PLEXIS provides dental-specific toolsets and the industry’s best practices for dental claims processing and the administration of dental benefits. PLEXIS’ integrated clinical, financial, and administrative platform empowers payers with enterprise-wide cost-savings and a wide range of enhanced efficiencies including cost containment, streamlined benefit plan design, data analysis, reporting, and utilization management.
The PLEXIS platform delivers:
Flexible configuration for benefit plan design, benefit administration, and fee schedule management
Streamlined electronic enrollment and eligibilities
Dental claims auto-adjudication and claim editing including linked claims, authorizations, and rules-based procedure code logic
Provider network management with customizable dashboards that enhance transparency, collaboration, and engagement
Flexible premium billing capabilities to eliminate manual data entry and improve productivity, accuracy, and billing efficiency
Referral and authorization management
Comprehensive customer service provides call center operators with quick access to all relevant information
Self-service member/provider portals accelerate real-time services and reduce paper workflows
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