AdjudicatorCervey
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PLEXIS Payer PlatformsPLEXIS Healthcare Systems
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Related Products
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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.
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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.
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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
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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
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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
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PLEXIS Payer Platforms:
Audience
Companies searching for a solution to automate, simplify, and connect their diverse business ecosystems
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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PLEXIS Payer Platforms:
Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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PLEXIS Payer Platforms:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
PLEXIS Payer Platforms:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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PLEXIS Payer Platforms:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Supported
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Adjudicator:
Reviews/
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PLEXIS Payer Platforms:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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PLEXIS Payer Platforms:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Adjudicator:
Company InformationCervey
Founded: 1978
United States
cervey.com
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PLEXIS Payer Platforms:
Company InformationPLEXIS Healthcare Systems
Founded: 1996
United States
www.plexishealth.com/platforms/
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Adjudicator:
Alternatives |
PLEXIS Payer Platforms:
Alternatives |
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Adjudicator:
Categories |
PLEXIS Payer Platforms:
Categories |
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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
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Adjudicator:
Integrations
No info available.
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PLEXIS Payer Platforms:
Integrations
No info available.
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Adjudicator:
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PLEXIS Payer Platforms:
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