Provider enrollment, run for you —from CAQH setup to final determination
Simplex agents manage your providers' CAQH profiles, submit applications, chase follow-ups, fix corrections, and track every enrollment until the payer issues a decision.
Enrollment work grows multiplicatively.Enrollment teams don't.
Every provider you hire multiplies across every state they're licensed in and every payer you're in network with. It's an exponential problem handled today by flat headcount.
A physician licensed in all 50 states generates an enrollment record for every state and payer pair. Therapists and dietitians can generate tens of enrollments at a time.
On top of new licenses, COIs, and address changes that each cascade across CAQH, NPPES, PECOS, and every non-delegated payer.
Every payer has its own portal login, forms, rules, and follow-up method — and most of them are documented nowhere.
Tools make enrollment your problem.We make it ours.
- You build and maintain every workflow
- Bots break when portals change — your queue waits
- Billed per attempt or per credit, outcome or not
- Follow-ups and corrections stay your job
- Process knowledge lives in someone else’s heads
- QA by screenshots and recorded videos
- No per-enrollment visibility into what was filed
- PHI handled outside your compliance perimeter
- Agents submit, follow up, and fix corrections
- Every action evidenced with step logs and video
- Daily portal and inbox monitoring until decision
- Done means an effective date or a documented denial
How Simplex works
Connect Airtable, a spreadsheet, or your internal system. Simplex reads pending enrollments from your source of truth and writes every status back to it.
Agents validate every record before submitting. Missing licenses, bad NPIs, and contradictory data get flagged upfront with field-level detail.
For every provider and payer pair, agents complete the application on the portal: logins, 2FA, document uploads, and every portal quirk.
Every submission returns a tracking ID. Agents check portals and payer email daily, working corrections the morning they arrive.
Each enrollment runs to final disposition with an evidence packet: step logs and video of exactly what was filed.
Built to pass your security review
Vendor review is usually the slowest step in buying automation. We made it the fastest.
Independently audited. Report available under NDA.
PHI handled under HIPAA administrative, technical, and physical safeguards — encrypted in transit and at rest, with access logged.
HIPAA-compliant engagement from day one — BAA and NDA signed before a single record is shared.
Provider data never leaves the country — agents run in US cloud infrastructure, satisfying state offshoring restrictions.
Each enrollment carries a packet of step logs and video showing exactly what was entered and submitted. QA it like you’d QA a person.
OAuth-scoped data reads, delegated mailboxes on your domain, representative portal access with our own MFA — your email stays on file with payers.
Pay per finished enrollment.Not per seat, per credit, or per attempt.
A flat price per enrollment, charged when it reaches a final payer disposition — an effective date in hand, or a denial with the payer's documented reasoning. Corrections, follow-ups, and status tracking are part of the enrollment, not line items.
Keep your data where it is. Hand off the operations work on top of it.
We white-glove integrate with Airtable, spreadsheets, Verifiable, or other CRMs — and start submitting enrollments within days of the first call.