International Benefit Administration Solutions Empower Payer Success

International benefit administration requires a centralized technology platform to streamline workflows and track providers, benefit plans, and core administrative processes. Organizing and automating manual processes is a crucial strategy for creating essential administrative efficiency and cost-savings. The PLEXIS platform enables successful cost containment, core administrative efficiencies, member-centric customer service, and more.

PLEXIS designed international benefit administration solutions so you can:

  • Scale to process large transaction volumes: PLEXIS’ proven platform was architected to process the largest transaction volumes in our industry. Extensive EDI capabilities streamline complex international workflows for enterprise-wide efficiencies. Quickly bring on new clients or add new lines of business.
  • Centralize your core administration: PLEXIS integrates coordination for major medical, fully-insured products, disability, life, travel assistance, commission support, premium billing, and more. Network management for multiple reimbursement arrangements allows you to enhance collaboration with providers and members.
  • Cultural-specific functionalities including member-centric customer service, support for multiple languages, multi-currency calculations, and portal access for clients, members, and providers
  • Meet cost containment objectives: Recover significant savings while reducing utilization by leveraging PLEXIS’ configurable alerts, automatic audits, health risk assessments (HRAs), responsive reporting, and more
  • Optimize transparency, oversight, and accountability: Solutions such as integrated fraud, waste, and abuse (FWA) detection and automated claim editing reduce or eliminate duplication of resources across multiple countries.
  • International enrollment including advanced enrollment services, foreign address support, and custom diagnosis and procedure codes. Enrollment options can capture unique fields such as country/region of origin, etc.
  • Meet complex compliance requirements: Accelerate growth while minimizing risk through end-to-end transparency and centralized premium and claim data. PLEXIS provides holistic visibility for compliance requirements from transfer pricing challenges to visibility over premium allocations.
  • Process cultural-specific requirements: PLEXIS integrates specific international functionalities such as member-centric customer service, support for multiple languages, multi-currency calculations, real-time adjudication, and portal access for clients, members, and providers
  • Predict costs: PLEXIS’ quantitative analytics (BI/BA) delivers predictive modeling and actionable intelligence to give you a competitive edge in total cost comparison.
  • Mobile solutions such as advanced enrollment services, mobile access to ID cards, provider search, and health/news alerts/emergency info

Modernizing International Insurance

PLEXIS has over 14 years of experience implementing our integrated clinical, financial, and administrative payer platform for international customers in over fifteen countries. PLEXIS provides international insurers and national health plans with the technology and services to modernize and grow in the business of healthcare.

PLEXIS empowers multi-national payers with the flexibility needed to adapt to unique markets while standardizing global operating processes. Emerging payer-provider collaborations and new benefit-plan models reflect the risks and opportunities of a rapidly evolving international healthcare environment where only PLEXIS’ innovative, best-of-class solutions deliver the competitive edge that you need.