Softheon enables health plan issuers to significantly reduce administrative costs, improve member and provider satisfaction, and generate new revenue opportunities. Softheon BC2 addresses regulatory compliance challenges in new business, underwriting and enrollment, pharmacy and medical prior authorization, claims, grievance and appeals, member and provider services, and other critical administrative processes.
For health plan issuers seeking to streamline business operations and lower administration costs, Softheon Business Connector Cloud (BC2) is the most efficient and effective way of accomplishing a task, based on proven, repeatable procedures. It is designed to describe the process of developing and following a standard way of doing things that multiple organizations can use for management, policy, and software systems.
Softheon Business Connector Cloud (BC2) provides healthcare payers with processes for: