Experience Fewer Data Silos with Comprehensive Reporting
Softheon integrates all member enrollment, billing and payments data into your existing systems, offering a measurable boost in operational efficiency – So you can close the books quicker.
Personalized Member Insights For Every Client
Introducing our member insights dashboard – a powerful, secure analytics tool that is available to every client in a private dedicated instance that is built directly from your plan’s membership data. This dashboard provides real time, actionable insights into:
Predictive Analytics Prevents Surprises
Identify Risk with Predictive Analytics
Our model reviews how premiums were paid, what payment methods were used, and if the individual was part of a family plan. Softheon’s predictive model reveals that carriers can target as little one-fifth of their membership to reach the majority of members that will lapse for non-payment in the plan year.
Reduce Terminations with Interventions
Early and ongoing interventions may reduce the need to manually call delinquent members. Softheon helps you retain more members with tools like autopay, cash payments, offering payment plans, or text-based communications.
A Better Way to Get Happier Customers
Give Helpful Guidance
Guide members with plan filters and side-by-side plan comparison.
Daily Exchange Enrollment and Reconciliation
Softheon handles all 834 outbound files with the Exchange. Leverage Softheon’s integrated enrollment and payment information to secure more subsidy dollars.
Self-Service Reporting
Create Standard Reports
Analyze member information, track organizational trends, and use industry best practices to focus on providing the best health plans.
Customize your Analytics
Craft custom dashboards, adjust data filters and create presentations on an intuitive, self-service platform.
Security and Compliance
Softheon go beyond table stakes when it comes to security, privacy, and compliance. We prioritize them in every aspect of our development and operations to deliver peace of mind.
Need more details? Ask your Softheon Sales Representative for access to our Trust Center.
Compliance
Softheon is a members of the Alpha Group CMS Partner for Phase III EDE, and we join the weekly CMS Working Group to stay ahead of changes.
Privacy and Security
Softheon adheres to a number of important helthcare and payment industry standards, regulations, and protocols. This includes: HIPAA, SOC 1 Type 2, SOC 2 Type 2, PCI DSS 3.2.1, NIST 800-53, FIPS 140-2, and CMS MARS-E 2.2.
Built-In, not Added-On
Our solutions are architected for the highly sensitive healthcare environment.
Proactive
Softheon’s proactive threat management, comprehensive protection strategies, continuous monitoring, and rapid response ensure your business remains safe from ever-evolving cyber threats.
Predictive Analytics Prevents Surprises
Stop getting surprised. Without predictive analytics, you don’t know which members will term until it’s too late. Softheon’s predictive model helps you determine which members in your population are more likely to be at-risk.
Our model reviews how premiums were paid, what payment methods were used, and if the individual was part of a family plan. Softheon’s predictive model reveals that carriers can target as little one-fifth of their membership to reach the majority of members that will lapse for non-payment in the plan year.
Early and ongoing interventions may reduce the need to manually call delinquent members. Softheon helps you retain more members with tools like autopay, cash payments, offering payment plans, or text-based communications.
A Better Way to Get Happier Customers
Help consumers find their perfect commercial plan – without leaving your white-labeled site. We help you give them a shopping experience that’s easy to navigate along with the comparison tools that empower customers to feel good about their decisions.
Guide members with plan filters and side-by-side plan comparison.
Softheon handles all 834 outbound files with the Exchange. Leverage Softheon’s integrated enrollment and payment information to secure more subsidy dollars.
Self-Service Reporting
Stop stressing. Softheon made it easier than ever to simplify data-driven decisions with our platform’s intuitive data organization, customizable queries, and self-service reporting. See and share all the information you need on one interface.
Analyze member information, track organizational trends, and use industry best practices to focus on providing the best health plans.
Craft custom dashboards, adjust data filters and create presentations on an intuitive, self-service platform.
Security and Compliance
Softheon go beyond table stakes when it comes to security, privacy, and compliance. We prioritize them in every aspect of our development and operations to deliver peace of mind.
Need more details? Ask your Softheon Sales Representative for access to our Trust Center.
Softheon is a members of the Alpha Group CMS Partner for Phase III EDE, and we join the weekly CMS Working Group to stay ahead of changes.
Softheon adheres to a number of important helthcare and payment industry standards, regulations, and protocols. This includes: HIPAA, SOC 1 Type 2, SOC 2 Type 2, PCI DSS 3.2.1, NIST 800-53, FIPS 140-2, and CMS MARS-E 2.2.
Our solutions are architected for the highly sensitive healthcare environment.
Softheon’s proactive threat management, comprehensive protection strategies, continuous monitoring, and rapid response ensure your business remains safe from ever-evolving cyber threats.
Maintain Compliance
Stay aligned with CMS, IRS, and state regulations with confidence in a system trusted by regulators.
Featured Resources
CASE STUDY
Softheon leadership met with senior executives from national and regional health plans, representing more than 50% of the U.S. population, to discuss what success looks like in government health plans and which strategies are most likely to achieve it.