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What is PLEXIS Payer Platforms?

PLEXIS provides an extensive array of high-quality applications tailored to equip payers with the sophisticated functions necessary for modern core administrative systems. These applications feature capabilities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps can fulfill all your requirements. The Passport feature is essential for establishing vital connections between core administration and claims management systems, PLEXIS business applications, custom software, and existing internal systems. Its versatile API layer permits real-time integration with a variety of portals, automated workflow tools, and business applications, guaranteeing limitless connectivity. By utilizing this centralized and contemporary core administration and claims management platform, organizations can significantly enhance their workflows. This strategy not only streamlines the processing of claims but also alleviates the challenges tied to benefit administration, leading to a quick return on investment and the capacity to deliver outstanding customer service. Ultimately, PLEXIS enables organizations to excel in a healthcare environment that is becoming progressively intricate, ensuring they remain competitive and responsive to client needs.

What is Assurance Reimbursement Management?

Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care.

Media

Media

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

PLEXIS Healthcare Systems

Date Founded

1996

Company Location

United States

Company Website

www.plexishealth.com/platforms/

Company Facts

Organization Name

Change Healthcare

Date Founded

2007

Company Location

United States

Company Website

www.changehealthcare.com/solutions/revenue-cycle-management/reimbursement-management/assurance-reimbursement-management

Categories and Features

Benefits Administration

COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
Flexible Spending Accounts
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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