Simplex
Provider enrollment managed end to end, from CAQH setup through final determination.
Simplex automates provider enrollment operations, handling the setup of CAQH profiles, submission of enrollment applications to national and regional payers, and follow-ups with corrections. It tracks enrollments through to effective dates, which are then automatically fed into existing revenue cycle management (RCM) tooling, reducing manual administrative work.
The platform routes to PECOS and other systems, and works inside existing tools by filling out web forms, uploading and downloading rosters, populating and e-signing PDFs, and responding to emails. It automatically tracks effective dates and provides step-by-step logs with replay videos of agent actions for each enrollment run. Simplex integrates with data sources such as Salesforce and Airtable.
This product is designed for healthcare organizations that need to manage provider enrollments across Medicare, Medicare Advantage, and commercial payers. Pricing is a flat fee per completed enrollment, with an additional annual fee for managing CAQH profiles. The company signs a BAA and is HIPAA and SOC 2 compliant.
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