Simplify Member Enrollment, Billing, and Renewal
With over 20 years of experience, Softheon delivers cost savings, compliance, and revenue growth opportunities for health plans.
Why Softheon? Custom Built for Health Plans
We create flexible, adaptable, technology -driven solutions using 100% US-based staff that reduce administrative burdens health plans face.
Clients benefit from our reduced operating costs and economies of scale as Softheon combines Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) to offer configurable solutions though a vertically integrated cloud solution.
Marketplace Administration Modules and Solutions
Softheon offers turnkey solutions that integrate with public and private marketplaces. Health plans benefit from simplifying member administration through cloud modules.
Softheon’s Role in the Health Plan Member Lifecycle
Where Softheon and Internal Health Plan Systems Meet
Eligibility
Billing Reconciliation
Who We Serve
Great Tools for Every Health Insurer Market Segment
ACA Plans
Keep your members engaged in a from enrollment to renewal experience on your white-labeled site with our Phase 3 Enhanced Direct Enrollment (EDE) solution.
Individual & Group Plans
Provide your members with access to healthcare, dental, and vision plans in an end-to-end, white-labeled shopping experience.
Medicaid
Effortlessly stay compliant with new and existing requirements, such as 1115 and 1332 waivers, through our configurable, vertically-integrated platform.
Medicare
Keep your members engaged through a fully integrated approach to enrolling in coverage and managing associated payments.
Interested in a discussion or demo around Softheon's solutions?