Plexis Healthcare Systems Releases Plexis Claims Manager 7.1

Plexis Healthcare Systems announced the release of Plexis Claims Manager (PCM) Version 7.1. The new upgraded version provides enhanced capitation processing capabilities and incorporates new Institutional and Professional claim forms in advance of the CMS mandate for a National Provider Identifier (NPI).

Ashland, OR (PRWeb) February 28, 2007 -- Plexis Healthcare Systems announced the release of Plexis Claims Manager (PCM) Version 7.1. The new upgraded version provides enhanced capitation processing capabilities and incorporates new Institutional and Professional claim forms in advance of the CMS mandate for a National Provider Identifier (NPI).

Plexis Claim Manager's new electronic Institutional (UBO4) Form and HCFA Professional Form were developed in accordance with CMS directives, with continued support for the existing UB-92. These new forms were delivered to Plexis clients in February 2007, in advance of the CMS May 23, 2007 deadline for the Institutional (UBO4) Form.

The new HCFA Professional Form and Institutional (04) Form incorporate the National Provider Identifier (NPI), and the Institutional (04) also includes several new fields. Plexis EDIWorks will support the electronic transfer of these new forms, allowing for a seamless transfer to the new electronic claim forms.

Plexis Claims Manager 7.1 also includes upgraded capitation processing. The new version's enhanced capitation functionality supports multiple cap rates by line of business, additional support for consistency in capitated (A/R) and sub-capitated (A/P) data validation for each member, expansion in user-configurability of retroactive capitation adjustment processing, and more.

"The Plexis team is constantly working to enhance our software products to meet the needs of the market, comply with government mandates and improve our client's productivity," said Jorge Yant, Plexis CEO. "Plexis Claims Manager has grown to become a powerful solution for cutting administrative costs and succeeding in an increasingly competitive environment," said Yant.

To receive more information about Plexis Claims Manager, please contact the Plexis Sales Department at 877-475-3947.

About Plexis Healthcare Systems, Inc.

Plexis Healthcare Systems is a leading developer of software for the healthcare payer market. Based in Ashland, Oregon, Plexis was founded in 1996 to provide flexible, cost-reducing healthcare software for a wide range of healthcare organizations. Plexis benefits administration and claims processing software serves health plans, TPAs and provider-based groups across the U.S. as well as international clients. Plexis designs, develops, installs and provides life-long support for its healthcare software. As a Microsoft Certified Partner, Plexis builds familiar Microsoft Windows-based healthcare information systems that take advantage of the latest Web-based processing technologies. Plexis' family of products includes Plexis LCS for TPAs and self-funded organizations, Plexis Claims Manager benefit administration software for mid-size IPAs, PPOs and health plans, and Quantum Choice for large health plans. Plexis also offers EDIWorks for efficient electronic data interchange, WEBWorks, an easy-to-use healthcare web portal that supports disease management and consumer-directed healthcare, and Plexis Direct, a real-time connectivity solution for payers and providers. For more information about Plexis Healthcare Systems, call toll-free 877-475-3947 or visit www.plexisweb.com.

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