Solution Packages > Member Resources
Automate personalized member letters and service materials
With accuracy and built-in compliance.
The Challenge
Medicare Advantage Organizations struggle with annual updates, shorter review cycles, multi-language requirements, and manual processes that risk CMS deadlines.
Our Solution
Simplify Docs™ removes bottlenecks with automation, content reuse, and compliance—dynamically pulling PBP values and auto-generating translated, large print, 508, and Print X formats.
Generate, translate, and review CMS-regulated documents
With 100% compliance and audit-readiness built in.
The Challenge
Medicare Advantage Organizations struggle with annual updates, shorter review cycles, multi-language requirements, and manual processes that risk CMS deadlines.
Our Solution
Simplify Docs™ removes bottlenecks with automation, content reuse, and compliance—dynamically pulling PBP values and auto-generating translated, large print, 508, and Print X formats.
CMS Rules Change. Your Workflow Shouldn’t Break.
The Challenge
Medicare Advantage Organizations face increasing pressure with annual model updates, shortened review cycles, and multi-language requirements. Traditional manual processes create bottlenecks that risk missing critical CMS deadlines.
Our Solution
Simplify Docs™ reduces manual work through automated model updates, intelligent content reuse, built-in CMS validation rules, dynamic incorporation of Plan Benefit Package (PBP) values, and auto-generation of translated, large print, 508, and Print X formats.
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
Every Mandated Document. One Intelligent Workflow.
From ANOCs and EOCs to EAE SNPs —Simplify Docs™ handles it all.
- ANOC (Annual Notice of Change)
- EOC (Evidence of Coverage)
- Summary of Benefits (SB)
- Employer Group Waiver Plan (EGWP) ANOC/EOC/SB
- Exclusively Aligned Enrollment(EAE) Special Needs Plan (SNP) ANOC/Handbook/SB
Built for Audits. Trusted by Teams.
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:
- Translated documents are available in all the above formats.
→ Word
→ PrintX
→ Large Print
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 facilitates smart document querying, comparison, and summarization.
Built for Audits. Trusted by Teams.
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%.
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.
150+ Languages
Certified translations across 150+ languages.
508-Compliant
Fully accessible, meeting Section 508 standards.
Print-Ready Formats
Includes large print and ready-to-print documents.