AI Platforms

Simplify Healthcare

Governed AI platform for health plan operations

About Simplify Healthcare

Simplify Healthcare provides Simplify1, an AI platform for health plans that connects business knowledge, data, systems and workflows. Modules cover benefits lifecycle, provider operations, claims operations, customer experience and performance intelligence. It reports over 80 health plan clients.

Common use cases

  • Claims automation
  • Provider directory accuracy
  • Benefit configuration
  • Member service answers

Products and services

Simplify1 Payer AI Platform

Core governed AI platform for payers.

Benefits Lifecycle Management

Aligns benefit sales, filings and configuration.

Provider Operations

Single provider data record.

Claims Operations

Automates eligible claims.

Key features

  • Payer workflow automation
  • Claims automation
  • Provider data management
  • Benefit configuration
  • Operational analytics

Simplify Healthcare alternatives

  • HealthEdge
  • Cognizant TriZetto
  • Availity
  • Gainwell

FAQs

Who is it for?

Health plans and payers.

What is the core product?

Simplify1 Payer AI Platform.

How many clients?

It cites over 80 health plans.

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