Simplify Member Enrollment, Administration, and Renewal
Find out what our vertically integrated, secure cloud can do for your health plan.
With over 20 years of experience, Softheon delivers cost savings, compliance, and revenue growth opportunities for health plans.
Who We Serve
Great Tools for Every Health Insurer Market Segment
Group Plans
Why Softheon?
We create flexible, adaptable, technology -driven solutions using 100% US-based staff. We reduce administrative burdens health plans face.
Softheon offers configurable solutions though a vertically integrated cloud that combines Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) Clients benefit from our reduced operating costs and economies of scale.
Marketplace Administration Modules and Solutions
Softheon offers turnkey solutions that integrate with public and private marketplaces. Health plans benefit from simplifying member administration through cloud modules such as:
Member Enrollment
Eligibility and Enrollment:
Convenient User Experience on Front-End, Reconciliation Automation and More on the Back-End
Enhanced Direct Enrollment (EDE):
100% of Enrollment Scenarios Covered
Plan Catalog:
Simplify and Automate to Reduce Human Error
Member Administration
Premium Billing and Payments:
One System that Handles all Financial Management & Premium Billing Scenarios
Member Self-Service and Support Channels:
Convenience for Users
Reporting:
Member Data Ops & Intelligence, All in One Place
Communication:
Powerful Outreach Tools that Scale
Softheon’s Role in the Health Plan Member Lifecycle
Where Softheon and Internal Health Plan Systems Meet
Eligibility
Billing Reconciliation
