STONY BROOK, N.Y., Oct. 25, 2017 /PRNewswire/ -- Softheon, a national leader in cloud-based health insurance exchange distribution and services, announced today that it has been selected by Access Health CT, Connecticut's Health Insurance Marketplace, to facilitate its Small Business Health Options Program (SHOP) to enhance their consumer experience with real-time health insurance products and services.
"We are honored and privileged to enhance Access Health CT's existing exceptional platform with new capabilities to provide the ultimate member experience. It is truly inspiring to be recognized as a trusted partner of Access Health CT supporting their mission to make healthcare accessible and affordable for every Connecticut resident," said Softheon Founder, CEO, & Chairman Eugene Sayan.
Together, Softheon and Access Health CT will create the ultimate customer journey. Through a new digital consumer experience, members will receive the same convenience, personalization, and transparency they have grown accustomed to in the banking, airline, and travel industries.
"We are very excited to continue to bring enhancements that improve the customer experience. This new partnership brings positive changes such as a clear, broker-friendly design with easy-to-use information to manage groups in one place, and a site that will be a portal for everything from enrollment to user resources, among others," said Jim Wadleigh, CEO of Access Health CT.
As part of Access Health CT's mission to increase small businesses' access to quality and affordable health insurance, Softheon has implemented its:
- Online Benefit Shopping: Softheon Clarity, a health plan benefits & product management platform, presents a quote-to-card shopping experience for members, employers, & brokers.
- Enrollment & Underwriting: Softheon Remedy, an enrollment & underwriting engine, allows Access Health CT to enroll & effectuate health insurance policies and manage ongoing member services, including adding employees & dependents and processing cancellations, terminations, delinquencies, etc. in real-time with ease.
- Premium Billing, Presentment & Payment: Softheon Equity, a premium billing & payment aggregation tool with an integrated online & banking solution, provides a consumer-friendly member experience for managing financial transactions by tracking businesses' invoices, premium payments, member notifications, & financial reconciliation with participating health insurance carriers.
- Carrier Integration & Reconciliation: Softheon Gateway, a rules-based fully automated EDI payload management platform for HIPAA 5010 encryption-in-transit compliance, exchanges enrollment & payment information (834, 820, etc.) with the participating health insurance carriers to handle the enrollment, effectuation, payment aggregation, & reconciliation of Access Health CT SHOP consumers.
States that operate their own health insurance exchanges continually work to find the most efficient ways to do so. At the same time, Exchange Operators, like Softheon, who specialize in IT services to health insurers and exchanges have emerged. This development enables states to take advantage of more efficient ways to organize and divide responsibilities for operating their public Marketplaces and – potentially – to achieve significant cost savings.
About Access Health CT
Access Health CT (AHCT), Connecticut's official health insurance marketplace, is a quasi-public agency created by the Connecticut legislature in 2011 to satisfy requirements of the federal Affordable Care Act. AHCT's mission is to increase the number of insured residents in Connecticut, promote health, lower costs, and eliminate health disparities. Connecticut residents and small business owners can compare and enroll in health care coverage and apply for tax credits for individuals through AHCT. Access Health CT partners with the CT Department of Social Services in HUSKY Health eligibility and enrollment.
Softheon's mission is to make healthcare affordable, accessible, and plentiful. Softheon's cloud-based Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions for federal and state governments have solved complex challenges that are associated with administering public health insurance exchanges. Softheon solutions work to transform the way agencies operate by delivering unparalleled healthcare capabilities including but not limited to: Individual and SHOP Marketplaces, Special Enrollment Period (SEP) verification, Advance Premium Tax Credit (APTC) validation, Electronic Data Interchange (EDI) Validation, Electronic and Paper-based Payment Processing, Carrier Reconciliation Facilitation, Federally Facilitated Marketplace (FFM) Population Analytics. In 2017, Softheon has been trusted by 37% of healthcare payers for serving 24% of lives on ACA.