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Intelligent Automation for Every Payer Workflow.
Connected by AI.
Governed by Design.

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Simplify Healthcare®, Sagility, and Convey Health Solutions Announce Strategic Alliance to Launch Sagility Synchrony
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What Would You Like to Solve Today

We are the only Connected AI Platform for Payer Operations. We unify Benefits, provider, claims, customer experience, and insights on one platform where every model, automation, and decision compounds in value. Trusted by 70+ health plans.

Product and Benefits Lifecycle

Spreadsheet-based plan setup causes delays and compliance risks.

Accelerate plan design, federal and state filings, and collaboration with a smart platform that also generates CMS-compliant mandated materials.

Explore Benefits1™ →

Provider Lifecycle

Manual credentialing and contracts slow updates and trigger audit issues.

Streamline provider operations with intelligent workflows across roster files, credentialing, and contracts; ensure compliance with the No Surprises Act.

Explore Provider1™ →

Claims Lifecycle

Manual configuration, PA bottlenecks, and fragmented appeals drive denials and CMS compliance risk.

Claims1™ manages the end-to-end claims lifecycle: intelligent configuration, agentic decisioning, prior authorization, appeals, and code set management, across all major claims platforms.

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Payer Performance

Fragmented KPIs across claims, providers, quality, and finance make it hard to know where you stand or what to fix first.

Insights1™ unifies 14 operational modules and 80+ benchmarked KPIs against CMS, NCQA, CAQH, and AMA standards, surfaces root causes, and connects performance signals to the workflows that resolve them.

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Customer Experience

Slow, inconsistent responses to benefit inquiries drive up effort and reduce NPS.

Deliver smart, consistent benefit inquiry experiences across channels using AI-enhanced guidance and boost NPS.

Explore Xperience1™ →

Agentic Automation and Platform Intelligence Engine

Manual coding of apps and agentic workflows slows delivery and consumes resources.

Build problem-first solutions, agentic AI workflows, and platform extensions with Foundry1™ (embedded AI, low-code, and the agentic automation engine.)

Explore Foundry1™™ →

Payer Ontology & Data Activation

Fragmented data across 15+ systems undermines AI, integration, and every downstream decision.

Context1™ unifies fragmented data across your operations into a governed payer ontology that powers every AI model, automation, and decision.

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Documents Management

Siloed tools delay document delivery and increase compliance risk.

Ensure on-time, AI-powered 508-compliant document (including mandated) creation, translation, and fulfillment.

Explore Simplify Docs™ →

Solutions as a Service

Technology investments without accountability for outcomes drive up complexity and cost.

Simplify Alpha® delivers managed payer operations outcomes through a Solutions-as-a-Service model, with gain-share economics, 8 to 16 week deployments, and success tied to yours.

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The Results Speak for Themselves—So Do Our Customers

Accelerated Delivery

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Streamlined Operations

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Accuracy & Compliance

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''We were incredibly happy with the Simplify Healthcare team and their ability to think outside the box. They were super-responsive working with us to get accurate outputs, in a timely manner. We also appreciate the full transparency between our team and Team Simplify on open issues''
Associate Director Product Management & Operations
''What I appreciate about Simplify Healthcare is that they anticipate what will be needed to complete the entire project end-to-end, which minimizes late project life cycle budget increases''
Manager Benefits Implementation
''The Simplify Healthcare team took the time to understand the unique aspects of our business processes and worked with us to identify areas and opportunities where we could streamline work and utilize technology optimally''
Vice President Large Health Plan

Experience the Future of AI-Driven Healthcare Payer Operations

70+ Health Plans  partnered with us to simplify complexity, drive innovation, and modernize healthcare operations. Now it’s your turn.

Why Simplify Healthcare?

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Recognized for Market Leadership

Simplify Healthcare is positioned in the Leaders Category of the 2023 IDC MarketScape for U.S. Health Plan Product/Plan Benefit Configuration Solutions.

Read the full IDC report
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Ready to Modernize Your Group Benefits Strategy?

Learn how leading payers are gaining a competitive edge by automating group benefits at scale—powered by AI, clean data, and modular workflows.

Get the IDC Spotlight
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Enterprise Scale

A trusted partner for Payers, Simplify Healthcare has streamlined and scaled operations, delivering outstanding outcomes:
30%Operational cost reduction
300K+Providers Managed
100%Claims Compliance
9.5M+Benefit Configurations
1M+Plan Documents Generated
7.2M+Benefit Documents Processed
9+Years in Production
27ACA States
70+Health Plans
4.3M+Provider Contracts
140+Document Types
2M+Transactions Per Week

Industry Recognition