The SoftCare Advantage

SoftCare is more than just software. We provide customizable health information solutions that offer seamless data integration and improved business processes. We find creative solutions to complex problems, so you can focus on growing your business.

Affordable, comprehensive clearinghouse solutions to speed receivables, ease claims reconciliation, and reduce administrative costs.

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Health Plans

Effective solutions that help insurers reduce the cost of care by facilitating enrollment, verification, claims and claim status processing and remittances, while ensuring regulatory compliance for ARRA and CORE.

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Third-Party Administrators

Comprehensive solutions to help TPAs facilitate enrollments, claims processing and regulatory compliance.

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Business Process Outsourcers

A HIPAA-compliant healthcare eligibility and claim status service providing a fully automated and integrated standardized business process for managing multiple payers and multiple clients.

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Brokers and Agents

Transaction processing services that help insurance brokers and self-insured employers implement 100% compliant carrier enrollments.

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Alliances that enable SoftCare to offer dynamic solutions, showcasing the latest in compliance, technology and best business practices.

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Products and Services

SoftCare solutions automate health information flow and improve transaction processing with both proprietary and open source technology. Our service professionals are leaders in health information technology and business processes, so we truly understand your unique challenges and can translate that knowledge into cost-effective, responsive solutions.
Enhanced Clearinghouse Services

Providers and other claim processors use SoftCare’s Web-based ClaimsPlus Clearinghouse’s advanced solution set to maximize reimbursements from payers.

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Secure Electronic Data Interchange

Industry leaders rely on SoftCare’s proprietary EDI software and industry experts to manage operations through secure document exchange.

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Managed Billing

Physician practices across the country count on SoftCare to maximize cash flow through timely billing and account reimbursement.

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Comprehensive software solutions that deliver interoperability
among healthcare providers, payers and intermediaries.