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
- HEHealthEdge
- CTCognizant TriZetto
- AVAvaility
- GAGainwell
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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