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Health Insurance Software PLEXIS Healthcare Systems

WebPLEXIS’ award-winning health insurance software includes: A rules-based engine to automate all workflows for claims processing, auto-adjudication, benefit administration, …

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URL: https://www.plexishealth.com/health-insurance-software/

Healthcare Claims Processing PLEXIS Healthcare Systems

WebPLEXIS is a trusted leader in the global healthcare payer community with an average client tenure of over 8 years. Our agile claims processing software delivers cost savings …

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About PLEXIS Healthcare Systems

WebPLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers …

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Claims Software for Healthcare PLEXIS Healthcare Systems

WebPLEXIS’ enterprise platform is the premier claims adjudication and benefit administration software solution on the market. Serving a large number and variety of healthcare payers …

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Claims Processing & Benefit Administration Software PLEXIS

WebRequest a Demo. Get hands on with our powerful platforms. Request your demo today. PLEXIS is a leading payer technology company that delivers trusted core administration …

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Healthcare Payer Solutions

WebPLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management platform solutions to healthcare …

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Provider Services Organization (PSO) PLEXIS Healthcare Systems

WebProvider Services Organization (PSO) Defined by HCFA as a public or private entity that is established or organized by a health care provider or group of affiliated providers; that …

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Medicare Advantage Software PLEXIS Healthcare Software

WebPLEXIS’ comprehensive enterprise platform is the premier claims adjudication and benefit administration software solution on the market. Serving all major healthcare payers for …

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Health Plan Administrative Software PLEXIS Healthcare Systems

WebPLEXIS Simplifies the Business of Healthcare. PLEXIS empowers diverse health plans, such as Medicare Advantage, managed Medicaid, and commercial to manage multiple …

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Services PLEXIS Healthcare Systems

WebPLEXIS’ enthusiastic client services teams enjoy a collaborative approach to problem-solving and delivering value to your organization. PLEXIS has the proven agility to …

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Portals PLEXIS Healthcare Systems

WebOur portal apps empower payers, providers, employers, and members to communicate more efficiently in today’s data-on-demand world. PLEXIS portal apps give members and …

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VisibilEDI PLEXIS Healthcare Systems

WebAt VisibilEDI, our purpose is to empower our customers with simplified healthcare transaction tools. VisibilEDI is committed to improving the business of healthcare …

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Business Process Outsourcing PLEXIS Healthcare Systems

WebAt the intersection of Business Process Outsourcing (BPO) and healthcare IT enabled services (ITES), PLEXIS provides the technology stack to leverage the prime …

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Physician-Hospital Organization (PHO)

WebAn organization representing hospitals and physicians as an agent. A legal entity formed by a hospital and a group of physicians to further mutual interests and to achieve market …

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Purchased/Referred Care PLEXIS Healthcare Systems

WebPurchased/Referred Care software for Tribal Healthcare Payers. The Contract Health Services (CHS) program, now renamed Purchased/Referred Care (PRC), provides …

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Care Management PLEXIS PLEXIS Healthcare Systems

WebPLEXIS’ partnering care management solution includes: 100% web-based solution built for multiple browsers, including mobile devices. Built on NCQA standards and CMSA …

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Independent Practice Association or Organization (IPA, IPO

WebA delivery model in which the HMO contracts with a physician organization, which in turn contracts with individual physicians. The IPA physicians practice in their own offices and …

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Leadership Team PLEXIS Healthcare Systems

WebThe Executive Leadership Team behind PLEXIS. When it comes to cultivating culture and setting the standard for innovation and excellence, PLEXIS’ executive leadership team …

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Cost Containment for Payers PLEXIS Healthcare Systems

WebThe PLEXIS platform empowers cost containment organizations to: Lower utilization rates with coordinated care: PLEXIS’ care management, UM/UR, and disease management …

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