Simplex operates automated agents that handle provider enrollment work for healthcare organizations: managing CAQH profiles, submitting enrollment applications, chasing follow-ups, fixing corrections, and tracking each enrollment to a final payer decision across portals such as PECOS, CAQH, Availity, and UnitedHealthcare. It also offers a developer SDK (Python/TypeScript) for remote browser sessions, natural-language web automation, and a Prior Auth API/SDK that resolves payer clinical question sets and fills and transmits fax prior-authorization forms. Data can be connected via Airtable, spreadsheets, or internal systems, with every action logged and evidenced by step logs and video.
What it's for
Features 19
- Automated follow-ups and correction handling
- Automated portal login and 2FA handling
- CAPTCHA detection and handling
- CAQH profile management and attestation
- Daily portal and inbox monitoring for status changes
- Document upload during application submission
- Enrollment application submission across payer portals (PECOS, CAQH, Availity, UnitedHealthcare)
- Evidence packets with step logs and video of every action
- Field-level validation of provider records before submission
- Natural language page actions
- OAuth-scoped data reads and delegated mailbox access
- Prior Auth SDK for resolving clinical question sets and filling fax PA forms
- Python and TypeScript SDKs
- Remote browser session management
- Representative portal access with dedicated MFA
- Session logs and replay for auditing
- Status sync back to Airtable, spreadsheets, or internal systems
- Structured data extraction from web pages
- Webhook request signing for security
At a glance
Integrations
Complianceself-reported
Pricing
Pricing is quote-based and charged per finished enrollment, with no platform fee, seat charges, or minimums, billed month-to-month.
Pricing is not per seat, per credit, or per attempt; quote provided per enrollment
No platform fee, no seats, no minimums, billed month-to-month
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