PLEXIS Payer Platforms vs. MediClaims

Office Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.

RXNT has spent over 25 years building cloud-based healthcare software designed for ambulatory practices and medical organizations of all sizes and specialties. Our innovative, AI-powered, and data-backed software solutions help practices grow, improve clinical efficiency, and streamline business operations—whether you're a solo provider, large healthcare organization, or billing services company. With over 60,000 medical professionals across all 50 U.S. states relying on RXNT, our fully-integrated, ONC-certified software system includes Electronic Health Records (EHR), Physician Practice Management (PPMS), Medical Billing and Revenue Cycle Management (RCM), E-Prescribing (eRx), Scheduling, Patient Portal, mobile applications, and more. Every product works seamlessly as one system or can be used standalone, giving you flexibility to choose what works best for your practice. Our SaaS-based Full Suite software solution integrates every area of RXNT through a secure, centralized database, enabling real-time data flow across clinical and administrative functions. Whether you're modernizing your medical practice or scaling your healthcare business, RXNT delivers all-in-one technology to help you succeed. So far, users have transmitted over 125 million prescriptions and processed more than $7 billion in insurance claims. Built for usability and accessibility, RXNT’s cloud-based software is available 24/7 from any device and includes mobile apps for iOS and Android. Simple, transparent pricing means no hidden fees, and every plan includes free implementation & training periods, data migration, storage, software updates, and U.S.-based customer service.

Presenting the only modern, cloud-based solution designed specifically for unions. Our extensive offering includes two highly customizable systems aimed at managing union operations and benefits administration, effortlessly connected to a state-of-the-art website and secure member portal. We have transformed the industry by developing an integrated system for growing unions, freeing you from the hassle of excessive paperwork, cumbersome communication, and the difficulties of juggling multiple platforms, thereby alleviating administrative burdens. Enjoy a seamless transition as we implement your union's specific processes, regulations, and bargaining agreements, allowing you to focus on what truly counts – your members. Our platform features a contemporary user interface that removes ambiguity and confusion. In contrast to generic solutions, we customize the system to fit your unique workflows and procedures precisely. Whether you are processing dues, entering remittances, handling grievances, facilitating communications through email and text, dispatching jobs, or managing member records, our Union Management platform is equipped to meet your needs. Additionally, for those interested in advanced union Benefits Administration, we invite you to discover our specialized Pension Reporting System, which is designed to streamline and enhance your benefits management. With our comprehensive solutions, unions can efficiently operate and thrive in today's dynamic environment.

APS is dedicated to simplifying payroll and HR processes for mid-sized organizations. Our integrated solution is crafted to ease workforce management tasks, offering a seamless experience for clients and partners alike. We pride ourselves on delivering tailored service and support that helps our customers achieve their objectives. By streamlining payroll processing, automating HR workflows, and enhancing the employee lifecycle through a unified platform, we position ourselves as a vital partner for businesses. We are APS, committed to being your essential workforce ally. Mid-sized enterprises prefer APS for their workforce needs due to our unwavering commitment to enhancing the customer experience. This dedication has enabled us to sustain an impressive 98% customer satisfaction rate consistently. With APS, companies in the mid-market sector benefit from superior systems, exceptional support, and improved outcomes that drive success. Our ongoing focus on innovation ensures that we remain at the forefront of workforce management solutions.

BambooHR® is trusted by thousands of growing businesses to simplify HR and put people first. Built for small and medium-sized organizations, our all-in-one platform combines hiring, onboarding, payroll, benefits, time tracking, and performance into a single, easy-to-use system. With customizable workflows, intuitive reporting, and seamless integrations, BambooHR helps HR teams save time, improve compliance, and gain insights that drive better decision-making. Most importantly, BambooHR empowers leaders to create a workplace where employees feel supported, engaged, and free to do their best work.

Macaw AMS serves as a robust platform for selling insurance, utilized by brokers, MGAs, MGUs, Program Managers, and Lloyds Coverholders to streamline their business processes effectively. Designed with a focus on customer needs, it encompasses functionalities for CRM, Sales, and Underwriting, providing customers, producers, and service providers with access to user-friendly self-service portals. Additionally, Macaw AMS includes integrated Document Management and Task Management features, along with adaptors for seamless services such as eSignature, Payments, OFAC checks, and Mass Emailing, utilizing third-party solutions. The data analytics capabilities of Macaw AMS deliver advanced data visualization through predefined dashboards, enabling users to upload datasets and explore dynamic charts that offer insightful, multi-dimensional perspectives. With interactive, real-time visualizations, users can identify trends and derive insights that promote well-informed decision-making. Hosted on a secure cloud infrastructure, Macaw AMS is built on a relational database, with its primary Java-based components crafted in Java, allowing for efficient processing of 500-1000 policies daily at peak performance. As a notable benefit, Macaw AMS aims to decrease the per-policy costs by 30%, making it an attractive choice for insurance professionals looking to optimize operations. Ultimately, its comprehensive features and cost-saving potential position Macaw AMS as a transformative solution in the insurance industry.

HiBob, a leading provider of human resources solutions, features a comprehensive HCM system known as Bob, designed to enable HR teams and enhance operational efficiency. Covering all aspects from onboarding and performance reviews to employee engagement and automation, Bob provides HR leaders with essential tools to cultivate a positive workplace environment, enhance employee growth, and concentrate on strategic initiatives that drive organizational advancement. The Bob platform simplifies HR tasks with its user-friendly interface and customizable workflows that cater to various roles within the organization. By automating administrative tasks and integrating smoothly with current systems, it helps save time and improves data integrity. This intuitive design empowers HR professionals to manage a wide range of HR responsibilities effectively and with ease. Bob’s performance management suite offers features for establishing goals, providing feedback, and conducting performance evaluations. With real-time monitoring and actionable data insights, the system facilitates timely interventions, promoting a culture rooted in accountability and continuous improvement, ultimately leading to higher employee engagement and retention rates. Additionally, Bob’s tools for employee engagement enhance connectivity and collaboration among workers by providing avenues for feedback, recognition, and open communication, which significantly elevate morale and productivity within the workforce. Furthermore, these features contribute to creating an inclusive atmosphere where employees feel valued and motivated to contribute their best efforts.

Pebl (previously Velocity Global) gives you the power to build and manage your international workforce with confidence. As a leading Global Workforce Platform & Services provider, we combine AI-powered technology and local, in-country expertise to simplify every aspect of workforce management. From hiring and payroll to compliance and retention, we make it easy to grow your business across 185+ countries. With Pebl, you can: ● Ensure that your global operations stay compliant in every market. ● Manage your entire global workforce from a single platform. ● Scale our solutions as your business grows. ● Avoid hidden hidden fees with upfront, all-in-one pricing. ● Get peace of mind knowing your employees are taken care of by our network of in-country HR, payroll, tax, and legal experts.

Predict360, developed by 360factors, serves as a comprehensive risk and compliance management platform designed to streamline workflows and improve reporting for various financial institutions, including banks, credit unions, and insurance companies. This cloud-based SaaS solution consolidates essential components such as regulations, compliance management, risk assessments, controls, key risk indicators (KRIs), audits, policies, and training into one cohesive platform while offering powerful analytics and insights that help clients foresee risks and enhance compliance efforts. If your current Governance, Risk, and Compliance (GRC) system isn't equipped with an effective analytics and business intelligence tool for creating insightful reports for executives and board members, consider Lumify360 from 360factors. This predictive analytics platform can seamlessly integrate with any existing GRC, allowing you to maintain your workflow processes while equipping stakeholders with the timely reports and dashboards they require for informed decision-making. With these advanced tools at your disposal, you'll be better positioned to navigate the complexities of regulatory compliance and risk management.

Elation Health stands out as the premier platform for primary care, enabling 32,000 healthcare providers to offer tailored care to more than 16 million patients. By utilizing a clinically-focused electronic health record system, along with integrated billing solutions and AI-driven tools, Elation enhances care processes, ensuring that independent practices can flourish in a competitive landscape. This commitment to innovation not only improves patient outcomes but also streamlines operations for practitioners.