Simplex

Simplex is a provider enrollment automation service for healthcare organizations. Its AI agents set up and maintain provider CAQH profiles, submit enrollment applications to payers, chase follow ups, fix corrections and track each enrollment through to a final determination, then pass effective dates into revenue cycle tools. The service is aimed at medical groups and operators that credential many providers. Starting from provider CAQH logins, tax entity details and practice locations, the agents work inside existing systems, filling out payer web portals, uploading and downloading rosters, populating and electronically signing PDF applications, and replying to payer emails. Coverage includes traditional Medicare through PECOS, Medicare Advantage and commercial payers, with Medicaid listed as coming soon. Each run has a step by step log and a replay video of the agent's actions tied to the provider and payer. The vendor states that it is HIPAA and SOC 2 compliant and signs a business associate agreement before data is shared. It does not operate as a credentialing verification organization and instead integrates with systems such as Salesforce and Airtable. The vendor describes pricing as a flat fee per completed enrollment, with an additional yearly charge if it manages providers' CAQH profiles. The site does not publish the amounts.