(PRWEB) May 1, 2005
Puerto RicoÂs First Medical Health Plan, Inc. (FMHP) announced its selection of Plexis Healthcare Systems Claims Manager for its health plan administration and claims adjudication. FMHP will also employ Plexis EDIWorks for electronic data interchange, and Plexis WEBWorks for its Web portal to facilitate online customer service.
FMHP is a large commercial health plan covering approximately 300,000 lives in and around San Juan, Puerto Rico and has been serving the area since 1979. FMHP elected to purchase and implement Plexis products to support its new line of business, rather than using their existing legacy system. FMHP will bring the new line of business up on Plexis Claims Manager, and has plans to migrate their existing commercial lines of business to PlexisÂ new .NET software solution, Quantum Choice, in 2006.
ÂWe are very pleased that First Medical Health Plan selected Plexis,Â said Jorge Yant, President and CEO of Plexis Healthcare Systems. ÂPlexis Claims Manager, EDIWorks and WEBWorks solutions provide the tools FMHP will need to cut administrative costs and provide the Puerto Rican community with more affordable healthcare,Â Mr. Yant continued.
About Plexis Claims Manager
Plexis Claims Manager provides the functionality to facilitate accurate and automatic claims adjudication, referral authorizations, benefit administration, and contract management, while meeting all present HIPAA compliance requirements. Plexis rules-based engine allows healthcare organizations to readily customize the claims processing system to meet its processing goals.
About Plexis Healthcare Systems, Inc.
Plexis Healthcare Systems is a leading payer solution and claims processing technology company based in Ashland, Oregon. Plexis is one of the fastest growing claims processing companies in the healthcare marketplace and have been developing high-end payer solutions since 1996. Plexis Healthcare SystemsÂ claims processing tools employ the very latest Microsoft technology and are highly rated by independent healthcare consultants. Their payer solutions enable healthcare organizations to reduce costs, streamline and automate their claims payment and medical case management requirements, increase profitability, enhance customer satisfaction and expand market share, while helping them meet all current governmental regulations, including HIPAA. For more information, please call toll free (877) 475-3947 or visit http://www.plexisweb.com.
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