Softheon

Softheon Exchange Connector

For a health plan that is seeking to offer products and services through Health Insurance Exchanges (HIXs), Softheon State Exchange Connector (Softheon SEC) provides the following business areas:

Read more on Healthcare Reform and HITECH.

Softheon Business Connector

Softheon Business Connector is designed to optimize information-intensive, time-sensitive, compliance driven, complex healthcare payer business processes.

Read more about how to reduce administrative costs while increasing member satisfaction.

Softheon Care Connector

Softheon Care Connector is the change agent and affects the flow of information between provider facilities and payers with access to clinical information from nearly any location.

Read more about how to reduce DNFB and overall administrative cost.

America's Health Insurance Plans 2013 Select Partner

As the only technology company with proven Insurance Exchange implementation, AHIP has chosen Softheon as an exceptional, innovative technology organization that is positively influencing the health insurance industry and AHIP's health plan members.

While health plans lay the groundwork to continue to implement health care reform, AHIP has identified Softheon as one of the leading technology organizations to support such effort.

Read more about AHIP Select Program and Softheon's commitment to assist health plans to address Healthcare Reform Act, HIPAA 5010, and ICD 10 challenges.

Softheon Exchange Connector Cloud to connect Oregon’s Health CO-OP to Health Exchanges
Softheon Exchange Connector Cloud platform will be used to connect Oregon’s Health CO-OP to Oregon’s Health Exchange, Cover Oregon. Read the full story.

Softheon to Sponsor and Exhibit at AHIP Policy Forum and Exchange Conference
Softheon to present at both the Policy Forum and the Exchange Conference. Read the full story.

Softheon Launches Exchange Plan Management Software as a Service (SaaS) Solution for Health Insurers
Softheon Exchange Connector^TM SaaS platform can be quickly deployed and customized to automate QHP Certification Process for Public Exchanges, real-time product selection and configuration for Private Exchanges. Learn more.

I would like to thank everyone for attending our “Health Exchange Data Management and Data Integration” Webinar. I hope it provided insight on some of the tools that are available to integrate with Health Insurance Exchanges.

As the AHIP Institute approaches, Softheon would like to proudly make known its intent to have a major presence throughout the conference. At the Institute, Softheon will be hosting a Workshop and several Networking Sessions to discuss present and future industry challenges and our solutions offerings.

I look forward to seeing you in Las Vegas

Please visit our Media page to view Softheon’s educational videos and archive of webinars.

As always, please click here to stay updated on our future events.

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<h3>Softheon Exchange Connector</h3>
<p>For a health plan that is seeking to offer products and services through Health Insurance Exchanges (HIXs), Softheon State Exchange Connector (Softheon SEC) provides the following business areas:</p>
<ul>
<li><a href="/Site/solutions/exchange/plan-management">Plan Catalog Management</a></li>
<li><a href="/Site/solutions/exchange/shop">Small Business Health Options Program (SHOP)</a></li>
<li><a href="/Site/solutions/exchange/enrollment">Eligibility &amp; Enrollment</a></li>
<li><a href="/Site/solutions/exchange/billing">Billing &amp; Financial Management</a></li>
<li><a href="/Site/solutions/exchange/member-services">Member Services</a></li>
<li><a href="/Site/solutions/exchange/appeals">Appeals &amp; Grievances</a></li>
</ul>
<p><a href="/Site/solutions/exchange">Read more</a> on Healthcare Reform and HITECH.</p>
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<h3>Softheon Business Connector</h3>
<p>Softheon Business Connector is designed to optimize information-intensive, time-sensitive, compliance driven, complex healthcare payer business processes.</p>
<ul>
<li><a href="/Site/solutions/business/enr">New Business, Underwriting &amp; Enrollment</a></li>
<li><a href="/Site/solutions/business/ppa">Pharmacy Prior-Authorization</a></li>
<li><a href="/Site/solutions/business/cpr">Claims Pre-Adjudication</a></li>
<li><a href="/Site/solutions/business/cpo">Claims Post-Adjudication</a></li>
<li><a href="/Site/solutions/business/css">Customer Support &amp; Service</a></li>
<li><a href="/Site/solutions/business/bms">Billing Management System</a></li>
<li><a href="/Site/solutions/business/cag">Complaints, Appeals &amp; Grievances</a></li>
</ul>
<p><a href="/Site/solutions/business">Read more</a> about how to reduce administrative costs while increasing member satisfaction.</p>
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<h3>Softheon Care Connector</h3>
<p>Softheon Care Connector is the change agent and affects the flow of information between provider facilities and payers with access to clinical information from nearly any location.</p>
<ul>
<li><a href="/Site/solutions/care/revenue-cycle-management">Revenue Cycle Management</a></li>
<li><a href="/Site/solutions/care/release-of-info">Release of Information</a></li>
<li><a href="/Site/solutions/care/utilization-review">Utilization Review</a></li>
</ul>
<p><a href="/Site/solutions/care">Read more</a> about how to reduce DNFB and overall administrative cost.</p>
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<h3>America's Health Insurance Plans 2013&nbsp;<span style="font-size: 1.17em;"></span><span style="font-size: 1.17em;">Select Partner</span></h3>
<p>As the only technology company with proven Insurance Exchange implementation, AHIP has chosen Softheon as an exceptional, innovative technology organization that is positively influencing the health insurance industry and AHIP's health plan members.</p>
<p>While health plans lay the groundwork to continue to implement health care reform, AHIP has identified Softheon as one of the leading technology organizations to support such effort.</p>
<p><a href="javascript:void(0)" onclick="disable_scroll();$.showModalDialog({url: 'http://ahip.org/Conferences/Institute2012/SelectPartners', height: 600, width: 980, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Read more</a> about AHIP Select Program and Softheon's commitment to assist health plans to address Healthcare Reform Act, HIPAA 5010, and ICD 10 challenges.</p>
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<h3>Exchange Connector&trade;</h3>
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<h3>From the CEO</h3>
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<p><strong>Softheon Exchange Connector Cloud to connect Oregon&rsquo;s Health CO-OP to Health Exchanges</strong> <br />Softheon Exchange Connector Cloud platform will be used to connect Oregon&rsquo;s Health CO-OP to Oregon&rsquo;s Health Exchange, Cover Oregon. <a href="javascript:void(0);" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130516 - CareOregon Press Release.htm', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Read the full story</a>.</p>
<p><strong>Softheon to Sponsor and Exhibit at AHIP Policy Forum and Exchange Conference</strong> <br />Softheon to present at both the Policy Forum and the Exchange Conference. <a href="javascript:void(0);" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130308 - Policy Forum Press Release.htm', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Read the full story</a>.</p>
<p><strong>Softheon Launches Exchange Plan Management Software as a Service (SaaS) Solution for Health Insurers</strong><br />Softheon Exchange Connector<sup>TM</sup> SaaS platform can be quickly deployed and customized to automate QHP Certification Process for Public Exchanges, real-time product selection and configuration for Private Exchanges. <a href="javascript:void(0);" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20121205 - QHP Press Release.htm', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Learn more</a>.</p>
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<p>I would like to thank everyone for attending our &ldquo;Health Exchange Data Management and Data Integration&rdquo; Webinar. I hope it provided insight on some of the tools that are available to integrate with Health Insurance Exchanges.</p>
<p>As the AHIP Institute approaches, Softheon would like to proudly make known its intent to have a major presence throughout the conference. At the Institute, Softheon will be hosting a Workshop and several Networking Sessions to discuss present and future industry challenges and our solutions offerings.&nbsp;</p>
<p><br />I look forward to seeing you in Las Vegas</p>
<p>Please visit our <a href="http://www.softheon.com/Site/media/news-events/media">Media</a> page to view &nbsp;Softheon&rsquo;s educational videos and archive of webinars.&nbsp;</p>
<p>As always, please&nbsp;<a href="/Site/media/news-events/events">click here</a>&nbsp;to stay updated on our future events.</p>
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