Plexis Healthcare Systems Bringing Native-run Health Care Organizations a New Standard of Flexibility, Productivity and Cost Savings
Introducing Plexis LCS Health Claim
Processing and Benefit Administration
for Self-insured Organizations and
IHS Programs
Plexis LCS™ provides Native-run health organizations,
Contract Health Care Programs (CHCP) and third party
administrators with a complete claim processing and
benefits administration package that is easy-to-use,
affordable, and flexible to meet the demands of your
growing operation.
Until recently Native-run heath care organizations have had few
options for acquiring affordable, cutting-edge claims management
technology. Many organizations are finding “home grown” systems and legacy technology such as the government-provided RPMS program insufficient to meet the challenging complexities of rapidly increasing productivity demands. Standards of consistent and accurate reporting and built-in flexibility to meet changing functional needs have necessarily risen to assure that member eligibility verification and vendor payments are timely and correct.
Plexis LCS™ is a complete, full-featured claims processing and benefits administration solution. Easy-to-use and affordable, this software can typically be implemented in less than 90 days. The Plexis LCS™ claims management system requires no IT staff, manages a wide range of healthcare plan designs and uses a familiar Windows technology for effortless integration into your existing office platform.
• Efficiency Advantage:
Process more claims in less time with greater ease and accuracy
Single screen entry accesses claim history, benefit accumulators and custom notes. Easily automate fee schedule repricing. Reduce funding times by electronically exporting registration and encounter data sets directly to HIS.
• Integrated Registration and Encounter Data Collection
Capture greater detail within contract health standard data sets.
• Electronic Data Interchange (EDI)
Receive electronic claims from virtually any source. View simulated claim forms to confirm accuracy. Store electronic claim information for future retrieval and audits.
• Advanced Multi-point, Multi-level Security
Automatically insert custom denial letters and system data into Microsoft Word documents. Automatically track and post to patient files.
• Scalable to Meet Tomorrow’s Government Healthcare Challenges
System security can be set at operator level. Control access to specific functions within areas of choice.
• Flexible Claims Analysis Reporting
Over 50 standard paid claims analysis reports include: Vendor Payments, Reporting by Denial Codes, Top Procedures, Diagnoses, Vendors, Claims By Age, CHEF reporting and many others.
• Microsoft Windows™ Technology
Plexis LCS™, built with Microsoft Windows™ technology, seamlessly integrates into your current office via familiar Windows™ interface.
• Plexicare High-proficiency Training
Training optimizes staff’s knowledge and efficiency by using exercises based on your specific business requirements.
