Smoother Healthcare Operations with Smarter Systems

At Smartchoice and PLEXIS Healthcare Systems, we help health plans, TPAs, and medical schemes work more efficiently—cutting through admin headaches and driving innovation in healthcare management. Our technology is built to scale, automate, and integrate effortlessly, keeping your operations agile in a fast-changing industry.

Core Solutions: Powerful, Scalable, and Ready to Grow

• Quantum Choice (QC) - Our industry-leading core system simplifies:
• Medical Scheme administration
• Benefit plan & claims management with auto-adjudication
• Provider network & payment contract management
• Capitation and premium billing with precision
• Application Interface Services (AIS) – A flexible web services API for:
• Real-time connections with accounting, CRM, and enterprise systems
• Instant data exchanges for claims, payments, member updates, and more
• Generic Flat File Import Utility (GFFI) - Simplify large-scale data migrations with bulk imports for:
• Claims, premiums, members, providers, and other critical data
• Quantum Choice Electronic Data Dictionary – A detailed database guide for better data control and custom reporting.



Boost Efficiency with Smart Add-Ons

• PLEXIS Alerts – Automate workflows and stay informed with:
• Real-time alerts, reports, and notifications across devices
• Smoother operations with instant event tracking
• Quantum Data Services (QDS) – A secure, HIPAA & POPIA-compliant EDI solution for:
• Hassle-free data sharing with providers, hospitals, and partners
• Faster claims and eligibility processing

Why It Works for You

Our solutions are designed to reduce manual work, minimise errors, and keep your systems running smoothly—so you can focus on delivering better care, not paperwork.