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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 Conexia?

At the point-of-care, processes for authorization, claim processing, and payment are efficiently integrated. By enhancing care coordination, we aim to achieve improved health outcomes while reducing medical expenses and simplifying administrative workflows. Engaging providers directly at the point of care allows for immediate data sharing and collection, facilitating an unparalleled flow of health information. Our collaboration with clients focuses on developing risk management strategies that lead to superior outcomes at reduced costs. We strive to enhance the experience for all participants within the healthcare ecosystem. To maximize the effectiveness of our clients' resources, we ensure a minimum return on investment of 3:1. Conexia has developed a versatile core technology platform known as ONE, which can be tailored to align with the varying regulatory needs and operational workflows of each client in different regions. Typically, our initial implementation serves as an enhancement to the existing technology framework of payers, enabling real-time operational capabilities that significantly improve efficiency. Ultimately, our goal is to create a seamless integration that benefits all stakeholders involved in the healthcare process.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided
Free Trial Offered?

Pricing Information

Pricing not provided

Supported Platforms

SaaS
Windows

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Online 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

Conexia

Date Founded

1996

Company Location

United States

Company Website

conexia.com/en

Categories and Features

Benefits Administration

COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Provider 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

Benefits Administration

Claims Management
Health Insurance Administration
Provider Management

Care Coordination

Not specified

Claims Processing

Claim Resolution Tracking
Compliance Management
Electronic Claims
Forms Management
Policy Administration

Healthcare CRM

Campaign Management
Medical History Records
Patient Management
Physician Management
Predictive Analytics

Hospital Management

Claims Management
Medical Billing
Policy Management

Medical Billing

Claims Processing
Invoice History
Patient Eligibility Checks

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

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