PLEXIS’ Intuitive User Interface
Orion enables your staff to operate the PLEXIS platform more efficiently so that they can perform essential job functions and save costs for your organization while delivering higher-quality services.
Orion is configured for three roles in your organization:
PLEXIS’ front-end customer service experience enhances call management capabilities, provides a streamlined user experience (UX), and delivers fast access to critical data. Orion empowers your call center staff to learn the system more quickly and utilize it more efficiently, thereby delivering tangible speed-to-value for your organization.
“Good customer service improves member satisfaction with health plans more than other engagement tools and strategies, the team found. Customer service was even more important than health plan costs or the benefits package offered.” — Thomas Beaton, HealthPayer Intelligence
Increasing CSR Efficiency:
• Caputuring pertinent caller details and ticket information
• Presenting member enrollment/accumulators
• Presenting member premium billing and invoice payments
• Presenting claims and authorizations
• Display provider payment information
• Display provider/member assignments
• Easily associate a claim and authorization to a CS ticket
• Enabling individual user settings on data presentation
Call Tracking and Ticket Management
Customer service representatives find information far more quickly and deliver better customer service with timely, accurate answers to caller inquiries, resulting in and higher rates of first-call resolution.
Plexis’ claims queueing solution allows clients to better manage claim
inventory and work distribution in an automated fashion.
Increasing Claims Examiner Efficiency
- Configurable claim distribution on an individual or group level
- Manual selection: Individual user selects which claims to work within their queue
- Automatic selection: Orion selects the order in which an examiner works claims
- Automatic distribution of claims to the appropriate claims analyst (or group of
- Automatically sort individual analyst queue based on configurable prioritization
- Oldest claim by receive date
- Greatest total billed charges
- Greatest total net payment
- Easy access to claim summary or claim detail information