PLEXIS’ automated core administration software delivers unparalleled business efficiencies
Domestic and international healthcare payers consistently leverage PLEXIS’ enterprise-level core administrative platform solutions for the administrative efficiency that drives payer success. Scalable, enhanced transaction processing streamlines claims adjudication and empowers payers to administer benefit plans across all lines of business including Health Plans, Government payers, TPAs, delegated risk, international, and specialty organizations.
Core administration software enables greater payer productivity via:
- A rules-based engine that automates workflows for claims adjudication, auto-adjudication, benefit administration, eligibilities, enrollments, premium billing, and more
- Passport connectivity services which effectively connect all your enterprise-wide systems
- Forward-thinking technology built on service-oriented architecture to deliver scalable, synergistic results
- Automated EDI solutions to orchestrate complex workflows and decrease the manual steps necessary to process a claim through its entire lifecycle
PLEXIS’ flexible, agile platforms streamline payer workflows
Serving payer organizations in 37 states, 15 countries, and over 60 million people worldwide, PLEXIS provides mission-critical platform software to catalyze efficiencies and connect evolving business ecosystems. Decrease costs and create the positioning you need to capitalize on evolving business opportunities.
Learn more about PLEXIS’ automated solutions for core administration + claims management, our full suite of streamlined business apps, and our best-of-breed business service solutions.
