Health Plan Carriers

Health Insurance Sales Management Software

Health insurance plans that offer Medicare, Medigap, Commercial Group and Individual, as well as Prescription Drug Plans, require complex compensation calculations. They also have to adhere to specific compliance regulations established by the Centers for Medicare and Medicaid Services (CMS) and other needs.

Often health insurance carriers spend a significant amount of time and resources meeting these requirements, while also managing sales channels and meeting objectives.

EvolveNXT delivers a software solution that automates and simplifies commissions calculations for health insurance carriers.

Our all-in-one software suite automates back-end processes in sales and broker management and provides a portal to increase broker relations.

Built for Complex Health Care Sales Needs

Our software solution was originally built around CMS regulations and has been meeting the ever-growing needs of health insurance carriers for years, from broker channel management to sales execution.

Our software suite includes the following modules built for health plans:

Our core offering is EvolveICM- our commission calculations software for health insurance carriers. Instead of spending hours and vital resources calculating complex compensation payments to agencies and brokers, let our automated program do it for you. With over 1,000 configurable and flexible rule options, EvolveICM can generate accurate figures in as little as 10 minutes, even for eight-figure payments.

EvolveLeads processes, manages and distributes your leads to your sales channels, prioritizing qualified leads and assigning them to the correct broker. You can also track your lead progress and organize follow-up meetings to boost conversion rates.

EvolvePortal serves as the access point for sales channel members. It integrates all of the modules for a comprehensive overview of your data with everything in one place, including sales incentive notifications, communication networks, book of business management, commission statements and more.

EvolvePortal helps you manage your agencies and brokers, and automate your administrative workflows. This module also supports third-party integrations. One of its features is self-service for your agents, enabling them to upload and maintain their sales data and credentials in the system.

EvolveOB is an end-to-end producer onboarding and hierarchy management solution built specifically to manage the certification and contracting of brokers and agencies selling health insurance for our health plan clients. Integration with NIPR and background check vendors, as well as a training management system allows for an integrated and streamlined broker experience and guarantees efficient ready-to-sell management.


EvolveChat is a corporate communication channel for internal employees and external stakeholders. It is both secure and HIPAA-compliant, so it can serve as a place to discuss confidential information with confidence. Its capabilities include group chats and conference calls and screen and file sharing.

Make enrollments faster and easier with EvolveEnroll. This software as a service (SaaS) solution digitizes the enrollment process and allows brokers to compare plans and coverage so they can provide the best options for your members. You can achieve as high as 99% enrollment approvals.

EvolveDocs is a secure location where you can store, manage and share your essential business files. You can set rules for viewing certain documents to maintain confidentiality, and your files will be securely kept on our servers.

Benefits of Partnering With EvolveNXT

EvolveNXT was founded in 2011 and offers management solutions for sales channels and compensation for health insurance companies, since these are often the most challenging areas to tackle manually. With more than 10 years of experience in the health industry, we have partnered with some of the nation’s largest health insurance plans, and we will provide results for you as well.

When you choose to work with us, we will collaborate to define your requirements and create the best solution. Your health insurance commission management software may deploy in as little as 90 days, and our expert business analysts offer training and support for your staff. Our solution is the only one of its kind available in the market that is integrated into the cloud and covers all aspects of sales channel management for health plan carriers.

Software Advantage for Health Plans

Launching health insurance distribution management software offers your business many benefits. Our software modules were built to help health plans:

Generate Accurate Calculations
Manual calculations for compensation and commission may involve a complicated spreadsheet and hours of your time. Our automated software does this work for you. It can produce accurate calculations in as little as 10 minutes, whether it is an eight-figure payment or less. This feature will save you the time and hassle of having to do it yourself.

Automate Time-Consuming Tasks
Many of a health insurance company’s administrative tasks are essential yet time-intensive, such as payment calculations and change request workflows. Our programs automate many of these tasks, giving you more time to focus on high-level business objectives.

Ensure Compliance with Industry Regulations
Compliance is often the biggest concern for health insurance companies. Our solutions help ensure that you comply at all times. Many of our modules, such as EvolveChat, are HIPAA-compliant, allowing you to benefit from innovative software solutions while remaining in compliance.

Support All Sales Channels
Our modules support all of your sales channels, including internal sales and external agencies and brokers, for total support of your network. The health insurance commission management software is one of the best solutions available for computing Medicare, Medigap, Commercial and PDP compensation.

Incentivize Sales Growth
With our software, you can create incentive structures that are complex and conditional to encourage productivity from your brokers, increasing sales and profits.

Consolidate Data and Modules
Instead of having many services and logins for your various needs, let our service suite be your all-in-one solution. All of our features are available in one place for your convenience.

Request a Demo for Health Insurance Sales Commission Software Today

Software solutions for your health insurance company allow for greater efficiency to benefit your processes and bottom line.

Contact us today to learn more about how our commission software for health insurance carriers will bring a competitive advantage to your company. We can give your team an inside look into our software features and answer your questions about our solutions.

Register for our Webinar | May 22nd at 2PM
Sales Strategy In The New Regulated Environment