Accelerate Effectuation. Streamline Billing. Simplify Payments
When Billing Works Right, Results Speak for Themselves
Improve Each Stage of the Member Journey with an Integrated, Automated, and Friction-Free Experience
Softheon connects enrollment, billing, and payments across ACA, ICHRA, Dental, Vision, and Medicare Advantage to improve effectuation and reduce churn. Members get a seamless way to enroll and pay, while plans gain real-time visibility and smarter operations.
The result: Faster cash flow, fewer delinquencies, and stronger retention.
Turn Healthcare Payment Processing into Your Strategic Advantage
What could you achieve if payment processing stopped slowing you down?
Billing Options Your Members Want – And Expect
XX%
Boost retention by preventing payment-related drop-off. Members can easily enroll in autopay when making their first binder payment.
XXX+
Fulfillment costs eat into your bottom line, and members increasingly prefer digital communication. Make paperless billing the default choice.
Press Play for Seamless Billing in Action
We offer the same suite of plug-and-play billing and payment capabilities across all markets, making life easier for you and your members. All CMS-required and ad-hoc notices are designed by Softheon, approved by you, and automatically sent to members.
Receive all member payment data in a single 820 file — no manual tracking, no missing payments.
99%+ reconciliation accuracy with CMS to confirm enrollments faster and ensure timely payments.
Explore Billing, Payments, and Interoperability Insights
Going from Over 10K to Nearly 1M Members
Third-Party Payment Program Generates Annualized 2.2X ROI
UCare faced significant challenges due to manual processes in shopping, enrollment, and billing, which…
Modern Payment Flexibility, Built for Members
We make it easy for members to pay their premiums by offering multiple payment options and a health plan–branded Member Portal where they can make payments and view invoices.
