SERFF Preparation

Your tailored roadmap to SERFF success

Welcome to the ultimate in SERFF preparation, proudly brought to you by ClearFile. We’ve expertly integrated deadline tracking & management, template validation, quality assurance, and upload-ready files for SERFF, making the complex world of filing easy to navigate and master.

Deadline Tracking and Management

Our platform ensures that every health plan can navigate its QHP filing process with full awareness of their timelines. ClearFile pre-loads all the templates the plan needs to complete based on the states in which it’s filing in. We have integrated due dates into the system, ensuring that all document types are filed on time. 

Template Validation & Quality Assurance

ClearFile’s Template Validation and Quality Assurance feature offers an additional layer of scrutiny before files are uploaded to SERFF–substantially reducing the chances of file validation failure and ensuring a smooth upload process.

This feature provides:

  • Reduced chances of file validation failure on SERFF, ensuring a smoother upload process.
  • An organized “completed” queue for administrators to validate work efficiently.
  • Enhanced quality control from the outset, facilitating a smoother process on the back end.

Upload-Ready Files for SERFF

Say goodbye to the chaos of navigating through countless files and folders. ClearFile organizes all your relevant documents, ready for upload to SERFF, significantly reducing complexity and potential for error during the upload process.

This feature provides:

  • Neatly organized files, reducing the complexity and potential for error during the upload process
  • Streamlined upload process with all relevant documents organized and ready for SERFF
  • Time-saving solution, eliminating the need to navigate through multiple files and folders

Request a Demo

Are you responsible for safeguarding your healthcare payor and provider’s financial strength? Reclaim integrity with Penstock.
Accuracy for All

Built for Growing Teams

For Administrators

ClearFile redefines communication, making the coordination of tasks seamless and effective. Forget about email threads – assign tasks and manage filing work within the platform itself. Effortlessly assign state-specific tasks to dedicated editors, or use a “bulk action approach,” for larger assignment batches. ClearFile streamlines workflow but enhances overall productivity and quality of regulatory filing. 

For Editors

ClearFile simplifies the regulatory filing process by offering user-friendly assistance and SERFF-ready templates, significantly improving editors’ success rate. We provide all the tools necessary for editors to complete their tasks efficiently, accurately and in line with regulatory standards, reducing filing errors and boosting productivity. With ClearFile, successful filing is easier than ever. 

For Leaders

ClearFile doesn’t just facilitate the regulatory filing process – it transforms it. Our technology cuts filing time in half, freeing up resources to focus on strategic growth plans. Expand into new markets with a more manageable, efficient system for navigating varying regulations. With ClearFile, health plans are not just compliant, they’re competitive, primed for growth and ready to seize new opportunities. 

Get Inspired

Featured Resources

Explore regulatory compliance insights and tips for health plan growth and success.
2 min read
3 min read

Frequently Asked Questions

If you can’t find the answer to your question here, don’t hesitate to contact us directly. Our team is here to provide personalized assistance and help you with any inquiries you may have about our technology or services.

On average it takes a filer 1,500 hours per year to execute pre and post submission filing work

Clearfile reduces work implementation efforts by 50%, leaving an extra 750 hours per year to allocate to other projects

From regional health plans aiming to expand their reach to large carriers needing help to stay updated, ClearFile is your go-to solution. We also cater to various roles within hospital health plans, non-profit or for-profit health plans, and divisions of insurance. Our platform is also perfect for professionals working in State-Based Marketplaces (SBEs), Federally Facilitated Marketplaces (FFM), and National Accounts. Furthermore, ClearFile is a versatile platform that can benefit health plans of all sizes, from small to medium and large, as well as consultants and subcontractors operating in the healthcare sector. 

If you are involved in any capacity with ACA compliance, regulatory filing, or strategic planning within the healthcare industry, ClearFile has something to offer you. Our technology is here to ensure you navigate the complex landscape of healthcare regulation with ease and efficiency.

ClearFile takes the stress out of keeping up with constantly changing legal requirements. From clear deadlines to simplified filing directions, everything you need for success is available within the platform. ClearFile also provides measurable analytics, enabling our clients to track their progress and make data-driven decisions. This comprehensive approach ensures that our clients achieve filing success, keeping them compliant, informed and ready for any regulatory challenge that comes their way.

Our software integrates directly with the official system where state rules are issued throughout the year, so you never miss an update. We also keep tabs on the major federal rules to ensure our partners’ compliance. If you’re overwhelmed by the sheer volume of legislation to review, we’ve got you covered. Our process can condense around 100 pages of legislation from various sources into an average of just a single page. This includes everything needed for your health plan, whether it operates on a State-Based Exchange (SBE), Federal Marketplace (FFM), or off the exchange. All this crucial information, including important due dates, instructions, and supporting documents for each state, is stored in our software platform. This serves as our main distribution channel, making it easy for every user to access the resources they need to stay compliant and informed.

Start by exploring our demo and meeting our team to understand how we’re elevating regulatory filing. Our comprehensive resource library and user guide, along with a dedicated Client Success Manager, make onboarding smooth. The setup is quick and tailored to your needs, ensuring your filing success story starts off strong.

Penstock offers stellar customer service with guaranteed response times for support inquiries through our dedicated Help Desk. From 8am – 8pm EST, our experts are ready to provide timely assistance. Our implementation and ongoing support offerings range from a technology-focused SaaS solution to a flexible hybrid model and even a full-scale outsourcing service. We’re committed to flexibility, ensuring our involvement aligns with your needs.

At ClearFile, we prioritize data protection, and our SOC 2 Type 2 Report affirms our commitment to data security. Our systems undergo yearly HIPAA-HITECH IT Security Risk Analysis to maintain compliance with health information regulations. Additionally, our data is stored securely across multiple ISO/IEC 27001:2013 and NIST SP 800-53 certified locations. We use advanced encryption methods, adhere to OWASP Web Security Testing Standards, and support SSO and MFA for added security layers. And we meet all CMS and State DOI healthcare regulatory and compliance certifications.

Standardized reviews of an Issuers Good Standing are a key part of vetting new clients to ensure they are an active Life and Health, commercial product carrier authorized by states they participate in, and by CMS to transact fully insured health insurance to members and persons of a given geography. This includes robust evaluation of quality ratings, any conservator/receivership, and health and wellness of the Qualified Health Plan product to ensure there are no risks to be mitigated up front.

ClearFile proactively seeks out, addresses, and implements improved processes throughout each year. We perform robust lessons learned exercises during Q3 and Q4 of each year post-certification with each individual stakeholder business area (and collectively) to align on what went well, opportunities for improvement, and execution to the following year’s implementation and project plans. This is a critical exercise that we have proven to be incredibly successful with clients. From reducing change controls, objections, filing re-openings, to also modifying the product to be more competitive (e.g. implementing new VBID programs, QHP marketing AEP campaigns, evaluating new metrics and analytics, and more).

We’re active members of many health plan associations and we attend standing weekly CMS QHP Webinars, as a part of the REGTAP listening series. We also attend industry-wide calls to collect, disseminate, and distribute real-time updates to our client and carrier partners. Data is benchmarked year-over-year to assess changes and are cascaded down to stakeholders. This is inclusive, but not limited to real-time, door-to-door delivery of all state filing guidance and timeline updates via the SERFF system as binders are configured each year using our proprietary ClearFile Software integration with the NAIC’s open APIs attached to the SERFF system.

ClearFile supports filing for Qualified Health Plans as well as the following:

  • Medicare Advantage Filings
  • RxDC
  • Standalone Dental Filings
  • Integrated Dental/Vision Filings
  • Network Filings (All Products) – Contracting
  • Large Group (Defined as 51+ lives)
  • Mental Health Parity Certification Filings
  • Accreditation, Re-accreditation Filings
  • Certificate of Authority License
  • NCQA Multicultural Distinction

And other supplemental filing & submission

We're always innovating.

Our team is continuously inventing and launching new solutions. Subscribe to our newsletter for the latest news & updates from Penstock.