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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 CoverSelf?

CoverSelf has introduced a cutting-edge, cloud-based platform designed to enhance claims accuracy in the healthcare industry, employing the latest in software development techniques. This state-of-the-art solution empowers users to achieve long-term success by effectively adapting to ongoing shifts in claims and payment inaccuracies, which helps reduce obstacles and administrative costs. By facilitating open collaboration among all stakeholders dedicated to addressing claims inconsistencies and operational inefficiencies, the platform promotes quicker customization, innovation, and deployment. Additionally, CoverSelf’s payment integrity system harnesses modern technologies to address payment leaks and inaccuracies, all while ensuring a high degree of transparency and accessibility for payers. The platform encourages the development of new scenarios and data mining algorithms, thus fueling product innovation and expediting customization processes within a specialized framework that boosts the pace of innovation. Furthermore, it automates claim correction and processing, removing the need for additional human input, which leads to even greater operational efficiency. This holistic approach not only streamlines the claims process but also plays a crucial role in enhancing overall healthcare operations and outcomes. Ultimately, by integrating these advanced features, CoverSelf positions itself as a leader in transforming claims management within the healthcare sector.

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

CoverSelf

Company Location

United States

Company Website

www.coverself.com

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

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