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Softheon

Softheon

Powering What's Next in Healthcare

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Health Plans

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

ACA Plans
Keep your members engaged in a from enrollment to renewal experience on your white-labeled site with our Phase 3 Enhanced Direct Enrollment (EDE) solution.
Individual &
Group Plans
Provide your members with access to healthcare, dental, and vision plans in an end-to-end, white-labeled shopping experience.
Medicaid
Effortlessly stay compliant with new and existing requirements, such as 1115 and 1332 waivers, through our configurable, vertically-integrated platform.
Medicare
Keep your members engaged through a fully integrated approach to enrolling in coverage and managing associated payments.


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

1. Plan Shopping
2. Enrollment &
Eligibility

3.Payment
4. Generate Invoice
5. Ongoing Communication
Billing Reconciliation

6. Enrolled in your health plan 
7. Renewal

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Latest Tweets

Looming Budget Cuts: Safety-net #hospitals are anxiously waiting to hear whether their #Medicaid payments will be cut, via @modrnhealthcr
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SPAC-Mania: This year, the #insurance industry has seen a historic level of activity for M&As, IPOs, and SPACs, via @_diginsurance
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Find Softheon

1500 Stony Brook Rd
Stony Brook, NY 11794

(800) 236-7941

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