API to submit prior authorizations
AI agents to enroll providers with payors
Simplex is an API to submit prior authorizations. AI-native health clinics integrate us with their clinical data layer to get GLP-1s, ADHD medication, and more approved by health insurance.
Simplex builds AI agents to handle provider enrollment end-to-end, including NPI verification, CAQH profile creation and re-attestation, payer portal enrollment, daily and weekly status checks, and appeals on denial.
Simplex shifted from providing an API for prior authorizations (insurance approval for medications) to building AI agents for provider enrollment (handling credentialing/admin for healthcare providers with insurers). The core product and use case changed significantly, though both are in healthcare admin automation.
AI agents to enroll providers with payors(viewing)
Synthetic datasets for vision models