Specialty Groups Capitalize on Expanding Market Opportunities

Healthcare organizations involved in dental, vision, behavioral health, radiology, and other specialties are currently capitalizing on expanding market opportunities by leveraging modern technology solutions. Most specialty payers find that the challenging economic environment requires relieving pressure on costs and responding to regulatory change with proactive measures toward operational efficiency and oversight.

For specialty healthcare, the trusted PLEXIS platform solution continues to provide a distinct market advantage. With PLEXIS’ agile payer platform, payers are able to automate claims adjudication & capitation, reconcile membership & capitation payments, and conduct encounter data reporting. In addition, specialty groups can:

  • Manage complex provider relationships
  • Leverage the renowned speed-to-value of PLEXIS services such as implementation and optimization
  • Streamline workflows with a centralized, modern core administration & claims management platform
  • Reduce fraud, waste, & abuse by identifying duplicative & medically unnecessary services