Indian Health Services Software provides powerful, cost-effective solutions for the Tribes and Alaska Natives

PLEXIS has extensive experience providing Tribal Healthcare solutions for IHS payers including Purchased/Referred Care (formerly Contract Health Services). Native American tribes leverage PLEXIS’ Indian Health Services software to deliver highly-automated, cost-effective healthcare.

For over 20 years, PLEXIS has worked collaboratively with IHS payers and other leading payer organizations to deliver centralized, streamlined platform solutions to optimize administrative efficiency. PLEXIS’ core administration + claims management platform accelerates claims processing and other mission-critical operations. PLEXIS’ enterprise-level core administrative solutions empower payers to meet regulatory standards, leverage federal funding, and grow the business of healthcare while expanding healthcare delivery to tribal members.

Indian Health Services software includes:

  • A rules-based engine to streamline and automate claims adjudication, benefit administration, enrollment, eligibility, premium billing, and more
  • Passport connectivity services to provide enterprise-wide connectivity for your entire business ecosystem, across multiple lines of business
  • Progressive, modern technology to enable you to grow your business of healthcare
  • Best-of-breed business service solutions that help you simplify and automate administrative operations for a quick ROI.

Replacing RPMS for Indian Health Services with a powerful, cost-effective solution for the Tribes and Alaska Natives

The legacy Resource and Patient Management System (RPMS) has been freely available for over thirty years, but PLEXIS has served numerous IHS and PRC organizations who are moving away from this outdated system. Payers repeatedly acknowledge the high costs of RPMS’ manual procedures, the rising number of claims errors, and the high price of fraud, waste, and abuse (FWA). PLEXIS responded to payers’ urgent need for a powerful, cost-effective alternative to RPMS by customizing our Indian Health Services software with specific solutions to meet those needs cost-effectively.

Learn more about PLEXIS’ solution for modernizing and optimizing your IHS/PRC system.

Learn more about PLEXIS’ support for NativeVision.