South Texas Total Eyecare Selects Plexis Healthcare System's BPO Solution
Plexis BPO reduces administrative costs and increases claims processing productivity.
Ashland, OR (PRWEB) December 23, 2007
Plexis Healthcare Systems, Inc. announced that it has signed a BPO (business processing outsourcing) agreement with South Texas Total Eye Care ("STTEC"), of San Antonio, TX. STTEC is a physician-owned IPA providing eye care for over 13,000 members. The agreement represents a move by STTEC from internal manual processing of claims to fully outsourced automated claims management supported by Plexis' proprietary PCM (Plexis Claims Manager) technology. STTEC's outsource strategy will increase productivity and reduce administrative costs through efficient, rapid deployment of process claims loads.
Plexis Healthcare BPO, introduced in the summer of 2007, provides outsourced business processing and optimization services that reduce inefficiencies, control operating costs and free up internal resources to focus on strategic outcomes. Service offerings include claims conversion and processing, optimization, EDI and database administration, analytics and reporting, premium billing, eligibility management, and quality checks and balances. Flexible BPO options enable healthcare payer customers, including TPAs, IPAs, managed care organizations, PPOs and self-insured organizations to avoid capital purchases, staffing increases, and lengthy implementation associated with claims processing system installation. BPO customers typically can be fully transitioned and operational within 60 days.
"As a relatively small health care group looking to increase claims management efficiency and cost effectiveness, we were challenged with finding a solution provider that would meet our limited needs and budget," Said Albert Castillo of STTEC. "Of 5 vendors interviewed, only Plexis stepped up to the plate with an innovative proposal of flexible BPO solutions - a customized package including just the specific services we require made affordable and attainable. We certainly appreciate the hard work and the assurance that Plexis' deep expertise and experience with claims adjudication, eligibility management and EDI processing is on our team."
"Plexis Healthcare Systems is continually challenged to develop products and services that provide substantial benefits to our existing and prospective clients," said Plexis President and CEO Jorge Yant. "The introduction of Plexis Healthcare BPO represents a commitment of innovation and service affording our clients new strategic options for increased operational standards, growth-supportive efficiencies and faster ROI regardless of the organization's size," added Yant.
About South Texas Total Eye Care, P. A. (STTEC)
STTEC is a consortium of Ophthalmologists who, through sub-capitation contracts with San Antonio-based IPAs, provide vision care services for a large population of South Texas commercial health plan members. Prior to implementing Plexis BPO and automated technology, STTEC successfully managed capitated and FFS claims manually in-house for over 13 years.
About Plexis Healthcare Systems, Inc.
Plexis Healthcare Systems was founded in 1996 to provide a truly flexible, cost-reducing software solution to health care payers. By partnering with clients, Plexis developed products that have streamlined operations and addressed real-world needs. Plexis software and services have grown from our extensive engagements with clients. In 2005, Plexis was named one of the fastest growing technology companies in Oregon. In 2006, Plexis was named one of the "Top 100 Health care IT Companies" by Health care Informatics magazine. Today, Plexis serves health plans, PPOs, third party administrators, and other health care organizations across the United States as well as international clients. For more information about Plexis, please visit http://www. plexisweb. com.
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