Empower
Empower your organization by automating data entry and communication via X12, as well as increasing auto-adjudication rates with targeted processing rules.
PLEXIS Ignite EDI is an all-in-one hub to simplify, empower, and visualize the management of your full EDI transaction lifecycles.
Simplify your implementation by applying standard validations to all transactions, facilitating communication with trading partners. Reduce data entry needs.
Empower your organization by automating data entry and communication via X12, as well as increasing auto-adjudication rates with targeted processing rules.
Visualize your data including provider and member management, claim status, eligibility status, payment status, and much more — reducing call volumes and supporting a higher level of self service
Connected Provider + Payer Systems
EDI Transaction Management
Standard, Compliant X12
Lower-cost set up and management
Provider Portal
Encounter Data Portal
Employer / Broker Portal
Member Portal
Automagic Rules Engine
Robust EDI Transaction Utilities
Early Issue Detection and Remediation
Integrated Automation
Trusted advisors with over 450
client EDI X12 Implementations
Ongoing holistic exploration +
diagnosis of EDI lifecycle management
The Ignite EDI Gateway connects healthcare payers and providers — improving communication and empowering efficient management of EDI transactions to ensure the shortest cycle-time from claim submission to payment. Health Plans get data fast and Providers get paid faster!
The Ignite EDI Gateway ensures HIPAA compliance through standard X12 consistently applied to inbound and outbound transactions improving the quality of data.
Ignite EDI Portal Technologies empower your providers, members, and partners to visualize their data intuitively, reducing call volume and supporting a higher level of self-service capability.
A branded Portal will help reduce unnecessary calls to customer support, improve customer service and increase staff productivity. Portal Technologies enable real-time eligibility inquiry, claim status, payment transaction visibility and other features using an intuitive interface available 24 hours a day, seven days a week.
In addition, Encounter Data Specialists have visibility to State and Federal Encounter Data submissions and the ability to correct pended claims to ensure their data is accepted for risk scoring.
Reduced customer support call volume
Improved customer service through 24 x 7 self-service capability via the web
Delivers higher services levels for less cost
Full workflow visualization enabling easy identification of issues and status
Fully accessible and viewable transaction repository for monitoring and remediation
The Ignite EDI Atlas Engine acts as a bridge between your X12 and your claims system. The Atlas supports, supports base imports and exports for a quick implementation, as well as the ability to refine processing rules to meet your business needs and to improve auto-adjudication rates.
It delivers a set of data mapping, conversion and load utilities with the capability to import and convert proprietary “low-tech” file formats into standard EDI X12 HIPAA compliant transactions as well as other proprietary formats.
Advanced Rules Based Engine and Transaction Optimizer
Decision-based processing to support your business needs
Targeted processing for different lines of business and trading partners
Automation of manual transaction workflows
Implementation of specific matching of claims and other transactions
Increase auto-adjudication rates
Validation of data against your PLEXIS claims system records with configurable rejection and logging for your business decisions
Archive of inbound data transactions in human-readable format
Continuous Improvement through data analysis and rule validation
Our approach to EDI is ‘continuous exploration” — always working with our customers on an ongoing basis to drive better EDI outcomes. PLEXIS’ Ignite EDI Specialists bring decades of experience with over 400 healthcare transaction implementations. We turn lessons learning from our experience into continuous improvement to our processes and core technology platforms resulting in streamlined EDI implementations and support to improve your end-to-end solution.
Over the past several decades we have seen many changes in healthcare transaction management and encountered numerous situations helping us gain valuable experience and knowledge which honed our skills for improved support of your EDI transaction processing needs.
Managed Services gives you deeper access to our Industry Knowledge and our assistance in tailoring your EDI solution to better support you specific needs.
Enhance validation and automation of your existing business flows to reduce manual intervention during the communication and persistence processes of your EDI transactions.
Integrated Quality Services focuses on enhanced quality verification and documentation targeting your implementation and your solution ecosystem.
Let us help you in integrating your EDI processing history and results into your consolidated reporting and analytics tools.
Optimize your end-to-end solution to support communication of your data with internal and external parties.
From Encounter Data Filing Adjustments to EDI Concierge, our professional services will empower your organization.
PLEXIS Healthcare Systems is a leading payer and provider technology company that delivers trusted healthcare solutions to payers and providers around the globe. PLEXIS empowers the business of healthcare, igniting growth, innovation, and efficiencies across diverse business lines for healthcare organizations.
Based in Ashland, Oregon, PLEXIS currently serves organizations in 37 states (doing business in all 50), 15 countries, and over 70 million people worldwide. PLEXIS provides mission-critical solutions that catalyze efficiencies and connect evolving business ecosystems to a wide range of healthcare organizations.
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Empowering the Business of Healthcare