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Softheon provides healthcare technology solutions for health insurers, government programs, state exchanges, and associations. Its platform includes eCommerce, eligibility checks, and enrollment tools designed to support the distribution and management of health plans such as ACA, Medicare, and Medicaid. The product helps insurers and government programs transform digital operations by automating and streamlining how plans are offered, enrolled, and paid for. Unlike narrower software providers, Softheon serves a broad base that includes health plans, government programs, brokers, and consumers, and it charges through subscriptions, transaction fees, and service agreements. The company is trusted by more than 60 health organizations and has managed millions of lives and processed billions of payments. The goal is to make healthcare more affordable, accessible, and plentiful by enabling efficient, scalable administration of health insurance.
Industries
Government & Public Sector
Enterprise Software
Financial Services
Healthcare
Company Size
201-500
Company Stage
Seed
Total Funding
$200K
Headquarters
Town of Brookhaven, New York
Founded
2000
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Total Funding
$200k
Below
Industry Average
Funded Over
1 Rounds
Industry standards
Health Insurance
Vision Insurance
Dental Insurance
401(k) Retirement Plan
401(k) Company Match
Home Office Stipend
Phone/Internet Stipend
Wellness Program
Unlimited Paid Time Off
Parental Leave
22 Health, a provider-sponsored health plan serving Broward County, Florida, has launched its first Affordable Care Act marketplace plans using Softheon's technology platform. The launch marks 22 Health's entry into the health insurance marketplace following its first open enrolment period. 22 Health is a division of Community Care Plan, owned by Broward Health and Memorial Healthcare System, which has provided healthcare coverage to Florida families for 25 years through state-sponsored programmes. Softheon provided comprehensive support for the marketplace launch, including shopping and enrolment processes, payment and billing support, premium reconciliation, and compliance assistance. The healthcare technology company, founded in 2000, has 25 years of experience providing ACA marketplace solutions and currently serves over 100 health plans.
Softheon is recognized as one of the World's Top HealthTech Companies of 2025 by TIME.
Softheon has been named as a Sample Vendor in the Hype Cycle for Healthcare Data, Analytics and AI, 2024.
Industry titans are actively patenting technologies, investing in promising startups, and engaging in strategic mergers and acquisitions like Softheon's acquisition of NextHealth technologies - underscoring the segments growth potential.
STONY BROOK, N.Y., April 3, 2024 /PRNewswire/ - Softheon, a leading cloud-based eligibility, enrollment, and billing provider for health plans and government agencies, today announces the launch of CITIZ3N, a subsidiary dedicated to revolutionizing government solutions in healthcare.
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Industries
Government & Public Sector
Enterprise Software
Financial Services
Healthcare
Company Size
201-500
Company Stage
Seed
Total Funding
$200K
Headquarters
Town of Brookhaven, New York
Founded
2000
Find jobs on Simplify and start your career today