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EDI Healthcare Software
Electronic data interchange (EDI) standards provide a shared language that enables healthcare organizations to interact electronically. Plexis EDIWorks offers significant benefits over traditional paper-based claim processing, including improved accuracy, efficiency, speed, and lower investment in claims processing and health information systems.
Plexis EDIWorks software is customizable to provide a dependable, efficient and flexible electronic gateway which, in conjunction with PCM, makes it easy for healthcare organizations to send, receive, process, store and verify electronic data from any source.
Plexis EDIWorks interfaces directly with our Plexis Claims Manager program for a seamless electronic data interchange solution that significantly reduces administrative costs associated with claims processing.
Plexis EDIWorks Includes 3 Powerful Features:
- Healthcare EDI interface built with a X12 translator
- Sophisticated rules engine for faster EDI implementation
- Customizable to meet an organization's proprietary requirements
These three features work together to translate, extract, transfer and load X12 and other data formats to communicate with Plexis Claims Manager for seamless electronic data transmission.
Claredi Certified EDI
Plexis EDIWorks has been certified to meet Claredi standards. EDIWorks supports major X12 formats and automatically integrates X12 data formats into Plexis Claims Manager.
Configurable Rules Eliminate Manual Data Entry
Plexis EDIWorks includes a rules engine that allows our knowledgeable Plexis EDI staff to map, scrub, translate and validate data and set specific business rules to your organization's unique needs. By supporting proprietary business rules, verifying the integrity of imported data and providing crosswalk functionality, EDIWorks saves time and reduces administrative costs associated with paper-based claims processing.