Adjudicator

Adjudicator

Cervey
PLEXIS Payer Platforms

PLEXIS Payer Platforms

PLEXIS Healthcare Systems
Adjudicator PLEXIS Payer Platforms

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Adjudicator:

About

Adjudicator is a plan management and prescription claims adjudication platform for pharmacy benefit managers, health plans, hospitals and health systems, pharmacy programs, managed care organizations, manufacturers, and retail pharmacies. It supports configurable plan designs and benefit structures, multi-tenant environments, pharmacy network configurations, and management of drugs, formularies, and maximum allowable cost (MAC) pricing. Its member portal provides real-time benefit-status and pending-claim tracking, secure document uploads, and notifications. A prior authorization dashboard provides access to claims data and secure communications. An API framework supports data exchange with internal processes and external business partners. Adjudicator helps organizations manage pharmacy benefits and prescription claims.
PLEXIS Payer Platforms:

About

PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service.
Adjudicator:

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
PLEXIS Payer Platforms:

Platforms Supported

Windows Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
Adjudicator:

Audience

Prescription Benefit Managers (PBMs), Third-Party Administrators (TPAs), Self-Funded Employers, Health Plans, Hospitals & Health Systems, Pharmaceutical Manufacturers, Cash & Discount Card Sponsors, Retail Chain Pharmacies
PLEXIS Payer Platforms:

Audience

Companies searching for a solution to automate, simplify, and connect their diverse business ecosystems
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
PLEXIS Payer Platforms:

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported
Adjudicator:

API

Offers API Supported
PLEXIS Payer Platforms:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

PLEXIS Payer Platforms:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
PLEXIS Payer Platforms:

Pricing

No information available.
Free Version Not Supported
Free Trial Supported
Adjudicator:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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PLEXIS Payer Platforms:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software
Adjudicator:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
PLEXIS Payer Platforms:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
Adjudicator:

Company Information

Cervey
Founded: 1978
United States
cervey.com
PLEXIS Payer Platforms:

Company Information

PLEXIS Healthcare Systems
Founded: 1996
United States
www.plexishealth.com/platforms/
Adjudicator:

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Adjudicator:

Categories

PLEXIS Payer Platforms:

Categories

PLEXIS Payer Platforms:

Claims Processing Features

Adjustor Management Supported
Case Management Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Supported
Paper-Based Claims Supported
Payor Management Supported
Policy Administration Supported

Benefits Administration Features

Claims Management Supported
COBRA Administration Supported
Deduction Management Supported
Disability Insurance Administration Supported
Employee Benefits Administration Supported
Flexible Spending Accounts Not Supported
FMLA Administration Supported
For Brokers Supported
For Employers Supported
FSA Administration Supported
Health Insurance Administration Supported
HIPAA Compliant Supported
Life Insurance Administration Supported
Online Benefits Enrollment Supported
Premium Billing Not Supported
Provider Management Supported
Retiree Administration Not Supported
Retirement Plan Management Not Supported
Adjudicator:

Integrations

No info available.
PLEXIS Payer Platforms:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
PLEXIS Payer Platforms:
Claim PLEXIS Payer Platforms and update features and information
Claim PLEXIS Payer Platforms and update features and information