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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 ClaimsVISION?

The system features customizable workflow components that are intricately woven into its overall architecture. These components, which encompass data pre-filling, quick navigation options, adaptable fields, and tools for managing task loads, work in harmony with adjustors, teams, and supervisors to foster a user-friendly and highly productive experience. A key characteristic of any effective system is its capacity to enable the smooth transfer of precise data for both internal and external reporting and interfacing. To bolster this function, PCIS has heavily invested in a proprietary B2B interface layer that aims to standardize, stage, and verify the accuracy of data flowing in and out of the database. This strategic initiative not only provides more cost-effective and flexible integration alternatives but also enhances the precision of business intelligence reporting. In addition, the reporting platform is crafted with the user's perspective in focus, featuring over 100 ready-made reports, customizable dashboards through a simple drag-and-drop interface, a specialized reporting database, and additional functionalities, all aimed at simplifying data access and analysis. As a result, these capabilities collectively allow users to make timely and informed decisions with greater ease and efficiency. Ultimately, the combination of these advanced features ensures that users are well-equipped to leverage the system to its fullest potential.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

PCIS

Date Founded

2001

Company Location

United States

Company Website

www.pcisvision.com/solutions/claimsvision/

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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