Fully capitalize on the millions of Americans switching their health coverage during Open Enrollment by effectively converting enrollees into members.
Enroll, Service, and Renew Your Health Plan Members Automatically So You Can Focus on What Really Matters, Providing the Best Plans Possible for Your Members
Create a seamless experience for health plans, government agencies, and their members through Softheon’s vertically integrated cloud modules that offer eligibility, enrollment, premium billing, reporting, payment, reconciliation, and communication solutions.
Enroll, Bill, and Renew Your Health Plan Members with Advanced AutomationWith over 20 years of experience, Softheon's platform has touched millions of people and processed tens of billions of dollars in premiums.
Streamline Eligibility Determinations
Convenient User Experience on and Reconciliation Automation with Softheon’s Eligibility and Enrollment Modular Solution
Simplify Your Enrollment Processes
100% of Enrollment Scenarios Covered with Softheon’s Enhanced Direct Enrollment (EDE) Phase 3 Solution
Reduce Human Error Through Automation
Simplify and Automate Your Plan Catalogue to Eliminate Costly Mistakes
Provide Convenience for Users with Member Self-Service and Support
Handles all Financial Management & Payment Processing with Our Automated and Intuitive Solutions
Provide Powerful Outreach Tools that Scale Communication
Retain Membership While
Growing Your User Base
Reduce Member Abrasion Through a Seamless, End-to-End User Journey That Addresses Many Pain Points Experienced by Members
Effortlessly Organize & Interpret
Softheon Streamlines State Exchange and Eligibility Systems through Modular Technology – No Overhauls Required
Prevent Fraud and Abuse
with Enhanced Eligibility
Quickly Prioritize High Risk Individuals with Our Multi-Source Medicaid Enhanced Eligibility Verification Solution
Protect & Grow State Resources
Avoid the Clog of Medicaid Reassessments at the End of the PHE Via Overnight Bath Processes
Improve Your Technology & Avoid Overhauls
Integrate Already Established Eligibility Systems with Softheon’s Flexible and Modular Products to Create a Customized Solution
State Based Marketplace
Improve Your User Journey & Prevent Drop Off
Offer a Seamless Experience for Your Members with an All-in-One Platform Solution
Increase User Retention and Satisfaction
Provide Consumers with Decision Support Tools to Create a Seamless Experience While Empowering Them to Manage Their Payment Options
Save Time and Reduce Overhead
Automate all Sections of Your System via Rule-Based Configurations to Easily Manage Your Health Plan Offerings
*MS still in development
Trusted by Over 90 Health Plans
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 GuntherCIO, 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 SlavittFormer 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 SjoquistChief Transformation Officer, HLTH
Health plans participating in the ACA Marketplace should make it a top priority to effectuate coverage immediately after enrolling through Pay Now by
To seamlessly accommodate the millions of Americans switching their health coverage during Open Enrollment, health plans should prepare to facilitate
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