Plexis Alerts’ enhanced business activity monitoring (BAM) technology enables Plexis clients to identify and respond to business issues, enterprise-wide, by automatically sending alerts or notifications according to pre-defined means, when user-specified events related to an operational management function (e.g., claims, premium, capitation, etc.) occurs.
Plexis Claims Manager™
Plexis Claims Manager is an integrated Microsoft SQL™ Server-based healthcare information system providing complete benefit administration, medical and vision claim processing, and reporting features for organizations in a competitive healthcare IT environment. By providing benefits administration software that is tailored to reduce costs, Plexis Claims Manager helps improve healthcare delivery and delivers a solid return on technology investments.
Plexis Direct is a compact direct connectivity solution that offers provider-based groups many advantages. Plexis Direct provides universal data capture from any practice management system, a secure, automated path to web portals and ASP services, and also supports Payer edits, account ID's, knowledge-base, etc. Combining the power and flexibility of Plexis Claims Manager with Plexis Direct allows claims to be adjudicated in roughly the same time as a credit card transaction.
Electronic data interchange (EDI) standards provide a shared language that enables healthcare organizations to interact electronically. Plexis EDIWorks offers significant benefits over traditional paper-based claim processing, including improved accuracy, efficiency, speed, and lower investment in claims processing and health information systems.
Plexis LCS software for TPAs and self-insured or self-administered employers is a complete, full-featured claims processing and benefits administration solution. Affordable and easy-to-use, this software can typically be implemented in 90 days or less.
Plexis Quantum Choice™
Quantum Choice combines a user-configurable rules-based processing engine, .NET platform and distributed architecture to deliver a powerful new benefits management solution. Its state-of-the-art technology and Service Oriented Architecture (SOA) platform optimize your current business processes and allows for seamless integration with other applications within or outside your enterprise, thus allowing for use of workflow orchestrations between different applications to be tailored to meet your unique business processing needs.
The Internet has revolutionized access to healthcare information for many consumers and businesses. Healthcare information systems can use Web tools to provide consumers with access to medical records, provider information, and other healthcare data. Web-based healthcare software also offers self-service Web portals that allow consumers to perform a wide range of administrative functions, including enrollment, eligibility, registration, claims, etc. By providing consumers with self-service healthcare portals, payers improve efficiency and reduce costs associated with call centers.