The implementation of next-generation enterprise core administrative payer technology from PLEXIS allows payers a greater capacity to transform at scale and meet the needs of a highly competitive and rapidly evolving industry.
PACE benefits include, but aren't limited to, all Medicaid and Medicare-covered services. PLEXIS enterprise core administrative platforms enable greater interoperability with advanced EDI technology.
Robotic process automation (RPA), provided by SymKey®, enables hyperautomation of healthcare claims processing 6-8 times faster for payers bogged down by the constraints of processing claims by hand.
Gartner's Market Guide for U.S. Healthcare Payers' Core Administrative Processing Solutions shows PLEXIS core administrative capabilities while outlining urgent new priorities for healthcare payer CIOs amid market and regulatory turmoil.
Group Health Plan (GHP) administrators, including third party administrators (TPA's) utilizing the Quantum Choice core administrative processing platform will now comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007.
Visium™ pricing and editing engine from Payer Compass adds rules-based customizable pricing to PLEXIS core administrative processing solutions (CAPS) platforms.
PLEXIS Claims Manager (PCM) and component apps will help PHCN scale their benefits system to match rapid business growth.
PLEXIS Logical Claims Solutions (LCS) and component apps help third-party administrators save time and money while providing greater value to their clients.
More than 100 organizations trust PLEXIS core administrative enterprise solutions to manage over 55 million lives in all 50 states and around the world.
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PLEXIS Invites Ringmaster Technologies to Provide Innovative Solutions for Stop-Loss Administration Processes to Its Clients
PLEXIS expands its Passport connectivity (web) services for use with the PLEXIS Claims Manager platform
PLEXIS Healthcare Systems announces the launch of Passport Connectivity Services, a suite of application interface services that enables healthcare payers to seamlessly connect data between its core administration systems and ancillary applications in real-time and batch.
HHS, Health Options, recently adopted PLEXIS' payer platform after a rapid implementation of approximately three months.