PLEXIS Payer Platforms

About PLEXIS Payer Platforms

PLEXIS Payer Platforms is an advanced claims management and core administration solution beneficial for healthcare payers and administrators throughout the world. PLEXIS Payer Platforms enables organisations to expand, innovate, and save money by enabling growth, innovation, and efficiencies across several business lines. The software is capable of reducing operating costs while also improving client satisfaction levels at the same time. It assures access to functionalities like benefits administration, auto-adjudication, instant claim editing, multi-level security, billing administration and capitation capabilities. Moreover, the software’s SQL-based technologies provide a robust technological basis for domestic and worldwide payer success. PLEXIS Payer Platforms intuitive functionalities also turn out to be beneficial for health plans, TPAS, government, international, delegated risk, and speciality groups. It is a trusted leader in the worldwide payer community, with active customers in 15 countries and 37 states within the United States.

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Pricing

Free Trial Not Available
Offers Custom plan.
View Detailed Pricing

Platforms Supported

Browser Based (Cloud)
Desktop App (Windows)

Organization Types Supported

All (Small, Medium, Large)

API Support

NA

Modes of Support

Business Hours, Online

PLEXIS Payer Platforms Pricing

Free Trial

Not available

Pricing Options

Premium Plans ( Quotation Based )

Pricing Plans

PLEXIS Payer Platforms Custom

Features

Claims management, including claim auto-adjudication
Benefit administration
Robust member and eligibility management
Premium billing administration
Real-time claim editing
Mass claim re-adjudication
Intelligent alerts and reporting
Provider administration/referrals and authorizations
Capitation capabilities
Easy-to-manage multi-level security
Configurable add-ons such as external Medicare grouper and pricer routines
Reference data loaders that automatically load procedure/diagnosis codes, UB04, NCCI data, etc.

Disclaimer: The pricing details were last updated on 03/08/2020 from the vendor website and may be different from actual. Please confirm with the vendor website before purchasing.

Learn more about PLEXIS Payer Platforms Pricing