Claim Adjudication Software Tailored for Health Plans, TPA, PPOs, Medicaid, State and Federal Employee Plans and other Commercial and Government Healthcare Payer Organizations

Plexis provides rules-based claims adjudication software packages that improve productivity and provide unparalleled data control, allowing healthcare IT executives to manage change and make smarter‚ faster decisions. As a Microsoft Certified Partner‚ Plexis builds familiar Microsoft Windows-based healthcare information systems, leveraging flexible service-oriented architecture (SOA) to take advantage of the latest processing technologies.

In addition to our core benefit administration and claims processing software‚ Plexis offers modular components that integrate seamlessly with Plexis LCS™, Plexis Claims Manager™ and Quantum Choice™ to expand functionality. Options include an easy-to-use web portal, HIPAA-ready electronic data interchange (EDI), business activity monitoring (BAM) and online claims processing software.

Claim Adjudication Software Tailored for Health Plans‚ TPAs‚ PPOs‚ and other Healthcare Payer 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‚ or TPA software. Our business analysts work closely with your staff to ensure optimal compatibility with your organization. Plexis claims software also supports Medicaid claims processing, Medicare and Medicare Advantage claims processing‚ and PACE benefits administration.

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...