Category: Healthcare Technology
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.