Simplify Healthcare

Computer Software, 600 N Commons Dr Ste 110, Aurora, Illinois, 60504, United States, 501-1000 Employees

Who is SIMPLIFY HEALTHCARE

Simplify Healthcare is focused on powering connected benefits and provider journeys on a foundation of clean and rich product, benefits, and provider data across the Payer ecosystem throu...

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Headquarters: 600 N Commons Dr Ste 110, Aurora, Illinois, 60504, United States
Date Founded: 2008
Employees: 501-1000
Revenue: $10 Million to $25 Million
Active Tech Stack: See technologies

Industry: Computer Software

SIC Code: 5045 | NAICS Code: 54 | Show More

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Employees

Cspo® Neha Dhar

Product Owner (Associate Product Manager) - Healthcare Tech

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Bhaumik Kothari

Senior Director - Partnership and Strategic Alliances

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Frequently Asked Questions Regarding Simplify Healthcare

Answer: Simplify Healthcare's headquarters are located at 600 N Commons Dr Ste 110, Aurora, Illinois, 60504, United States

Answer: Simplify Healthcare is focused on powering connected benefits and provider journeys on a foundation of clean and rich product, benefits, and provider data across the Payer ecosystem through our end-to-end platform Simplify Health CloudTM. Simplify Health CloudTM is a scalable, enterprise-grade, secure, configurable, and compliant platform aimed at maximizing existing investments in Core-Admin systems. Packaged on the Simplify Health CloudTM Benefits1TM, Provider1TM, Service1TM, Claims1TM, and Experience1TM provide Payers with discrete and precise solutions to complex problems and opportunities in delivering a rich set of product, benefits, and provider data. Benefits1TM the single source of truth for product and benefits data to catalog product and benefits data in a central repository, fulfill all compliance and mandated document generation, and integrate with sales, actuary, and downstream systems. Provider1TM a master record of provider data that enables a flexible hierarchy for storing provider data and their relationships. It performs enables provider onboarding, credentialing, contracting, reimbursement models, roster file management, and directory management. Service1TM delivers an intelligent benefits inquiry experience that enables customer service representatives to handle and resolve all benefits inquiries. It uses NLP and AI to provide accurate responses to benefit inquiries from members, providers, employers, and brokers. Claims1TM delivers a foundation to integrate benefits and provider data into the claims and eliminates manual keying of benefits and provider configuration in the claims system leading to claims accuracy, reduced claims recoveries, and faster time to market. Experience1TM delivers a dynamic data-driven digital experience using a rules-driven solution to send and display benefits and provider content to a Payers digital front door and personalize offerings of benefits and provider content to members based on metadata.