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Plexis International Claims Processing & Benefits Administration Software

Globalization has created many challenges and opportunities for international healthcare organizations. For example, many international organizations process a wide variety of medical claims and healthcare benefits that originate from different countries. Plexis healthcare information system supports three key areas necessary to international claims processing and benefits administration:

  1. Multi-currency Support
  2. Importing International Code Tables
  3. Web-based Automated Claim submission/adjudication (via Plexis Direct™)

International benefits administration require an integrated healthcare information system, such as Plexis Claims Manager. An integrated benefits administration system allows an international subscriber's demographic information to be maintained and easily accessed within the system to facilitate claims processing and auto adjudication.

Multi-currency Support for International Claims Adjudication

Multi-currency functionality is required by international organizations that have a single database for processing claims and premium bills from offices with multiple locations and currencies.

Importing International Procedure and Diagnosis Codes

International benefits administration and claims processing includes claims that originate from different parts of the world and include a variety of coding. International healthcare claim processing may involve CPT, ICD9, ICD10, French social security codes, and others.

Learn More about Plexis International Benefits Administration

Claims Processing White Paper:
Point-of care-settlement for Cayman General Insurance Partnership, remote access and multi-currency functionality

Industry Term

A term used with Medicaid mandatory managed care enrollment plans. Medicaid recipients who do not specify their choice for a contracted plan within a specified time frame are assigned to a plan by the state.

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