PLEXIS Healthcare Systems offers exceptional claims processing software for leading healthcare payers

For the past 20 years, PLEXIS has collaborated with payers in all principal healthcare markets to deploy the best enterprise claims processing software for your financial, clinical, administrative, and technological needs. From TPAs to health plans, both domestic and international healthcare payer organizations understand that an effective platform software solution must deliver:

  • Automated efficiency to reduce costs and process claims accurately
  • Next-generation healthcare business models to remain competitive in everything from evolving health exchanges to new care management initiatives
  • Proactive member + provider engagement to create 5-star customer experiences
  • Modern technological standards and award-winning health insurance software

PLEXIS’ claims processing software has the capabilities to achieve your highest business outcomes

PLEXIS’ average client tenure of over 8 years demonstrates our position as a trusted leader in the global healthcare payer community. As our agile claims processing software delivers cost savings through efficiency we empower payers to reap a quick ROI from our payer platform. Numerous client testimonials attest to the unique competitive advantage they have found by implementing our scalable claims processing solution. Including auto-adjudication, batch readjudication, and everything you need for core benefits administration, PLEXIS has you covered.

Learn more about the additional benefits of PLEXIS’ claims processing solution, including:

  • Business intelligence and analytics (BI/BA) to empower effective risk management
  • Intelligent alerts and reporting for time-saving, automated business activity monitoring (BAM)