PLEXIS Payers Review - why 2.8 stars?

PLEXIS Payer Platforms Review
ITQlick Score: 84/100
ITQlick Rating: (2.8/5)
Pricing: 6/10 - average cost
Category: Claims Management -> PLEXIS Payers
Ranking:Ranked 1 out of 4 Claims Management systems
Company: PLEXIS Healthcare Systems
Typical customers: Small, medium and large size businesses
Platforms: Desktop, Mobile
Links: PLEXIS Payers pricing, PLEXIS Payers alternatives

Shlomi LaviShlomi Lavi / updated: Nov 09, 2020

We publish unbiased reviews, our opinions are our own and are not influenced by payments from advertisers. Learn more in our advertiser disclosure.

What is PLEXIS Payers?

PLEXIS Payers is a cloud-based Claims Management software that assists Healthcare workers in processing claims and handling administration as it affects ROI. It also allows them to oversee benefits administration in real-time, as well as adjudications. These features would help businesses to implement a core claims management engine that is scalable and agile.

The software highlight features include EDI (Electronic Data Interchange) Processing, Unreported Liability Tracking, Business Activity Monitoring, and Complex Accumulators. PLEXIS Payers is a PLEXIS Healthcare Systems product, a private computer software company that started operations in 1996; it currently has its headquarters in Ashland, Oregon, USA, and an employee count within 50-200.

What is PLEXIS Payers rating? ()

The rating of PLEXIS Payers is 2.8 stars out of 5 and the total score is 84 out of 100. The ratings are based on our unbiased experts. Learn more in our rating methodology page

Who are PLEXIS Payers's typical customers?

The typical customers include the following business size: Small, medium and large size businesses.

Is PLEXIS Payers the best Claims Management?

PLEXIS Payers is ranked 1 out of 4 software in their category (Claims Management systems).

What are PLEXIS Payers's pros? (4 Pros)

  • The software supports Batch Processing operations
  • Its Adjudication module is automated
  • Users can set up self-service customer portals with the software
  • PLEXIS Payers is HIPAA compliant

What are PLEXIS Payers's cons? (2 cons)

  • Users cannot view benefits on the dashboard within the software as of yet
  • The software does not support ACA (Affordable Care Act) Reports for now

Who are their main alternatives?

Popular alternatives to PLEXIS Payers: FINEOS Claims, Claimscape. The full list of competitors can be found here.

What is the cost of PLEXIS Payers?

What is the REAL total cost of implementation? on top of the total cost of licenses which is easy to calculate you need to add the cost of training, customization, data migration, and other "hidden cost". ITQlick pricing score is 6 out of 10 (10 is most expensive). Find here the REAL total cost breakdown for PLEXIS Payers

What should you ask PLEXIS Healthcare Systems during a demo session? (65 questions)

Schedule a demo with PLEXIS Payers and access 65 must ask questions for the vendor while watching PLEXIS Payers in action.

Is it the right software for you?

The software is suitable for small, medium, and large-sized businesses, primarily in the Healthcare industry. Government Health Programs, Delegated Risk Payers, Specialty groups, and Commercial Health Insurers would find PLEXIS Payers useful for their operations. The Beacon Insurance Group is one notable customer to which the software caters.

PLEXIS Payers's list of categories:

Payment gateway Integration
BI & Analytics
Big data
Data Warehousing
Performance Management
Business Process Management (BPM)
Case Management
Customer Loyalty
Customer Service
Self-Service Portal
Data Management
Data integration

PLEXIS Payers Vs. Alternatives

ITQlick rating
Score
Pricing
License pricing
Functionality
Review
Compare
PLEXIS
ITQlick rating
2.8/5
Score
84/100
Pricing
6/10
License pricing
Pricing not available
Functionality
19
Review
Compare
FINEOS
ITQlick rating
4.4/5
Score
62/100
Pricing
3.2/10
License pricing
Pricing not available
Functionality
6
Review
Claimscape
ITQlick rating
4.1/5
Score
62/100
Pricing
3.8/10
License pricing
$60,000 per license
Functionality
4
Author

Shlomi Lavi

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Shlomi holds a Bachelor of Science (B.Sc.) in Information System Engineering from Ben Gurion University in Israel. Shlomi brings 15 years of global IT and IS management experience as a consultant, and implementation expert for small, medium and large size (global) companies.