Benefit Administration Software

Plexis Claims Manager is an integrated Microsoft SQL™ Server-based healthcare information system providing complete benefit administration, medical and vision claim processing, and reporting features for organizations in a competitive healthcare IT environment. By providing benefits administration software that is tailored to reduce costs, Plexis Claims Manager helps improve healthcare delivery and delivers a solid return on technology investments.

Integrated Benefit Administration, Claim Processing and Reporting

Plexis Claim Manager's integrated benefit administration, claim processing and reporting functions make it easy to manage health plan data. From premium billing and referral authorizations to accumulators and custom reports, the Plexis rules-based engine makes it easy to change processes and respond to trends that impact your bottom line.

Flexible Standard and Custom Reporting

Plexis Claims Manager provides powerful automated reporting capabilities that allow you to query any information in your database, extract data with any ODBC-compliant software, and create standard or custom reports on any data in the claim processing or benefit administration process. Plexis Claim Manager's reporting features allow organizations to forecast benefit changes, identify healthcare billing trends and new cost-saving opportunities with hard data.

Broad Scalability to Grow with Your Business

Plexis Claims Manager is capable of administering unlimited benefit plans, provider contracts, and members - there's no need for additional systems as your business expands.

HIPAA Ready

Plexis Claims Manager is HIPAA-ready, providing use of standard HIPAA code sets such as NPI, ANSI, Result/EOB codes, CPT/HCPCS and ICD codes, etc. Additionally, EDIWorks™ provides HIPAA compliance through Claredi certification.

Download the Plexis Claims Manager™ Product Brief