Because every healthcare organization is unique, Plexis healthcare software employs a flexible, rules-based engine. This rules-based architecture allows our business analysts to work with you to create a comprehensive healthcare information system tailored to your organization. Combining flexibility, scalability, and powerful reporting and workflow tools, Plexis healthcare software gives you the data tools you need to keep your operations running smoothly.

Reliable, Flexible Healthcare Software Keeps Your Business Growing

Plexis healthcare software focuses on a system's long-term reliability and flexibility to quickly negotiate changes in the healthcare market. Unlike conventional software systems requiring teams of programmers to change hard source code, our software's powerful rules engines make it easy to change processes without reprogramming the entire system. Plexis' benefits administration and claims processing software allows healthcare organizations to offer new products and adapt to the marketplace without making costly changes to the healthcare information system.

Plexis Core Healthcare Software Applications

Plexis core healthcare software integrates complete benefits administration and claims management.

Enterprise benefit management system embraces a service-oriented architecture (SOA) supported by Microsoft SQL Server and .NET and is widely scalable via RAIS to meet the largest of claim processing volumes. Rules-based technology and configurable fields offer healthcare organizations, including specialty vision and dental plans, unlimited plan design flexibility.

Award-winning benefits administration and claims processing software handles everything from fee schedules, benefit plans and providers, to premium billing, capitation, custom reports and workflow tools.

Plexis LCS claims processing software is designed for TPAs and self-insured or self-administered employers. Plexis LCS provides complete claims processing, premium billing and benefits administration that is affordable, easy-to-use, and can be installed and put into production in less than 60 days.

Plexis Add-on Component Software

Plexis healthcare software components seamlessly integrate with Plexis Claims Manager and Quantum Choice to optimize functionality.

Plexis Alerts™ Advanced Business Activity Monitoring (BAM) technology generates activity status reports, monitors and responds to incoming email and automatically sends alerts and notifications according to user-defined rules.

Healthcare EDI interface supports major HIPAA formats and includes a rules engine and XML-based API for implementing proprietary import and export routines.

Advanced Web front end that supports consumer-directed health plans (CDHPs), health savings accounts, disease management, and other emerging programs. In addition, WEBWorks offers predictive modeling and analytic tools to help your business grow.

Combining the power and flexibility of Plexis Claims Manager with Plexis Direct allows claims to be submitted and adjudicated in approximately the same time as a credit card transaction.