Claims Management Software for Cost-Savings

“The Insurance Claims Management Software industry is well into the growth phase of its life cycle. Over the 10 years to 2020, industry value-added (IVA), which measures an industry’s contribution to the overall economy, is expected to increase at an annual average rate of 3.8%. In contrast, US GDP is projected to grow at an annualized rate of 2.5% during the same period.” –IBISWorld market research report, May 2015

Healthcare payers worldwide are increasingly gaining significant cost-savings and ROI by replacing legacy claims systems. Widespread problems with legacy technology platforms include a lack of analytics and collaboration, increasing regulations, new business models, and rising customer expectations. Businesses are showing increasing enthusiasm for technology and automated software, spurring investment in new products that enhance productivity and customer service.

Claims management solutions to help you achieve your business goals

As an established leader in the healthcare industry, PLEXIS Healthcare Systems has collaborated with payers in all major healthcare fields for the past 20 years to deploy enterprise claims management software solutions that work. From extensive auto-adjudication to batch readjudication, PLEXIS delivers the capabilities to achieve your highest business goals and outcomes. Our Orion claims inventory management solution allows you to better manage claim inventory and work distribution in an automated fashion – all within a single interface.

The PLEXIS platform offers numerous benefits including:

  • Auto-adjudication and extensive workflow efficiencies to reduce costs and adjudicate claims accurately
  • Fully-featured benefits administration configuration including proactive member & provider engagement
  • Claims analysts can identify which claims need to be worked and then work/finalize those claims within the same application