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Value For Carriers

When Softheon clients ask what’s more important, Softheon or their core claims administration system, they’ve answered, “That’s like asking which child I love more.”

Softheon’s value for carriers, beyond effectuation rates that surpass national averages (X%) or ROI in excess of 1,000%, includes:

For CEOs

Enter new healthcare markets to within the same plan year and stay ahead of competitors looking for market share.

For P&L owners and Product leaders

Make winning-business cases with Softheon’s comprehensive industry data and easily demonstrate product line ROI by giving teams in your purview the tools they need to succeed.

For CFO

Benefit from advanced financial reconciliation automation with easy ingestion into your financial system, saving your team up to dozens of hours per week on manual processing.

For CIOs

Consolidate several vendors into one and focus development on other projects. Breathe a sigh of relief when Softheon handles the integrations.

For COOs

Save millions in FTE costs and free up resources to do what you do best, making members happy and retaining them

For Sales and Marketing Leaders

Gain distribution tools that move the needle, such as Phase 3 EDE and comprehensive broker distribution tools that attract and retain brokers to your plan.

How Does Softheon do it? Just ask our health plan partners.

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Kara LucasInterior Decorator

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Alex CohenDesigner

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Jake SmithDeveloper

Save Cost, Time, and Hassle

Easier Enrollment for Faster Growth

Softheon is one of only a few companies recognized by CMS as Phase 3 Enhanced Direct Enrollment provider. We’ve made it easier than ever to sell more types of insurance and keep prospective members on your branded white-labeled site throughout the enrollment process.

Reduce Turnover and Save Costs

From initial shopping to eventual engagement, we help you scale without growing pains and provide the type of service that helps you win and keep new members. Sotheon’s sophisticated algorithms can even detect when members are at risk of leaving and help you change their minds so they stay.

More Accuracy and Less Agony

Automation for payments reduces errors, increases speed, and ensures accurate coverage. Create integration with chat bots, mobile apps, and health plan internal systems for seamless communication and robust financial reporting.

Softheon in the Health Plan Ecosystem – Shop, Bill, Enroll. Repeat

We make it easier for you to attract and retain members efficiently. From quote to card to payments. For ACA, Medicare, and small group.

  • Easily shop health plans
  • Payments
  • Generate invoices
  • Enrollment and eligibility
  • Ongoing communication
  • Renewal
  • Billing Reconcilliation