Softheon launched with a vision to simplify complexity through technology. The company quickly built credibility with enterprise clients like Sony, JCPenney, and Chase by delivering powerful workflow and content management systems.

Those early projects honed the team’s skills in large-scale integration and process automation. They set the stage for Softheon’s eventual pivot to healthcare, where the need for transformation was even greater.

When Massachusetts created the first state health exchange, Softheon worked with Perot Systems to deliver an enrollment, billing, and CRM solution in just 90 days, helping launch Romneycare successfully.

This achievement became the blueprint for the ACA Marketplaces that followed. It proved Softheon could build and operate exchange infrastructure at scale, balancing speed, compliance, and member experience.

Softheon expanded into private health exchanges, giving employers, brokers, and individuals new ways to shop for and manage coverage. These platforms helped drive consumer-driven healthcare long before it became mainstream.

The lessons learned from private exchanges shaped Softheon’s later work in the Marketplace. The technology stack was refined to handle complex enrollment, billing, and reconciliation processes in both public and commercial environments.

Softheon launched subsidiary W3LL, an integration engine connecting brokers, benefit partners, and ICHRA administrators directly to leading health plans. Bringing seamless On-Exchange enrollments, automated payments, and Off-Exchange ICHRA growth under one roof.

Visit W3LL.com to learn more.

Softheon partnered with Cox HealthPlans, a provider-aligned organization in Missouri, to power its Medicare Advantage operations. Bringing the same trusted technology already used on the ACA Marketplace, Softheon modernized Cox’s enrollment, billing, and compliance capabilities to keep pace with market growth. We are proud to support health plans across lines of business, lowering administrative costs for organizations focused on community-driven care.

Softheon acquired NextHealth Technologies alongside its AI-powered analytics platform, bringing advanced data-science capabilities into the Softheon ecosystem. The technology and talent from this acquisition strengthened Softheon’s ability to help health plans reduce administrative costs, improve effectuation and retention rates, and personalize member engagement.

Founder and CEO Eugene Sayan shared, “Artificial intelligence in healthcare is here, and we are seeing the incredible impact it can have on both members and carriers. Our goal has been to make healthcare more affordable, accessible, and plentiful, and we see AI as a clear path forward to bring efficiencies to our carrier partners. This acquisition is a testament to Softheon’s commitment to helping health plans tackle some of their biggest challenges, such as population health and the movement toward consumerism in healthcare.”

Softheon launched CITIZ3N, a subsidiary with a purpose-built platform to help state and federal agencies modernize eligibility, enrollment, and verification processes.

CITIZ3N combines Softheon’s two decades of Marketplace expertise with advanced automation, identity verification, and secure data exchange. CITIZ3N's Verify platform helps agencies streamline eligibility decisions, reduce fraud, waste, and abuse, strengthen program integrity, and allows for community engagement and work requirement tracking.

With CITIZ3N, Softheon expanded its mission beyond carriers to help governments deliver benefits more efficiently and equitably.

Visit Citiz3n.com to learn more.

Softheon powers shopping, enrollment, billing, payments, and analytics for millions of Americans across ACA, Medicare Advantage, and ICHRA.

Health plans rely on our technology to reduce administrative burden, improve member experience, and scale new coverage models. Our focus remains on simplifying healthcare operations and expanding access to affordable, high-quality coverage for every member we serve.

As a preferred partner for ACAP, ACHP, and Health Plan Alliance, we believe that it takes the entire industry working together to make healthcare more affordable, accessible, and plentiful for every American.