The world looks entirely different since COVID-19 landed here in the U.S. last year. From months of quarantine mandates causing job losses to

Powering What’s Next
in Healthcare
Cloud Solutions that Simplify Operations for
Health Plans and Government Health Agencies

Softheon Among Fastest-Growing Regional Private Companies
After ranking nationally twice, Softheon made the Inc 5000 NYC Metro Regional list. Read the press release now.

Softheon Partners with HCEG as Healthcare Policy & ACA Focus Area Partner for 2021
Tasked with educating executives of health plans, health systems, and healthcare provider organizations, Softheon will tackle ACA policy, challenges for providers, and address operational costs with HCEG throughout the year
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.
2.9M
Lives Managed
80+
Licensed Carriers
$3B+
Payments Processed
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


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







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 ColoradoThey 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, CMSSoftheon 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
Latest news

Three Challenges State-Based Marketplaces Face and Their Response to the American Rescue Plan
On March 11, 2021, President Biden signed into law the American Rescue Plan Act (ARP) of 2021, allocating $1.9 trillion towards economic relief. The

Interoperability Is Improving, But There’s Plenty of Room for Better Data Exchange
There have been a few headlines recently highlighting the significant advancement in interoperability. But one report points out plenty of areas that
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