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All Press Releases for October 17, 2002 Subscribe to this News Feed    
 

TrailBlazer Health Enterprises Selects PLEXIS Claims Manager to Administer Services for the Medicare Stop Smoking Program (MSSP)

Ashland, Oregon -- October 01, 2002 -- http://www.plexisweb.com">PLEXIS Healthcare Systems, Inc. announced today that TrailerBlazer Health Enterprises, LLC has purchased its core claims processing software, PLEXIS Claims Manager. PLEXIS' suite of products offers payers, benefit administrators and health plans the functionality to facilitate accurate and automatic claims adjudication, referral authorizations, benefit administration, and contract management. TrailBlazer is the Medicare Part B carrier for Texas, Maryland, Virginia, Delaware and Washington, D.C., and the Medicare Part A intermediary for Texas, New Mexico and Colorado.


The company employs more than 1,500 people at its main office in Dallas, branch offices in Timonium, MD, Richmond, VA, Albuquerque, NM, and other offices throughout Texas. In fiscal year 2002, TrailBlazer will process approximately 95 million claims and handle nearly 4 million inquiries, providing service to more than 4.5 million Medicare beneficiaries.


TrailBlazer was recently selected by the Centers for Medicare & Medicaid Services (CMS) to provide services for the Healthy Aging Medicare Stop Smoking Program (MSSP). MSSP is a scientific research project that is examining certain smoking cessation interventions in a demonstration project format. Trailblazer's responsibilities include enrolling participants, processing claims for smoking cessation counseling and pharmacotherapy benefits, and collecting project-related data for evaluation.


"Our project team evaluated four different claims processing options," said Donna Novak, TrailBlazer assistant vice president. "While each system had its merits, we determined that the PLEXIS Claims Manager provided the optimum combination of functionality, service, and value. The PLEXIS team demonstrated that this system could be easily configured to accommodate the specialized claim types. We want to be able to process the claims efficiently and accurately, and this partnership will help us achieve that goal."


"We are very pleased that TrailBlazer Health Enterprises selected our Claims Manager system after an extensive search," said PLEXIS President and CEO, Jorge Yant. "We are also glad to be assisting them in this very important CMS project. PLEXIS looks forward to a long and mutually beneficial relationship with TrailBlazer," he added


About TrailBlazer Health Enterprises
TrailBlazer Health Enterprises, LLC is a Centers for Medicare & Medicaid Services Contracted Intermediary/Carrier, headquartered in Dallas, TX. They are committed to providing quality service to Medicare beneficiaries and health care professionals in Colorado, New Mexico, District of Columbia metropolitan area, Delaware, Maryland, Texas, Virginia and specialty chains throughout the country.


About PLEXIS Healthcare Systems
PLEXIS Healthcare Systems, Inc., a healthcare technology company based in Ashland, Oregon, has been developing high-end claims processing software for the Windows platform since 1996. PLEXIS Healthcare Systems provides advanced technology tools that enable healthcare organizations to streamline and automate their claims payment and medical case management requirements. For more information, please call toll free (877) 475-3947 or visit http://www.plexisweb.com">www.plexisweb.com.

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LeRoy Billings
PLEXIS Healthcare Systems, Inc.
877-475-3947
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