Plexis LCS Software for TPAs and
Self-Insured Employers Electronic Data Interchange (EDI)

Increase Claims Processing Efficiency by 500% with EDI

Plexis LCS claims management software for TPAs is fully enabled to accept and process electronic data from outside vendors and clients. Plexis LCS allows uses to receive electronic claims from any source and easily download them into the system. The electronic claims can be viewed as a simulated claim form (HCFA 1500 and UB92) to aid in claim review.

Electronic Claim Processing with Plexis LCS

Plexis LCS offers TPAs and self-funded employer groups time-saving EDI tools that make it easy to process accept, view, adjudicate, send and st6ore electronic claim data for future retrieval, reporting, and auditing.

Once electronic claim data is imported via EDI, operators view the claim, click once to enter the claims processing screen, and click again to adjudicate the claim. Once claim adjudication is complete, the operator reviews the claim and either sends it for payment or to pend.