What it sells
AI agents to enroll providers with payors
Business model breakdown
Buyer: who owns the budget?
UnverifiedProvider operations, credentialing or RCM leaders.
Trigger: what makes them buy now?
Manual provider enrollment and CAQH setup delay effective dates and billing.
Workflow: what inputs become what output?
From providers' CAQH logins, Simplex sets up CAQH profiles, enrolls them in Medicare (PECOS), Medicare Advantage and commercial payers via portals, rosters, email and PDFs, and flows effective dates into RCM tools.
Economics: what it saves and how it charges
Flat fee per completed enrollment plus annual fee for CAQH profile management.
Distribution: how it reaches customers
Get-in-touch sales; BAA signed before data sharing; integrates with Salesforce, Airtable.
Funding history and coverage
| Round date | Stage | Amount | Investors | Source |
|---|---|---|---|---|
| — | Y Combinator Summer 2024 | — | Y Combinator | ycombinator.com |
Profiles summarize public reporting and company websites. Business-model notes are MaxBC's reading of that material, not confirmed facts; unknowns are left blank rather than guessed. Updated 2026-10-12.