Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
PLEXIS offers a comprehensive suite of top-tier applications designed to equip payers with the advanced capabilities required for contemporary core administrative systems. These applications encompass functionalities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps meet all your needs. The Passport feature facilitates crucial connections between core administration and claims management systems, PLEXIS business applications, custom applications, and existing internal systems. Its adaptable API layer allows for real-time integration with various portals, automated workflow tools, and business applications, ensuring that connectivity knows no bounds. By employing this centralized, modern core administration and claims management platform, you can enhance workflows effectively. This approach enables the efficient processing of claims while simplifying the complexities associated with benefit administration, resulting in a swift return on investment and the ability to provide exceptional customer service. Ultimately, PLEXIS empowers organizations to thrive in an increasingly complex healthcare landscape.
Description
In-house systems typically incur higher costs compared to commercial options, as external solutions benefit from economies of scale which enable them to distribute development expenses across a wide industry base. There are no extra charges associated with new updates or development tasks that you request from us. Utilizing ProAdmin allows for more efficient coding and calculation production, all while ensuring thorough documentation and fostering user confidence. We incorporate the finest features of ProVal, the leading software for valuations, including our innovative benefit expression language that streamlines the process by eliminating conventional programming, thus shortening setup times from weeks or even months to merely days. ProAdmin stands out as the ultimate benefit calculator, capable of managing the most intricate plan designs while maintaining a simple and user-friendly setup. Our server component easily integrates into your existing infrastructure, efficiently processing calculation requests from your call center, voice response unit, and web portal, ensuring a smooth operational flow. With these capabilities, ProAdmin not only enhances productivity but also simplifies the management of complex benefit structures.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Yes
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
Yes
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
PLEXIS Healthcare Systems
Founded
1996
Country
United States
Website
www.plexishealth.com/platforms/
Vendor Details
Company Name
Winklevoss Technologies
Website
www.winklevoss.com/wintech/
Product Features
Benefits Administration
COBRA Administration
Yes
Claims Management
Yes
Deduction Management
Yes
Disability Insurance Administration
Yes
Employee Benefits Administration
Yes
FMLA Administration
Yes
FSA Administration
Yes
Flexible Spending Accounts
No
For Brokers
Yes
For Employers
Yes
HIPAA Compliant
Yes
Health Insurance Administration
Yes
Life Insurance Administration
Yes
Online Benefits Enrollment
Yes
Premium Billing
No
Provider Management
Yes
Retiree Administration
No
Retirement Plan Management
No
Claims Processing
Adjustor Management
Yes
Case Management
Yes
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
Yes
Customer Management
Yes
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
Yes
Payor Management
Yes
Policy Administration
Yes
Product Features
Benefits Administration
COBRA Administration
No
Claims Management
No
Deduction Management
No
Disability Insurance Administration
Yes
Employee Benefits Administration
No
FMLA Administration
No
FSA Administration
No
Flexible Spending Accounts
No
For Brokers
No
For Employers
No
HIPAA Compliant
No
Health Insurance Administration
No
Life Insurance Administration
No
Online Benefits Enrollment
No
Premium Billing
No
Provider Management
No
Retiree Administration
No
Retirement Plan Management
Yes