PLEXIS Quantum Choice™ 2011.1 Release Delivers Expanded Integration Platform Capabilities for Healthcare Payers

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Major architectural enhancements leverage latest .NET technology to provide real-time automated workflow efficiency

Plexis’ successful investment in Microsoft frameworks, expanded integration technologies and service-based architecture directly correlates with leading indicators of where the industry is headed...

Plexis Healthcare Systems announced today that it has released major enhancements to its enterprise benefit management system. Already one of the most powerful claims processing software solutions in the healthcare payer marketplace, the Quantum Choice 2011.1 release leverages Microsoft’s most advanced industrial integration technologies including Microsoft Message Queue Server (MSMQ) 5, .NET 4 and SQL2008r2, in addition to enterprise class enterprise service bus capability from NServiceBus to deliver rapid deployment of large scale, complex integrated workflow routines.

Building upon the Microsoft competencies platform and delivered via a familiar graphical user interface footprint, Quantum Choice 2011.1 provides healthcare payers with best-in-class tools to manage claims processing faster than ever before. Real-time messaging and automated complex workflow integration with existing newer or legacy claims processing systems efficiently accelerate adjudication processes that typically involve numerous diverse systems and/or human intervention to complete. Benefit administrators and health plans can significantly expedite their speed-to-market when rolling out new products and services by more easily integrating data from multiple sources and disparate formats in real time rather than relying on processing through cumbersome, time-consuming nightly batches.

In addition to its expanded integration and message bus environment, the Quantum Choice 2011.1 release provides several significant core functionality enhancements including support for initial X12 5010 EDI formats. Automated pricing and external (PPO) repricing integration functions leverage new adjudication and repricing services (service oriented architecture) and X12 5010 EDI to fully automate and orchestrate these repetitive routines. Additional enhancements include extended Medicare specific and dental automated processing rules, expanded dental forms and interactive tooth chart, improved global processing routine scheduler and enhanced claim form design.

“Plexis’ successful investment in Microsoft frameworks, expanded integration technologies and service-based architecture directly correlates with leading indicators of where the industry is headed and how speed-to-market is important for all parts of the ecosystem.” – Sean Garrett, Chief Product Strategy Officer, Plexis Healthcare Systems.

About Plexis Healthcare Systems, Inc.
Plexis Healthcare Systems is a leading payer solution and claims processing technology company based in Ashland, Oregon. Founded in 1996, Plexis software and services process millions of claims transactions daily for healthcare payer organizations throughout the United States and internationally. Plexis’ family of core software products includes Plexis LCS for small and medium size third party administrators and self-funded groups, Plexis Claims Manager for mid-size healthcare organizations, and Plexis Quantum Choice, for government healthcare organizations and large commercial health and dental plans. A Certified Microsoft Partner and Microsoft Connected Health and Human Services (HHS) partner, Plexis develops solutions that enable government healthcare organizations, health plans, TPAs and provider groups to reduce costs, automate claims payment, enhance provider member satisfaction and expand market share. For more information, please call toll free (877) 475-3947 or visit http://www.plexisweb.com.

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David Goodwin
Plexis Healthcare Systems
(541) 494-2500 x549
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