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Softheon Acquires NextHealth Technologies | Artificial Intelligence in Care Management

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Softheon

Powering What's Next in Healthcare

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Health Plans

Simplify Member Enrollment, Billing, and Renewal

With over 20 years of experience, Softheon delivers cost savings, compliance, and revenue growth opportunities for health plans.

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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

1. Plan Shopping
Health Plans
2. Enrollment &
Eligibility

Health Plans
3.Payment
Health Plans
4. Generate Invoice
Health Plans
5. Ongoing Communication
Billing Reconciliation

Health Plans
6. Enrolled in your health plan 
Health Plans
7. Renewal 
Health Plans

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?

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Latest Tweets

Looming Budget Cuts: Safety-net #hospitals are anxiously waiting to hear whether their #Medicaid payments will be cut, via @modrnhealthcr
https://bit.ly/3rxvBKm

SPAC-Mania: This year, the #insurance industry has seen a historic level of activity for M&As, IPOs, and SPACs, via @_diginsurance
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Find Softheon

1500 Stony Brook Rd
Stony Brook, NY 11794

(800) 236-7941

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