Enrolled & Effectuated
Over 500,000 Lives Thru
ACA Marketplaces
Risk-Free & Fully Operational
Exchanges in Less Than 90 Days
The #1 Cloud for
Public & Private Exchanges
Request Demo
Enrolled & Effectuated
Over 500,000 Lives
Thru ACA Marketplaces
Risk-Free & Fully Operational
Exchanges in Less Than 90 Days
The #1 Cloud for
Public & Private Exchanges
Request Demo
By 2020, 75 million people will be buying
health-care insurance from exchanges. Some portion of that will be public exchanges, probably 20 million to 25 million will be public exchanges, and the rest will be private exchanges.
By 2020, 75 million people
will be buying health-care insurance from exchanges. Some portion of that will be public exchanges, probably 20 million to 25 million will be public exchanges, and the rest will be private exchanges.
Mark Bertolini, Aetna CEO

Select your role to view our value proposition for your future growth, competitiveness, and innovation in the era of consumerism.

 
 
Select your role to view our value proposition for your future growth, competitiveness, and innovation in the era of consumerism.
CEO
COO
CFO
CMO
CIO

State & Federal Marketplaces

Enrollment is expected to reach 25 million by 2018. Connect to Federal & State Marketplaces in less than 30 days

Direct Enrollment

Offer subsidized health plans to eligible marketplace consumers through your own branded websites

Premium Billing

Billing & payment processing for individuals, families, & groups, both large & small, just got easier

Edge Server

Create a sustainable business operation. Proactively measure & optimize exchange data to manage growth

Private Exchanges

Just as we manage over 500,000 lives thru Public Exchanges, Softheon is the single-source for Private Exchanges

State & Federal Marketplaces

Extend & leverage you're IT assets to connect with Federal & State Based Marketplaces - without the need to rip & replace

Direct Enrollment

Whether you're dealing with subsidized plans or those without subsidies, it is the same enrollment process with Softheon

Premium Billing

Self-service portals for members & Cost Share Reductions (CSR) with real-time access to Invoices & Payments

Edge Server

Are you ready for SLAs against guaranteed compliance & timely execution of CMS submissions?

Private Exchanges

Trust Softheon with consistent processes for your Private and Public Exchange membership needs

State & Federal Marketplaces

Eliminate costly State & Federal based Marketplace implementation fees with Softheon SaaS

Direct Enrollment

Enrolling subsidized marketplace members from your website just got a whole lot easier with Softheon

Premium Billing

Whether it’s Billing, Payments, AR Aging, or Revenue Recognition, all financial reports are GAAP compliant

Edge Server

Reinsurance, Risk Corridors, Risk Adjustments, & CSR's – how's that for a technology company?

Private Exchanges

By 2018, 40 million lives are estimated to be enrolled thru Private Exchanges. Transform for Consumerism

State & Federal Marketplaces

ACA enrollment is expected to reach 25 million by 2018. With Softheon, opportunities for growth are in reach

Direct Enrollment

Check your subsidy eligibility from your website - No Wrong Door is now a reality, with Softheon

Premium Billing

Softheon’s premium billing platform extends and leverages your brand within your member outreach

Edge Server

834 Enrollment, 820 Premium Billing, 837 Claims data all come together, for a one Big Data picture

Private Exchanges

Data driven exchanges – Softheon promotes & understands the value of information & your need for knowledge

State & Federal Marketplaces

Extend & leverage your IT assets to connect with Federal & State Based Marketplaces - without the need to rip & replace

Direct Enrollment

Proven integration with the Federal Data Hub, without hardware, software and those pesky consultants

Premium Billing

Electronic Bill Presentation & Payment – without PCI compliance – means risk free consumerism

Edge Server

Delegate all CMS interfaces to Softheon & ensure your full regulatory compliance with HHS - at all times

Private Exchanges

Design, deliver, & operate your custom website with the simplicity & ease-of-use like Expedia, in less than 30 days

Softheon MC2 Mobile Computing & Real-Time Dashboard Spotlight

  • Gain real-time visibility of your entire organization’s Exchange business performance
  • Connect to your Exchange Financial and Enrollment Data
  • Reduce organizational ad-hoc reporting requests
  • Make better decisions with information at your fingertips
  • Run your exchange business from any device
Learn More

Our Clients

Total Health Care
WINHealth
Emblem Health
FirstCare
Health Republic Insurance
ConnectiCare
Horizon Blue Cross Blue Shield
MDwise
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