Integrated benefit administration, claims management, and more for a leading National Health Plan

June 2009: PLEXIS Healthcare Systems has been selected as the administrative system supplier in the development of a new National Health Insurance Plan (NHIP). The mission of the national health plan initiative is to provide and administer healthcare benefits to all the island nation’s residents. Building upon the success of 8 previous installations in the Caribbean region, the PLEXIS Claims Manager (PCM) platform will facilitate the NHIP’s integrated benefit administration, claims management and reporting functions.

PLEXIS Claims Manager (PCM)

Empower the business of healthcare with the proven performance of PLEXIS’ trusted core administration and claims management engine

Built on world-class architecture, PLEXIS Claims Manager (PCM) is flexible, connected, and scalable, delivering automated functionality and streamlined efficiency throughout your business ecosystem. PCM provides complete benefit administration, claim processing, premium billing, capitation, authorization, reporting features, and more.

As one of PLEXIS’ keystone, trusted core administration and claims management engines, PCM drives higher rates of auto-adjudication, empowering the business of healthcare and igniting growth and innovation across multiple lines of business.

Fast, automated healthcare claims processing

PCM empowers domestic and international payer success through the solid technological foundation of our SQL-based platform. With batch or real-time processing, PCM is easy to configure, agile enough to address demanding business requirements, and flexible enough to capitalize on new growth opportunities. With a familiar Microsoft Windows screen format, PCM requires minimal training time and can be seamlessly integrated into your current technology ecosystem.