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Plexis Health

Dennis Hubbard

Mark the date: Tuesday, July 25th @ 10am PT / 1pm ET. Register now to secure your spot and take an important step toward learning about a price transparency solution that works! Join Sean Garrett, COO of PLEXIS Healthcare Systems, serving the healthcare payer space for over 25 years, as he speaks with Ramesh Kumar, […]

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Premium Billing | PLEXIS Healthcare Systems Read More

Jay Hammond

Director of Sales

Intelligent Automation Reduces Manual Workloads for Individual and Group Premium Billing In the rapidly-evolving healthcare industry, intelligent automation is key to reducing enterprise costs within the premium billing process. PLEXIS recently expanded its premium billing administration to better support group policy administration as well as enhanced individual policy capabilities including flexible invoice rules unique for […]

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Member Portals, Provider Portals | PLEXIS Healthcare Systems Read More

Keith Vargo

Chief Growth Officer

Next generation mobile app reduces costs and enhances engagement PLEXIS engages in a strategic partnership with Healthx to deliver real-time 24×7 mobile device access for healthcare payers’ members. Payers implement PLEXIS’ member portal app to enhance customer satisfaction and implement cost containment through member self-service, member retention, and improved quality of care. Healthx is the […]

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Core Administration Technology | PLEXIS Healthcare Systems Read More

Juan Mas

Sales Director

A recent report by Transparency Market Research depicting global technology spending on healthcare core administration identifies PLEXIS Healthcare Systems as the principal core administration technology vendor among ten global software organizations. Trends in Core Administration “The healthcare industry has witnessed a huge transformation from principally paper-based and manually-operated procedures to digitally-enabled connected processes and operations […]

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Jorge Yant

CEO, Founder

How PLEXIS’ Maui Mindfulness Retreat is Enhancing my Effectiveness at Customer Care in Tech Support By Michael Meenaghan Six Plexicans recently attended a free, 10-day PLEXIS Mindfulness Retreat held on Maui. All six of us received an enormous range of benefits from the retreat, and I would like to share a little about my experience and how […]

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Health Plan Week Payer Technology | PLEXIS Healthcare Systems Read More

Keith Vargo

Chief Growth Officer

I recently shared some advice with Health Plan Week about how to drive improvements in payers’ claims processing and core administrative processes “A decade or so ago when you talked to a potential customer, it was about your functional requirements or the functionality that your system brought to bear. That’s still important but it seems […]

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HCIM Claim Editing | PLEXIS Healthcare Systems Read More
Plexis Health

Santral Lusin

PLEXIS’ partner, HealthCare Information Management (HCIM), recently featured the PLEXIS platform in the HCIM blog, Tips and Tricks (26 Feb 2016). The post, Reprocessing Previously Paid Historical Claims can be a Piece of Cake! highlights the value of utilizing HCIM’s automation software to reprocess previously paid claims. The automated HCIM solution is fully integrated with the PLEXIS payer platform. HCIM […]

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CMS Risk Adjustments | PLEXIS Healthcare Systems Read More

Jose Lopez

Recent changes to the CMS model for predicting costs of dual-eligible beneficiaries creates turmoil As PLEXIS monitors important changes in legislation and technology, we continue to inform healthcare payers about significant issues such as the following changes in federal policy and possible impacts. In late October, 2015, the Centers for Medicare and Medicaid Services (CMS) revealed that it had been […]

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NativeVision | PLEXIS Healthcare Systems Read More

Jorge Yant

CEO, Founder

As 2016 marks PLEXIS’ 20th anniversary serving healthcare payers with trusted core administration and claims management solutions, we are proud to support the 20th annual NativeVision Sports and Life Skills camp.

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On Mindfulness in the Workplace

Mindfulness in the Workplace | PLEXIS Healthcare Systems Read More

Jorge Yant

CEO, Founder

One of the most exciting developments in the business world is the recent focus on the principle of mindfulness in the workplace. Nationally, major developments are taking place at the intersection of technology and health, involving industry giants such as Aetna, Google, Microsoft, and Facebook.

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