is a configurable, low-code platform for rapid, secure application development and deployment within a payer’s ecosystem.