Plexishealth.com

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, …

Actived: 5 days ago

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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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 …

Category: Health Go Health

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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Health Portal Solutions PLEXIS Healthcare Systems

WebHealthcare Payers struggle to manage the moving parts of health plan administration. Health Portal Solutions helps Payers organize data, vendors, and business processes …

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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 …

Category: Health Go Health

Claims management software PLEXIS Healthcare Systems

WebAs an established leader in the healthcare industry, PLEXIS Healthcare Systems has collaborated with payers in all major healthcare fields for the past 20 years to deploy …

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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 …

Category: Health Go Health

Claims adjudication software PLEXIS Healthcare Systems

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

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Incurred But Not Reported (IBNR) PLEXIS Healthcare Systems

WebRefers to a financial accounting of all services that have been performed but, as a result of a short period of time, have not been invoiced or recorded. Estimates of costs for medical …

Category: Medical Go Health

Integrated Delivery Systems (IDS, ISN)

WebIDS can also be a healthcare provider organization which vertically integrates physician, hospital, and, usually, also health plan businesses in some manner in order to establish …

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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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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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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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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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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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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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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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