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 to Demonstrate Exchange Connector Cloud for State and Federal Exchange Integration at AHIP Institute 2013 and Exchange Conference

Softheon Exchange Connector Cloud; an Edge Computing platform that is proven to accelerate data and business process integration with Federal, State, and Private Exchanges.

Softheon to Sponsor and Exhibit at AHIP Policy Forum and Exchange Conference

Softheon to present at both the Policy Forum and the Exchange Conference.

Health Exchange Data Management and Data Integration Webinar

Public vs. Private: An In-Depth Comparison of Health Insurance Exchanges

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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>
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<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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<div style="height: 400px; width: 960px; background: url('/HTMLCache/237/slide4.jpg');">
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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();$.showModalDialog({url: 'http://ahip.org/Conferences/Institute2012/SelectPartners', height: 600, width: 980, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Read more</a> about AHIP Select Program and Softheon's commitment to assist health plans to address Healthcare Reform Act, HIPAA 5010, and ICD 10 challenges.</p>
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<h3><a style="color: inherit;" href="javascript:void(0);" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130611 - Press Release Softheon AHIP institute.html', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Softheon to Demonstrate Exchange Connector Cloud for State and Federal Exchange Integration at AHIP Institute 2013 and Exchange Conference</a></h3>
<p><a href="javascript:void(0);" class="press-release" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130611 - Press Release Softheon AHIP institute.html', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Softheon Exchange Connector Cloud; an Edge Computing platform that is proven to accelerate data and business process integration with Federal, State, and Private Exchanges.</a></p>
<h3><a href="javascript:void(0);" style="color: inherit;" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130308 - Policy Forum Press Release.htm', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Softheon to Sponsor and Exhibit at AHIP Policy Forum and Exchange Conference</a></h3>
<p><a href="javascript:void(0);" class="press-release" onclick="disable_scroll();$.showModalDialog({url: '/HTMLCache/PressReleases/20130308 - Policy Forum Press Release.htm', height: 600, width: 700, scrollable: false, resizable: false,onClose: function () {enable_scroll();}});">Softheon to present at both the Policy Forum and the Exchange Conference.</a></p>
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<h3>Health Exchange Data Management and Data Integration Webinar</h3>
<a href="javascript:void(0);" class="press-release" onclick="disable_scroll();$.showModalDialog({url: 'http://www.youtube.com/embed/rPGx6lYmEQY', height: 600, width: 700, scrollable: false, resizable: false,onClose: function() { document.location.reload(true); }});"> <img src="/HTMLCache/YouTube/Health Exchange Data Management thumb.png" alt="Health Exchange Data Management and Data Integration Webinar 4.09.13" style="height: 225px;" class="video-thumb" /> </a></td>
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<h3>Public vs. Private: An In-Depth Comparison of Health Insurance Exchanges</h3>
<a href="javascript:void(0);" class="press-release" onclick="disable_scroll();$.showModalDialog({url: 'http://www.youtube.com/embed/HFYaYxEdP24', height: 600, width: 700, scrollable: false, resizable: false,onClose: function() { document.location.reload(true); }});"> <img src="/HTMLCache/YouTube/Private vs Public thumb.png" alt="12.13.2012 Public vs Private An In Depth Comparison of Health" style="height: 225px;" class="video-thumb" /> </a></td>
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