Softheon operates dual, redundant Tier-4 cloud data centers that run critical workflows for health insurers and government agencies that:
Reduce security and compliance costs through rigorous, audited infrastructure and practices (IaaS).
Create convenient user journeys that drive revenue and retention (SaaS).
Automate business processes through technology (BPaaS).
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.
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.
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.
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.
User-Friendly SaaS that Delivers Convenient Experiences (SaaS)
SaaS that Members and Shoppers Love
Offer an end-to-end enrollment experience to consumers designed to make
shopping and paying for health insurance easier.
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.
Reduce Overhead through Automation (BPaaS)
Softheon uses automation to free resources, so organizations can shift their focus to their most mission-critical priorities.
Robotic Process Automation
Softheon leverages Robotic Process Automation and other software tools to expedite critical workflows And reduce human errors, reducing the number of situations that require health plan staff to manually escalate or investigate.
System Integrations and Syncs
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.
Configure and Execute Workflows
Execute complex processes through an intuitive interface. Softheon’s solutions turn complex processes into straight-forward workflows with embedded compliance.