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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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URL: https://www.plexishealth.com/claims-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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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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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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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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Third Party Administrator Software PLEXIS Healthcare …

WebThe PLEXIS platform not only helps TPAs reduce manual workloads, but it includes responsive portal capabilities to allow members, providers, and administrators to …

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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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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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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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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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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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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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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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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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Multiple Employer Trust (MET) PLEXIS Healthcare Systems

WebA legal trust established by a plan sponsor that brings together a number of small, unrelated employers for the purpose of providing group medical coverage on an insured or self …

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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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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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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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