PACEproven™ integrated health plan information system
Plexis Claims Manager (PCM) by Plexis Healthcare Systems is offered through CareVention HealthCare EHR/Integrated Technology Solutions (formerly Cognify) with value added benefits. PCM is an integrated health plan information system proven in PACE since 2002 providing complete benefit administration, claims adjudication, capitation, authorization and robust reporting capabilities.
Automated for speed, accuracy and maximum productivity. Claims are electronically loaded, auto-adjudicated and batched from source to final preparation for payment in seconds. Pended claims are easily adjudicated manually with investigative tools just clicks away.
Authorizations are easily integrated with the EHR to control claims, automatically search for missing authorizations and track present IBNR in real-time.