With an automated, rules-based system that which optimizes productivity and significantly reduces costs, Plexis Quantum Choice™ provides extensive dental claim processing capabilities. Rules-based technology offers health insurers, TPAs and managed care organizations the dental benefit administration flexibility required to achieve growth and provide superior service.
Easy to Build Unique Dental Plans
Dental plans offer subscribers a wide array of unique benefits packages. The Plexis dental claim processing solution allows benefit administrators to build a virtually unlimited number of unique specialty plans, including coverage incentive features for promoting superior client retention.
Dental Claims Auto Adjudication
Quantum Choice™ makes it easy to build your business rules right into the claims editing process. Users may automatically approve, deny or pend claims based on very specific criteria. Dental claim processing and auto-adjudication is accomplished by entering claim processing data on an ADA-like claim entry screen. Dental claims transfer smoothly from their source to final preparation for payment in seconds. In addition to auto-adjudicating claims, Quantum Choice™ enables organizations to offer web access to consumers and trading partners, and provides HIPAA - ready EDI services (including support for 837D X12 file formats) to aid in improving customer service.
Dental Claim Processing Features Save Time and Money
Quantum Choice™ includes the detailed automated functionality you need to streamline dental claims operations. Installing this leading technology solution can improve the operational efficiencies of dental organizations of all sizes, saving thousands of dollars and providing a rapid ROI.
Plexis Dental Claims Solution and the Bottom Line
Automated rules-based adjudication improves productivity by reducing claims processing time, reducing errors, and leaving fewer dental claims pended due to data validation issues. 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.