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Platform

Integrated Platform that Saves Resources While Improving the User Experience

Softheon’s vertically integrated technology platform delivers cost savings and revenue growth for health plans through leading Infrastructure-, Software-, and Business-Processes-as-a-Service offerings—IaaS, SaaS, and BPaaS

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Designed For Users

User-Friendly Software that Delivers Convenient Experiences

Decision support tools and health plan filtering options

Phase 3 Enhanced Direct Enrollment - no Healthcare.gov redirect

Robust payment options like autopay and making first payments immediately after enrolling

Customizable grace periods and payment plans

Automatic, compliant member communication systems

Administrative Tools for Better Decision-Making

Softheon offers a robust and scalable data reporting platform that provides all the information you need on one interface. Intuitive data organization, customizable quires, and drill-down filtering simplifies data driven decision.

Softheon streamlines analyzing member information, organizational trends, and crafting reports to stakeholders to make it easier to prioritize the member and focus on providing the best health plans.

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Platform

Robotic Process Automation Eliminates Human Error

Expedite critical workflows and reduce human errors with Softheon’s RPA and other software tools. Dramatically reduce the number of situations that require health plan staff to manually escalate or investigate.

System Integrations and Syncs Prevent Communication Errors

Sync tens of thousands to millions of transactions across multiple systems automatically.

Softheon’s modular component fits effortlessly into any pre-existing platform while ensuring seamless communication between platforms. This includes interfacing with both internal and external systems, auto-generating forms or formats needed for each process.

Platform
Platform

Configure and Execute Workflows

Execute complex processes through an intuitive interface. Softheon’s solutions turn complex processes into straight-forward workflows with embedded compliance.

Reduce Overhead through Automation (BPaaS)

Use automation to free resources, so organizations can shift their focus to their most mission-critical priorities

Secure, Compliant Infrastructure and Practices – Softheon’s Tier-4 Data Center Operations (IaaS)

Softheon has strict data protection protocols for confidential information protected by HIPAA, regularly verifying data security through strict compliance and security audits.

HIPAA

All components of the Softheon solution are HIPAA compliant. Softheon follows the HIPAA Privacy Rule, whereby placement of appropriate administrative, technical, and physical safeguards protects the privacy of PHI/PII.

Security & Compliance

Softheon completes annual compliance audits for:

  • PCI DSS
  • SOC1 Type II
  • SOC2 Type II

Softheon’s hosting platform has undergone assessments against the NIST 800-53 and MARS-E 2.0 frameworks.

Audits

Softheon, in conjunction with our external audit partners, perform annual audits including:

  • SOC 1 and 2 audits
  • PCI AOC
  • NACHA audit
  • ORR from DE Proxy
  • Pen Test
  • Vulnerability Scan
  • Code Security Scan
  • Regular CMS audits including any in support of partners health plans

Additionally, Softheon welcomes and encourages audits from our health plan partners directly.