Healthcare Operations Solutions for Healthplans
Take a symplr approach to healthcare operations tailored to payers
symplr Payer
Streamline all aspects of provider data management, including credentialing,
contracting, network management, quality improvement, and ongoing monitoring with a HITRUST certified solution.
symplr Directory
Best in-class provider search experience for members through an integrated provider data platform that streamlines operations and regulatory compliance standards.
symplr CVO Services
NCQA accredited & certified team performs primary source verification, expirables management, and ongoing monitoring services.
Quality Issue Manager Software
Effectively track grievances, complaints, and potential quality of care issues from inception to outcome.
Hayes Clinical Evidence Software
Make evidence-based and defensible choices for coverage policy, utilization management, and appeals decisions using our evidence reports and personalized support.
symplr Compliance Software
Tools to proactively identify, assess and remediate regulatory risk with payer specific content.