Plexis

Health Plans, Self-funded Plans, RBMs, IPAs, MSOs and TPAs in America

Health Plans, Self-funded Plans, IPAs, MSOs and TPAs  in America  1199 NATIONAL BENEFIT FUND 3P ADMIN 8TH DISTRICT ELECTRIC A & I BENEFIT PLAN ADMINISTRATORS A.G.I.A INC. AAA CHICAGO AAG-AMERICAN ADMINISTRAVIE GROUP AARP – UHC OVATIONS INSURANCE SOLUTIONS ABC HEALTH PLAN ABRAZA ADVANTAGE HEALTH PLAN ACCESS MEDICARE ACCLAIM ACCLAIM REPRICING ACCOUNTABLE HEALTH PLAN – WISCONSIN ONLY [...]

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Posted in ACOs, BPO, Call Center Services, Claims, Claims Administration, Clinical Services, Document Management, Employee Benefits, Enrollment, Enrollment Services, Enrollment Services RFP, Finance and Accounting, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, Healthcare Analytics & Business Intelligence, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medical Services, Medicare, PDP, Plexis, Portal, PPO Network, Premium Billing, Reports, Revenue Cycle Management Services, Self Funded Plans, Services by HealthTechnology.com, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com Advanced Analytics Actuarial Services Audit & Compliance Cost-Containment & Bill Review Document Management Finance & Accounting Platform BPO / TPA (SaaS) Care Management Discharge Management (DM) Disease Management (DM) Formulary Management (FM) Medication Therapy Management (MTM) Prior Authorization (PA) Utilization Management (UM) Claims Management Claims Adjudication Claims [...]

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Posted in Call Center Services, Claims, Claims Administration, Clinical Services, Enrollment, Enrollment Services, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, HealthTechnolgy.com, Medicare, PDP, Plexis, PPO Network, Premium Billing, Revenue Cycle Management Services | Comments Off

Plexis HealthCare System Is A Perfect Payer Claims Software with State-of-the-Art Features

Plexis HealthCare System Is A Perfect Payer Claims Software with State-of-the-Art Features  Network Management Ability to load existing Network and new contracted Networks with ease Ability to identify active contracts with effective/expiration dates for each provider/facility Ability to match multiple locations to one vendor for consolidated payments with the same tax ID # Ability to track [...]

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How Plexis HealthCare Systems Auto Adjudicate Claims?

How Plexis HealthCare Systems Auto Adjudicate Claims? A typical health claim transaction usually requires the exchange of three sets of data and for claim systems designed for the USA or USA-look-alike markets they must be compatible with standards set out by the Health Insurance Portability and Accountability Act (HIPAA). High quality claim systems like the [...]

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Plexis Claims Software for Vision Admin & Claims Adjudication

Plexis Claims Software for Vision Admin & Claims Adjudication Plexis Claims Software for Vision Admin & Claims Adjudication is designed to meet the needs of any size organization and membership level. The Vision Suite offers a comprehensive set of administrative functions, including: Alerts Enrollment & eligibility EDI Fee schedule management Flexible reimbursement methods Benefit plan [...]

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425 Washington Blvd., Jersey City,
New Jersey 07302, USA

Phone: +1 201.258.4704 / 201.258.4704
Fax: +1 201.604.3480