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Softheon Acquires NextHealth Technologies | Artificial Intelligence in Care Management

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Softheon

Softheon

Powering What's Next in Healthcare

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State-Based Marketplace Solutions

State-Based Marketplace Solutions

Free Staff to Focus on the Greater Mission of the Agency

Streamline insurance with an all-in-one platform that offers enrollment and automated back-end operational processes you need to distribute Qualified Health Plans (QHPs) to your citizens.

Distribute healthcare by offering comprehensive enrollment experiences by determining eligibility and premium tax credits prior to enrollment. Improve member retention by securing payment for premiums, improving carrier reconciliation, supporting member communication, and providing call-center activities.


Increase Enrollment and User Retention with Enhanced Consumer Experiences

Intuitive shopping is now a reality. Provide a customized plan shopping experience with decision support tools.

State Marketplaces

Provider & Pharmacy Lookup

State Marketplaces

Subsidy Estimator

State Marketplaces

Plan Shopping for Individual & Small Group Medical & Dental

Streamline and Automate Eligibility & Enrollment

Softheon handles all back-end enrollment processing, carrier interactions, and financial management operations, so you don’t have to. The entire eligibility and enrollment process, including Advanced Premium Tax Credits (APTC), is completed in real-time.

State Marketplaces

Simplify Payments by Empowering Your Members

Bypass third-party involvement by empowering members managing their digital wallets to support single and reoccurring payments. Supported payment methods include:

State MarketplacesCredit and Debit Cards

State MarketplacesACH & e-Check

State MarketplacesLockbox processing

State MarketplacesVoice payments through IVR

State Marketplaces

Shorten Catalog Upkeep Times with Rule-Based Configurations

Build and manage your health plan product repository with ease. Easily load your plans and rates, including associated plan documents while automatically validating plans and rates received through exchange enrollments.

Customize Data Ops & Intelligence and Review on One Platform

Easy access to user data in near-real-time reviewing transaction trends, member demographics, geography, financial information, and cost comparisons.

State Marketplaces
State Marketplaces

Save Time by Automating Data Governance

Automate all facets of reconciliation, from enrollment and financial data, through the Exchanges and core admin platforms. Our system features a fully automated RCNI/RCNO process with Enrollment Resolution & Reconciliation (ER&R) dispute generation and processing.

Ensure Compliance with Pre-Established Correspondence

Effortlessly fulfill of all CMS required regulatory letters, as well as all other member touchpoints to enhance consumer engagement. Correspondence methods include:

State MarketplacesInvoices

State MarketplacesRenewal Notices

State MarketplacesDelinquency Notices & Appeals

State MarketplacesMarketing Materials

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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
https://bit.ly/2PsRHA2

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Find Softheon

1500 Stony Brook Rd
Stony Brook, NY 11794

(800) 236-7941

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