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WorldView and Plexis Healthcare Systems Overview
WorldView Ltd. provides Enterprise Content Management (ECM) solutions designed to fit the needs of the healthcare payer industry. By utilizing the WorldView solution, organizations maximize enterprise-wide efficiency by eliminating redundant manual tasks and improving day to day processes often associated with claim adjudication, enrollment, and more. With features such as EDI Processing, Document Workflows, Electronic Forms, Document Composition, and the convenience of direct integration capabilities with native healthcare software systems, the WorldView solution is scalable to meet the specific needs of all organizations.
DocPop - Integrated Document Retrieval
DocPop Integration allows your organization to integrate the search and retrieval features offered in WorldView, with a single click of a button, directly from Quantum Choice – facilitating quicker document retrieval and convenience. For more information on Docpop, Click Here
EDI Processing
WorldView takes standard 837 EDI data files and parses out individual CMS 1500 (HCFA) and UB-04 forms, one per patient. The resulting XML output data is then searchable and viewable to allow payers to efficiently process and research electronic claims. The same can be done for EDI 835 Explanation of Benefits.
Document Workflow
Workflow is a transactional content management and electronic document routing system that enables organizations to process work faster and more efficiently. Workflow provides a rich set of point-and-click configurable rules and actions, allowing business processes to be quickly automated with no need for custom programming. Workflow enables organizations to significantly decrease document processing time, increase staff productivity and improve input, storage, and retrieval accuracy through a simple and flexible user interface. For more information on Workflow, Click Here
E-Forms
E-Forms can eliminate many of the labor, cost and risk-intensive tasks typically associated with processing, importing and indexing forms in any business process. HTML-based E-Forms enable organizations to easily automate processes and efficiently, effectively and accurately capture business-critical data directly into WorldView. E-Forms can also drive business processes in Workflow, improving the visibility of enterprise information and shortening cycle times. Increased speed and accuracy of data capture—along with greater control—increases the value of data across the enterprise. For more information on Electronic Forms, Click Here
Document Composition
Document Composition improves correspondence management by aggregating information from multiple sources and automating the dynamic generation of Microsoft Word® documents. Utilizing Document Composition, document creation cycle time decreases and worker productivity increases because users no longer have to navigate between various information sources to manually produce business documentation. Organizations can avoid potential legal and compliance risks by producing accurate, standardized documents and communications.
About Plexis Healthcare Systems
Plexis Healthcare Systems is a leading payer solution and claims processing/benefit administration software company based in Ashland, Oregon. Founded in 1996, Plexis software is utilized in 7 countries by more than 90 companies providing administration for approximately 35 million covered lives. 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, TPAs and managed care healthcare organizations; and Plexis Quantum Choice for middle to large government healthcare organizations, benefit administrators and payers. Plexis' solutions enable government healthcare organizations, health plans, TPAs and provider groups to automate and streamline benefit administration, claims payment and utilization management, enhance customer satisfaction and expand market share. For more information, please call toll free (877) 475-3947 or visit www.plexisweb.com.
To register for a web demonstration of the WorldView ECM solution for Plexis Healthcare Systems, click the registration link below.
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