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Web-based Claim Processing, Benefit Administration, and Support
The Internet has revolutionized access to healthcare information for many consumers and businesses. Healthcare information systems can use Web tools to provide consumers with access to medical records, provider information, and other healthcare data. Web-based healthcare software also offers self-service Web portals that allow consumers to perform a wide range of administrative functions, including enrollment, eligibility, registration, claims, etc. By providing consumers with self-service healthcare portals, payers improve efficiency and reduce costs associated with call centers.
For Healthcare TPAs, Plan Sponsors, Agents/Brokers, Members & Providers
WEBWorks integrates with Plexis Claims Manager's database and provides healthcare TPAs, plan sponsors, agents/brokers, members and providers with an easy-to-use healthcare Web portal that allows them to instantly communicate and share data in real time. WEBWorks also allows access to third party healthcare information system data, connecting claim adjudication data with other vendor functions, such as data from the pharmacy benefit manager (PBM), creating a data warehouse, and allowing healthcare TPAs to provide cost reports against the entire continuum of care.