PLEXIS Alerts - Business Activity Monitoring for Medical Claims Processing Software

8
SEAMLESS BUSINESS ACTIVITY MONITORING THROUGHOUT YOUR BUSINESS ECOSYSTEM

Transcript of PLEXIS Alerts - Business Activity Monitoring for Medical Claims Processing Software

SEAMLESS BUSINESS ACTIVITY MONITORING THROUGHOUT YOUR BUSINESS ECOSYSTEM

EMPOWERING THE BUSINESS OF HEALTHCARE.

The Solution

The Components

Examples of Automation

 Brett Bosshart PLEXIS Healthcare Systems Sales Manager

1

2

3

PLEXIS Alerts: What Will We Cover Today?

Sarah Lesowski PLEXIS Healthcare Systems Sales Specialist

EMPOWERING THE BUSINESS OF HEALTHCARE.

PLEXIS Alerts: The Solution

ü  Monitors and responds to your business conditions

ü  Provides more efficient communication

ü  Allows you to see problems before they happen

ü  Pushes the right information to the right people

ü  Enables better planning and decisions

EMPOWERING THE BUSINESS OF HEALTHCARE.

Data Mining Mines data from multiple systems simultaneously Actionable Events Runs a report, exports report into different format, sends an email, places a file onto FTP site, produces a dashboard, and more

PLEXIS Alerts: The Components

EMPOWERING THE BUSINESS OF HEALTHCARE.

Automatic Form, Document, & Report Delivery Reports and correspondence can be setup to execute on any schedule and be delivered automatically Workflow Takes data from one system and places it into another, creates export file for external entity, runs a program, and more

PLEXIS Alerts: The Components (cont.)

EMPOWERING THE BUSINESS OF HEALTHCARE.

PLEXIS Alerts: Examples Of Automation

Automates all reports which are typically run manually (even those that require criteria selection) Automatically: •  Notifies a manager of claims pends that have not

been resolved in X number of days •  Fax an approval referral to a provider or member •  Notifies accounting that a batch of claims are ready

to be paid •  Emails soft EOBs to members or EOPs to providers

EMPOWERING THE BUSINESS OF HEALTHCARE.

ALERTS DEMO

THANK YOU FOR YOUR TIME QUESTIONS?

If you have any additional questions or would like a 1:1 demonstration of Alerts, please send an email to [email protected] or send an inquiry through the support portal. ★