Core Software

Plexis engineers and healthcare software designers develop Plexis' benefit administration and claim processing software with your business in mind. Because every healthcare organization is unique, Plexis healthcare software employs a flexible, rules-based engine. This rules-based architecture allows our business analysts and project managers to work with you to create a seamless healthcare information system that is tailored to your organization. Combining flexibility, scalability, and powerful reporting and workflow tools, Plexis healthcare software keeps your operations running smooth and gives you the data tools you need to make smarter, faster decisions.

Reliable, Flexible Healthcare Software Keeps Your Business Growing

Plexis healthcare software focuses on a system's long-term reliability and flexibility to respond quickly to changes in the healthcare market. Unlike conventional software systems that require teams of programmers to change hard source code, Plexis managed care 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 change with 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 processing functionality to serve health plans, provider-based groups, TPAs, PPOs, and other healthcare organizations. Click a product name or icon below to learn more.


	Plexis Quantum Choice Enterprise benefit management system built with N-Tier architecture on a .NET platform. Scalable via RAIS to meet any claim processing volume. User configurable fields and rules allow you to streamline workflows and eliminate unnecessary claim pending.
Related Links:	Quantum Choice Home Page Download the QC Product Brief

	Plexis Claims Manager Award-winning benefits administration and claims processing software handles everything from fee schedules, benefit plans and providers, to premium billing, custom reports and workflow tools.
Related Links:	PCM Home Page Download the PCM Product Brief

	Plexis LCS Plexis LCS claims processing software is designed for TPAs and self-insured or self-administered employers. Plexis LCS provides complete claims processing and benefits administration that is affordable, easy-to-use, and can be installed and in production in less than 60 days.
Related Links:	LCS Home Page Download the LCS Product Brief

Plexis Add-on Component Software

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


Plexis Analytics Plexis Analytics is a complete application that streamlines the performance management of healthcare payer organizations with planning, budgeting, forecasting, reporting and analysis.
Related Links:	Plexis Analytics Home Page Download the Analytics Product Brief

Plexis Direct Combining the power and flexibility of Plexis Claims Manager with Plexis Direct allows claims to be submitted and adjudicated in about the same time as a credit card transaction.
Related Links:	Plexis Direct Home Page Download the Direct Product Brief

Plexis EDIWorks Healthcare EDI interface supports major HIPAA formats and includes a rules engine and XML-based API for implementing proprietary import and export routines.
Related Links:	Plexis EDIWorks Home Page Download the EDIWorks Product Brief

Plexis WEBWorks 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.
Related Links:	Plexis WEBWorks Home Page Download the WEBWorks Product Brief

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