News | December 22, 2020

Simplify Healthcare Launches eServiceSync, A Single Source Of Truth, Automated Member And Provider Benefit Inquiry Management Solution


Simplify Healthcare, a leading healthcare technology solutions provider, announced the launch of its new solution, eServiceSync™. The business-rule driven solution is explicitly designed to provide better member and provider self-service by direct, real-time access to the correct benefit information and enhancing your customer service capabilities with an end-to-end automated platform that integrates with your existing CRM investments.

Health plans often face challenges with traditional customer service management with customer service users frustrated over the amount of time and steps required to accurately quote benefits. This leads to several errors and reduces member and provider satisfaction. The other challenges are:

  • Lack of accurate benefit explanation tools,
  • Time-consuming and error-prone processes to search through benefit data sources,
  • Version control issues and inconsistency across the enterprise,
  • Complex job aids which result in MTM and NPS impacts,
  • Extended call handle time to respond to benefit inquiries, and reduced first call resolution rate.

The proven platform leverages a single source of truth to deliver accurate and complete information to your call center and self-service portals. With eServiceSync™ you can improve call handle times and first call resolution rates, provide current, accurate, and complete benefit explanations, and improve your member and provider experience, and Star ratings.

Health plans can now automate workflows for easy collaboration across all stakeholders, provide fast and accurate benefit answers consistently across all channels, reduce administrative costs, and increase member retention and service search capabilities using English text or codes.

“Simplify Healthcare is leveraging a much-needed solution for health plans to address the most urgent pain points in the customer service vertical. With eServiceSync™, our goal is to provide a simple yet powerful automated solution to empower our clients to deliver accurate and complete information to their call center and self-service portals.”

- Mohammed Vaid, CEO and Chief Solution Architect, Simplify Healthcare.

About Simplify Healthcare

Simplify Healthcare is one of the fastest-growing healthcare technology solutions providers offering end-to-end solutions to address the pain points for healthcare payers. Simplify Healthcare is the leading player in the benefit plan management vertical with deep expertise for Large Group, Small Group, and Individual benefit plan management across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs). The company is quickly emerging as a player in other areas including: Provider Data, Directory, and Contract Management; Client Setup, Onboarding, and Enrollment Management; Member and Provider Benefit Inquiry; and Value-Based Payment Reconciliation. The company also tripled its CMS PBP bid submissions for Medicare Advantage Plans using Medicare Advantage plan management solution, eMedicareSync™, and accounted for 25% of the total PBPs and 20% of the total EGWPs filed with CMS for 2021. In 2020, the company ranked 164 in Deloitte’s Technology Fast 500™ list and 645 in the Inc. 5000 America’s fastest-growing private companies list, and also recognized in Gartner's 2020 Hype Cycle for U.S. Healthcare Payers report.

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