Trusted by Over 80 Health Plans

 

Enroll, Service, and Renew Your Health Plan Members with Advanced Automation

Softheon’s vertically integrated cloud solutions knit eligibility, enrollment, premium billing, reporting, payments, reconciliation, and communications into a seamless experience for health plans and their members.

Health Plan Solutions

Eligibility and Enrollment
Convenient User Experience on Front-End, Reconciliation Automation and More on the Back-End

 

Enhanced Direct Enrollment (EDE)
100% of Enrollment Scenarios Covered

Plan Catalog
Simplify and Automate to Reduce Human Error


Premium Billing and Payments
One System that Handles all Financial Management & Premium Billing Scenarios

 

Member Self-Service and Support
Convenience for Users

 

Reporting
Member Data Ops & Intelligence, All in One Place

 

Communication
Powerful Outreach Tools that Scale

 



Reduce member abrasion through a seamless, end-to-end customer journey that addresses many pain points experienced by members.

Government Solutions


Softheon Streamlines State Exchange and Medicaid Eligibility Systems through Modular Technology – No Overhauls Required


Integrate your technology and start seeing experiencing efficiencies in months, rather than years.


State Health and Human Services and Medicaid Agencies use Softheon to operate State Exchanges and verify Medicaid eligibility.



Trusted by Eight State Agencies and CMS


What People Are Saying about Softheon


  • Softheon was able to provide outstanding job training and outline a clear understanding of the work progress. Because Softheon leveraged the cloud to automatically scale to fit our product’s demands, we did not have to continually pay for extra space.
    Kelly Gunther
    CIO, Connect for Health Colorado
  • They are a technology company that really believes that technology can enhance and improve the experience.  
    Fortune 100 Health Plan Client
  • "Softheon is redefining what can happen for consumers in healthcare."  
    Andy Slavitt
    Former Acting Administrator, CMS
  • Softheon has aligned with leading health organizations who are serious about improving the experience, lowering the cost, and improving the outcomes of health.
    Constance Sjoquist
    Chief Transformation Officer, HLTH

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