AI agents to handle provider enrollment end-to-end

Simplex routes to
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
Kaiser Permanente
Optum
HCSC
Highmark
Centene
Molina
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
Kaiser Permanente
Optum
HCSC
Highmark
Centene
Molina
And more
A team from world-class institutions
MITY CombinatorWaymoTesla

How Simplex works

01

Send your provider roster to Simplex. Agents verify and clean the data, matching every NPI, license, and demographic against the public NPI registry.

02

If a provider has not accepted insurance before or needs to re-attest, agents create or update their CAQH profile via browser automation and surface it back to the provider for manual verification.

03

For every provider and payer pair, agents log into payer portals — Availity, UnitedHealthcare, Optum, and the rest — and complete the enrollment applications.

04

Agents poll every payer portal on a daily and weekly cadence to track each application and push status updates back through the API in real time.

05

When a payer denies an enrollment, agents file the appeal and resubmit; unresolvable rejections route back to your team for review.

Works across payers and across specialties

For Telehealth Nutrition Marketplaces

Credential and enroll dietitians with commercial payers across every state they're licensed in.

For Telehealth Behavioral Health Platforms

Enroll therapists and psychiatrists across Availity, UnitedHealthcare, Optum, and the rest of your payer mix.

Provider Enrollment Application
UnitedHealthcare
Registered Dietitian — licensed in NY, NJ, CT, MA

Enroll providers with the data layer you already have

Simplex intakes your existing provider roster via a single API.