Benefit from Modules that Cover Ongoing Member Servicing
Reduce overhead through robust modules that create a simplified, user-friendly experience.
Premium Billing and Payments: One System that Handles all Financial Management & Premium Billing Scenarios
Simplify your billing system with our highly configurable, integrated solutions.
Robust Payment Options
Create convenience for members by offering all payment types including, credit and debit cards, ACH & e-Check, cash, lockbox processing, and IVR. Decrease manual interventions by empowering members to manage their digital wallets.
Reduce member abrasion by offering and promoting features, such as single and recurring payments with adjustable payment dates.
Automate to Reduce Costs and Decrease Fraud
Integrate enrollment and billing platforms to build one member profile to reduce void payments and reconciliation issues. Lower chargeback rates with proprietary fraud reduction and mitigation methods.
Limit human error through Softheon-managed updates that keep your system automatically up-to-date with changing exchange policies and requirements. Gain access to multiple vendors through our single-source payment hub. Automate PCI compliance, including audits and changing regulations.
Member Self-Service and Support Channels: Convenience for Users
Reduce service costs and offer more support channels with our exhaustive set of tools and services.
Reduce Costs in Different Channels
Meet CMS compliance requirements in all workflows without costly manual intervention from your staff. Promote and convert members to lower-cost digital communication channels.
Near-Real-Time Processing & Customization
Automate ongoing member services including, processing cancellations, terminations, delinquencies, and more. Enhance security with role-based user access.
Reporting: Member Data Ops & Intelligence, All in One Place
Automate and drill-down into member reporting in near-real-time.
Full Oversight into End-to-End Operational Processes
Streamline storage with data lakes, independent of format or source. Collect all structured and unstructured data on a platform that scales with you. Reconcile enrollment and financial data with CMS and downstream systems to ensure consistent alignment and reimbursement with subsidy payments.
Gain full oversight into the end-to-end operation processes managed by Softheon including enrollment coverage spans, invoicing, payment processing, and reconciliation.
Drill-down into member information
Easily track metrics with drill-down and near-real-time reporting on billing and member enrollment. Customize individual queries and dashboards in a user-friendly portal that provides actionable insights including:
- Membership status.
- Members who failed to make their first payment.
- Delinquency status.
- Members in disaster-affected zip codes
Communication: Powerful Outreach Tools that Scale
Enhance consumer experience and stay compliant.
Enhance Consumer Experience
Generate all needed consumer communications:
- Renewal Notices
- Delinquency Notices
- Marketing Materials
Transition to a primarily paperless method.
Eliminate System Overhead
Eliminate the need to maintain multiple paper-based and electronic communication systems. Create and execute mass member outreach quickly using rich data sources to communicate with the right members at the right time.
Automate CMS letter requirements. Gain peace of mind by delegating all printing, mailing, and tracking of communication through the US Postal system.