From Enrollment to Billing and Everything in Between — If You Have a Question, We Have the Answer

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If you enrolled in coverage through a health plan that uses Softheon’s platform, please contact your health plan directly for questions about your benefits, payments, or eligibility.

Softheon provides the technology infrastructure behind your plan but does not have permission to access or share individual member accounts or records. Your plan’s member services team will be best equipped to help.

Softheon’s public sector work is led by CITIZ3N — our subsidiary that partners with federal and state agencies to modernize eligibility, verification, and enrollment systems.

Visit CITIZ3N.com to learn how government organizations use our secure, cloud-based technology to expand access to care and reduce fraud, waste, and abuse.

W3LL is built for brokers, benefit administrators, and technology partners.

If you’re looking to streamline quoting, enrollment, or ICHRA setup, visit W3LL.com to learn how their solutions make coverage easy for you and your clients.

New clients begin with a functional requirements phase and implementation planning, partnering with a dedicated project team and Client Executive. 

Once live, ongoing support is provided through a centralized ticketing system, extended hours during enrollment periods, and proactive monitoring. Our client executives guide you through upgrades, exceptions, and performance reviews to ensure your plan is getting the most out of its investment.

Over 100 health plans across ACA, ICHRA, Medicare Advantage, and dental use Softheon to transform their operations and member experiences. Plans choose Softheon because we enable them to scale membership, reduce administrative overhead, and offer connected experiences at a lower cost.

We work with community-focused, national, and provider-sponsored plans who need real results and a long-term partnership. Our approach is built for growth, compliance, and evolving healthcare market needs.

Softheon manages exceptions with intelligent queues that flag issues, alert staff, and maintain a complete audit trail. Each case is reviewed quickly without interrupting daily operations. Because the platform is modular, plans can refine exception logic over time as new scenarios emerge.

Ready for real growth? Start here.