Automate provider enrollment,from CAQH setup to effective date follow-ups
How Simplex works
Send your provider roster to Simplex. Agents verify and clean the data, matching every NPI, license, and demographic against the public NPI registry.
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.
For every provider and payer pair, agents log into payer portals — Availity, UnitedHealthcare, Optum, and the rest — and complete the enrollment applications.
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.
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
Credential and enroll dietitians with commercial payers across every state they're licensed in.
Enroll therapists and psychiatrists across Availity, UnitedHealthcare, Optum, and the rest of your payer mix.
Enroll providers with the data layer you already have
We'll white-glove integrate Simplex with your existing provider data sources.