Tagged claim-processing

Pennsylvania PACE Health Plan Digitizes Their Care for the Elderly With PLEXIS Core Admin Technology for Payers
Press Release

Pennsylvania PACE Health Plan Digitizes Their Care for the Elderly With PLEXIS Core Admin Technology for Payers

 PACE benefits include, but aren't limited to, all Medicaid and Medicare-covered services. PLEXIS enterprise core administrative platforms enable greater interoperability with advanced EDI technology. Read More
Next Generation Healthcare Claims Processing Significantly Accelerated With Hyperautomation
Press Release

Next Generation Healthcare Claims Processing Significantly Accelerated With Hyperautomation

 Robotic process automation (RPA), provided by SymKey®, enables hyperautomation of healthcare claims processing 6-8 times faster for payers bogged down by the constraints of processing claims by hand. Read More
Just Released Gartner 2022 Market Guide Features PLEXIS as a Representative Vendor
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Just Released Gartner 2022 Market Guide Features PLEXIS as a Representative Vendor

 Gartner's Market Guide for U.S. Healthcare Payers' Core Administrative Processing Solutions shows PLEXIS core administrative capabilities while outlining urgent new priorities for healthcare payer CIOs amid market and regulatory turmoil. Read More
Medicare Section 111 Reporting Available Within Quantum Choice™ (QC) Payer Platform
Press Release

Medicare Section 111 Reporting Available Within Quantum Choice™ (QC) Payer Platform

 Group Health Plan (GHP) administrators, including third party administrators (TPA's) utilizing the Quantum Choice core administrative processing platform will now comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007. Read More
PLEXIS Healthcare Payer Technology Leverages Visium™ Transparent and Configurable Pricing Platform from Payer Compass
Press Release

PLEXIS Healthcare Payer Technology Leverages Visium™ Transparent and Configurable Pricing Platform from Payer Compass

 Visium™ pricing and editing engine from Payer Compass adds rules-based customizable pricing to PLEXIS core administrative processing solutions (CAPS) platforms. Read More
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van Wagenen Continues To Monitor Both Devastation and Impact Left by Hurricane Harvey and Hurricane Irma

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van Wagenen's Diminished Value Claim Processing Department Experiences Exponential Growth
Press Release

van Wagenen's Diminished Value Claim Processing Department Experiences Exponential Growth

 van Wagenen's Diminished Value Claim Processing Service, which protects client's portfolios from loss of value on their leased vehicles, experiences exponential growth. Read More