Automate personalized member letters and service materials
With accuracy and built-in compliance.
From Service Gaps to Seamless Support
The Challenge
Every member touchpoint affects satisfaction scores, call center volume, and retention rates. Manual letter production creates delays, errors, and inconsistent messaging that frustrates members and increase operational costs.
Our Solution
Simplify Docs™ transforms member communications from reactive firefighting to proactive engagement with intelligent automation, personalization, and multi-channel delivery.
Everything You Need to Communicate with Clarity
From onboarding to grievances, manage all member documents in one place.
- ID Card Inserts and User Guides
- Reimbursement Forms – Pharmacy, Medical, International
- Authorization Forms
- Drug Formulary Requests
- Appeals and Grievances
- Explanation of Benefits (EOB)
- Step Therapy Criteria
- Prior Authorization Criteria
- Member Rights Statements
- Appointment of Representative Form
- Formulary Request Forms
- Know Your Medical Rights
Everything You Need to Communicate with Clarity
From onboarding to grievances, manage all member documents in one place.
- ID Card Inserts and User Guides
- Reimbursement Forms – Pharmacy, Medical, International
- Authorization Forms
- Drug Formulary Requests
- Appeals and Grievances
- Explanation of Benefits (EOB)
- Step Therapy Criteria
- Prior Authorization Criteria
- Member Rights Statements
- Appointment of Representative Form
- Formulary Request Forms
- Know Your Medical Rights
Centralized Templates. Personalized at Scale.
Support personalization, compliance, and localization—without adding complexity.
Stay Ahead with Consistent Member Communication
- Ensure member letters and resources align with the latest benefit and regulatory updates through automated workflows.
- Leverage smart template reuse to maintain consistency across all member touchpoints.
- Comprehensive audit logs and version control provide complete transparency for compliance needs.
- Get proactive updates so member communications always reflect current policies and programs.
Simplified Reviews for Member-Ready Communications
- Collaborate easily with member services, legal, and compliance teams on every communication piece.
- Gain clarity with automated version tracking and transparent review processes.
- Efficiently manage feedback to speed up approvals and dispatch timelines.
- Rely on visual comparison tools and checklists to confirm accuracy before distribution.
Translate Member Materials Confidently
- AI-powered translations and expert linguistic review ensure contextual clarity and language accuracy.
- Translations iteratively align with changes in original English documents for ongoing accuracy.
- Benefit from translation memory optimized for member communication and healthcare terminology.
- Materials available in 150+ languages and accessible formats like 508, PrintX, Word, and large print.
Personalize Forms and Notices with Ease
- Dynamic templates ensure each member receives personalized and accurate communication.
- Smart placeholders populate member- or plan-specific details automatically.
- Formatting elements such as headers, TOCs, and page structures are system-managed for consistency.
- Simplify Healthcare’s end-to-end managed services ensure high-volume communications are delivered flawlessly and on time.
Delivery Ready Files
- One-stop shop for automated generation of print-ready documents in multiple formats:
- 508
- Word
- PrintX
- Large Prin
- Translated documents in all the above formats.
Improve Member Experience
- Omni-channel reuse of content and rules ensures accuracy and consistency
- Seamless integration ensures member materials are kept updated on a near real-time basis
- Access to materials with accurate information and consistent branding ensures member satisfaction.
Leverage AI Built for Document Use Cases
- AI-powered rich text editors enable content authoring, advanced formatting, instant translations, and human language rule writing.
- BNi–your personalized native intelligence assistant to facilitate smart document querying, comparison, and summarization.
Centralized Templates. Personalized at Scale.
Support personalization, compliance, and localization—without adding complexity.
CMS Season Just Got Simpler
"Simplify Healthcare has truly been a business partner for us. We generate 100+ documents across all our plans, and we’ve been able to get those documents out to our population a lot quicker than we ever had in the past. Production timelines are reduced by 33%."
— Wade Everett
Manager of Government Products at Independent Health.
Quantified Results:
- 33% reduction in document production timelines
- 100% compliance achieved with automated validation
- Certified translations in 150+ languages
- Zero missed compliance deadlines
Let’s Simplify Your Member Communications
Put your servicing documents on autopilot—from letters to guides to forms.
