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Last updated on April 16, 2014 at 11:48 EDT

Softheon Passes First Phase of Connectivity and Direct Enrollment Testing for the Federally Facilitated Marketplace, Massachusetts and Oregon State Based Marketplaces

August 8, 2013

STONY BROOK, N.Y., Aug. 8, 2013 /PRNewswire/ — Softheon, Inc., recognized as the leader in health insurance marketplace integration, announced today its successful completion of connectivity testing for its health plan partners utilizing Softheon Exchange Connector Cloud to integrate with the Federally Facilitated Marketplaces (FFM). Softheon has also completed similar connectivity testing, including the real-time rating interfaces with Massachusetts and Oregon State Based Marketplaces (SBMs).

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This marks a momentous moment for Softheon, validating that Softheon Technology effectively communicates with not only the Federal but also several State Based Marketplaces. Since 2008, being the first technology company working with nation’s only full service state health benefit exchange, Massachusetts Health Connector, Softheon is uniquely qualified to be the trusted partner for health plans who are looking to participate in health insurance marketplaces. As of August 1, over 35 health plans and CO-OPs have chosen Softheon as the business and technology integration platform for ACA health insurance marketplaces. Adding to Softheon’s “excellent track record and well-crafted design” a comment recently stated by a leading analyst firm, many health plans have selected the Softheon Exchange Connector Cloud platform for their integration with Cover Oregon SBM.

“Softheon could not be more proud of passing the first phase of Connectivity Testing,” stated Eugene Sayan, Founder and CEO of Softheon. “This is a significant accomplishment not only for Softheon, but for our health plan partners that have selected Softheon Exchange Connector Cloud as their exchange integration platform of choice.”

After successfully connecting to the FFM and the Federal Data Services Hub (DSH) and validating Softheon’s Direct Enrollment capabilities, Softheon is poised to complete the remaining phases of onboarding process for its health plan partners,” Sayan added.

Softheon Direct Enrollment provides validation of eligibility requirements in real-time, by transmitting enrollment and eligibility data extracted from multiple repositories via the Softheon Exchange Connector Cloud. This streamlined process leverages Softheon Technology, to offer service-based integration with the FFM and the Federal Data Hub Services (DHS). Information is then delivered to health plans in standard 834 or customized format for member effectuation, while significantly reducing if not eliminating the need for costly and time consuming configuration efforts in core systems, such as TriZetto Facets, TriZetto QNXT, Amisys, HealthEdge, and ikaSystem.

Softheon Exchange Connector Cloud is a process-driven BPM and ESB edge computing platform that will mediate the interactions between marketplaces and health plan partners’ existing IT assets with the goal of minimizing changes to existing information systems and processes. Softheon Exchange Connector serves as an abstraction layer, isolating Insurer systems from the diverse and changing functional, technical and integration requirements of the Federally Facilitated or State exchanges.

About Softheon

Empowering the nation’s only fully operational state health exchange since 2008, Softheon’s vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Exchanges (HIX), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon’s Exchange Connector Cloud has been trusted by over 35 health plans as an accelerated federal and state health insurance marketplace integration platform. Exchange Connector Cloud is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of meeting October 1st open enrollment and other mandates.

To find out more about the Softheon, visit www.softheon.com.

SOURCE Softheon, Inc.


Source: PR Newswire