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Automate provider operations.

From the minute you get your providers’ CAQH logins, Simplex sets up your providers’ CAQHs, enrolls them in national and regional payers, and flows effective dates into your RCM tooling automatically.

Simplex routes to
AnthemUnitedHealthcareAmbetter HealthCareFirst BlueCross BlueShieldHighmarkFlorida BlueIndependence Blue CrossBlue Cross Blue Shield of MichiganPremera Blue CrossWellmarkHumanaCenteneMolina
AetnaPECOSCapital Blue CrossHCSCExcellus BlueCross BlueShieldHorizon BCBSBlue Cross Blue Shield of MassachusettsBlue Cross NCBlueCross BlueShield of TennesseeCignaKaiser PermanenteHealth NetOptumTRICARE
and more.

Frequently asked questions

We charge a flat fee per completed enrollment. We also charge per provider per year if you'd like us to manage your providers' CAQH profiles.

We cover traditional Medicare through PECOS and commercial payers via portal, roster, email, and/or PDF submissions. We can provide a list of currently covered payers upon request, and we work with our customers to help get full coverage of their payers.

Yes. We sign a BAA before any data is shared.

CAQH logins for your providers, tax entity information, and practice locations. We can pull all necessary data for enrollments from these sources and state licensing boards.

Simplex is not a CVO. We integrate with wherever your data lives: your CVO, Salesforce, Airtable, etc., in order to automate the ops work on top of your data.

Every run has a step-by-step log and a replay video of the agent's actions, tied to the provider and payer.