Health Claim Processing and Benefit Administration Solutions for TPAs and Self-Insured Employers

Plexis LCS software for TPAs and self-insured or self-administered employers is a complete claims processing and benefits administration software package that is affordable, easy-to-use, and can be installed in less than 60 days.

Ideal for small and mid-sized healthcare TPAs, the Plexis LCS claims management system requires no IT staff, manages a wide range of healthcare plan designs, uses a familiar Windows technology to easily integrate into your existing office platform and reduce training time.

Medical, Dental, and Vision Claims Processing

Plexis LCS claims processing software for TPAs includes benefit administration and customer service requirements for organizations that provide self-funded, self-administered healthcare benefits to employees. In addition to providing end-to-end medical, dental and vision claim processing, Plexis LCS claims management software also processes worker's comp, COBRA, Flex 125, prescription drug, long term disability and short term disability claims.

Plexis LCS claims processing and benefits administration software capabilities include premium billing and payments, reporting and plan cost modeling for healthcare TPAs and self-funded groups. The Plexis LCS claims system also automatically tracks eligibility status, plan deductibles, co-insurance, maximums and limits, and provides real-time benefit calculations.

Reduce Benefit Administration Costs, Boost Claim Processing Productivity

Healthcare TPA and self-insured organizations boost claims processing productivity and reduce costs associated with benefit administration with Plexis LCS.

• Eliminates redundant processes, including the need to re-enter healthcare claims information
• Fully integrated database eliminates multiple database maintenance
• EDI capability saves time and staff expense