Softheon, based in Stony Brook, NY, is a leading brand that specializes in making complex healthcare processes convenient for ACA member shopping, enrollment, billing, and payments. They also provide asset, income, and employment verification for Medicaid, along with healthcare automation solutions for payers and government agencies. For health plans, Softheon simplifies operations and helps them grow bigger and faster in both government and commercial markets.

They offer off-the-shelf solutions that consolidate multiple vendors into a comprehensive platform, including compliance, shopping and enrollment, premium billing, reporting, payments, reconciliation, and member communication. By automating these processes, health plans can reduce costs and improve member effectuation rates, leading to over 2x ROI within a year. For government health agencies, Softheon integrates seamlessly with existing systems, allowing them to make smarter eligibility decisions faster.

They enable easy connectivity between state populations and health programs like Medicaid or state-based exchanges. With a proven track record and trusted by leading carriers, Softheon is the partner of choice for health plans and government agencies looking to optimize their operations and improve outcomes