Quantum Choice™ 2013.2 Release Delivers Expanded ICD-10 and First Dollar/Multi-Tiered Benefits Support

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Expansion of ICD-10 capabilities allows greater ease of configuration for concurrent administration of both ICD-9 and ICD-10 code sets.

'Plexis has invested a considerable amount of time assessing the changes that the migration from ICD-9 to ICD-10 will put forth on healthcare payer.' - Kathy Caulfield Quantum Choice Product Manager at Plexis

Plexis Healthcare Systems, Inc. is pleased to announce the newest release of its Quantum Choice™ product. Version 2013.2 will be made commercially available before the end of December, 2013, and contains new features and capabilities to further support the automated processing capabilities of Plexis’ healthcare payer clients. Quantum Choice version 2013.2 includes an expansion of its existing capability to support ICD-10, which will allow for greater ease of configuration in regards to concurrent administration of both ICD-9 and ICD-10 code sets.

The change to ICD-10 will replace the limitations of the outdated ICD-9 coding system, allowing for the use of more precise codes which will more accurately measure quality of care and provide a better evaluation of emerging healthcare conditions. The enhanced functionality in Quantum Choice™ allows users the ability to expand their migration considerations for system configuration and testing using ICD-10 codes for their benefit administration and claims processing before the transition to ICD-10 takes effect on October 1st, 2014.

The expansion of Quantum Choice version 2013.2 will also provide Plexis clients with added First Coverage support, adding another capability to this already powerful benefits management system. This function in the auto-adjudication process will allow for ease of administration of multi-tiered benefits when the plan will pay 100% of the benefit up to a defined policy limitation, prior to any member responsibility amounts kicking in. Plans such as this are popular with many fully insured and self-funded plans, which allows Quantum Choice users the ability to easily administer claims without requiring manual intervention.

“Plexis has invested a considerable amount of time assessing the changes that the migration from ICD-9 to ICD-10 will put forth on healthcare payers, and is executing on a plan to deliver our clients significant flexibility in relation to testing of and administration of ICD-10 code sets”, said Kathy Caulfield, Quantum Choice Product Manager at Plexis.

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 now 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 MITA 3.0-aligned Plexis Quantum Choice, for government healthcare organizations and health and dental plans. Plexis' solutions enable government healthcare organizations, health plans, TPAs and provider groups to reduce costs, automate claims payment requirements, enhance customer satisfaction and help expand market share.

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Sean Garrett
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