Benefit Administration Software for Dynamic Healthcare Organizations

Medical Claim Processing ‚ Dental Claim Processing, Vision Claim Processing‚
EDI and Healthcare Web Portal Software

Plexis benefits administration software automates medical claims‚ dental claims and vision claims processing for healthcare organizations across the U.S. and in several other countries. The Plexis team designs‚ develops‚ installs and provides life-long support for its health claims software‚ healthcare EDI and benefit management solutions.

As a Microsoft Certified Partner‚ Plexis builds familiar Microsoft Windows-based healthcare information systems that take advantage of the latest processing technologies. Our award-winning Plexis Claims Manager is a rules-based claims adjudication software package that improves productivity and provides control over data that allows healthcare IT executives to manage change and make smarter‚ faster decisions.

In addition to Plexis Claims Manager benefit administration and claims processing software‚ Plexis also offers WEBWorks‚ an easy-to-use healthcare web portal that supports disease management and consumer-directed healthcare (CDHC) programs‚ as well as EDIWorks‚ which provides seamless HIPAA-ready electronic data interchange (EDI). Plexis Quantum Choice is an enterprise management system built using a .NET platform and N-Tier architecture. Quantum Choice is scheduled for release in 2008.

Claim Adjudication Software Tailored for Health Plans‚ TPAs‚ PPOs‚ Long Term Care Providers and other Healthcare Payor Organizations

Plexis healthcare information system’s auto-adjudication and workflow management tools save time and money for a wide range of healthcare organizations. A rules-based claims processing engine can be tailored to perform as managed care software‚ health insurance software‚ PPO repricing software‚ long term care software‚ or TPA software. Our business analysts work closely with your staff to ensure our claims software provides the functionality that perfectly fits your organization. Plexis claims software also supports Medicaid claim processing‚ Medicare claim processing‚ Medicare Advantage claims processing‚ PACE benefits administration‚ and consumer-directed healthcare administration. By developing strong partnerships with the healthcare IT industry’s leading vendors‚ Plexis also supports pay-for-performance reimbursement models to provide seamless‚ end-to-end healthcare software solutions.

Plexis Benefits Administration Software Gives Your Healthcare Organization the Tools to Succeed

Select your type of organization from the list below and see how Plexis healthcare information systems can revolutionize the way you do business...