Skip to main content

Pendral and PLEXIS Healthcare Systems Announce Strategic Partnership to Bring Governed AI to PLEXIS Payer Clients

ⓘ This article is third-party content and does not represent the views of this site. We make no guarantees regarding its accuracy or completeness.

Pendral joins the PLEXIS Synergy Rewards Program, bringing its suite of governed AI tools to PLEXIS's network of health plan customers

Pendral, an enterprise AI platform born from the real-world, regulated healthcare operations of Evry Health, a health insurer solving deep technology and operational challenges in America's most complex industry since 2018, today announced a strategic partnership with PLEXIS Healthcare Systems, a leading provider of enterprise core administration and claims processing solutions.

The companies have signed an agreement for Pendral to join the PLEXIS Synergy Rewards Program, PLEXIS's established partner initiative that connects vetted third-party solutions with PLEXIS's network of health plan and third-party administrator customers. As a Synergy Rewards partner, Pendral's suite of AI products will be made available to PLEXIS's payer customer base.

“Pendral exists because Evry Health's own team could not find adequate AI tooling for a highly regulated environment,” said Chris Gay, CEO & co-founder of Pendral & Evry Health. “Our enterprise AI platform was built and proven inside a payer organization before commercialization, and now like a clinical teaching hospital we are exporting the best practices and tools to other carriers. Those carriers can lower administrative costs and pass that value on to members while improving outcomes. Extending our compliance-tested AI technology to PLEXIS's customer base means PLEXIS clients now have a faster path to the efficiency gains we’ve experienced.”

Pendral's products will be available to health plans, TPAs, and other risk-bearing organizations already running on the PLEXIS core administration and claims platform. Pendral's product suite includes:

  • Vocalis: AI voice platform that conducts natural-sounding member and provider calls at scale for verification, enrollment, scheduling, compliance and wellness checks, medical provider education, network data accuracy, prior authorizations, claims, and outreach, helping to reduce call center burden while improving the member experience.
  • EvryAI: An enterprise AI command center that unifies over 20 large language models in one secure workspace, caches up to 98% of tokens, gives enterprises true data sovereignty and ownership, and unlocks innovation for AI across all teams and workflows with a single control plane of HIPAA and HITRUST governance, resiliency, cost control, and sovereignty.
  • Inline: An AI software system that teaches engineers to write better pull requests (PRs), dynamically applies governance and security compliance frameworks, and does real-time threat detection and threat remediation.
  • Lakefront: An AI system for full multi-cloud DevOps and disaster recovery planning (DRP) automation with governance. It restores system sovereignty, eliminates cloud vendor lock-in, implements business continuity and disaster recovery, and does so within existing governance and compliance. One control plane handles the code, permissions, secrets, databases, domains, costs and multi-region failover.

Over the past two years, Evry Health has integrated Pendral's AI technology directly into its PLEXIS-powered claims and operations workflows, yielding immediate ROI including automated member communications, accelerated claims and eligibility resolution, and streamlined internal software delivery.

Gay noted, “That integration became the blueprint for this partnership: rather than a theoretical pairing of two vendors, PLEXIS and Pendral are formalizing a relationship built on live, proven in-production results with tools that were developed, tested and used in the most regulated of industries where data security is critical.”

“Evry Health has been running Pendral's technology alongside their PLEXIS environment in live production, which gave us a real-world view of how these tools perform in a payer setting,” said Sean Garrett, COO, PLEXIS Healthcare Systems. “Welcoming Pendral into our Synergy Rewards Program gives our clients a practical option for exploring governed AI in their operations, backed by a partner that understands the regulatory realities they work in every day.”

About Pendral

Pendral is the only AI enterprise platform built by payers, for payers. Born inside Evry Health (YC W18), a modern health insurance carrier, Pendral was built and proven before ever being sold to others, solving real production problems in a regulated industry. Its product suite, including Vocalis, EvryAI, Inline, and Lakefront, is HIPAA-compliant by design, API-first, and built to integrate with the systems payers and healthcare operators already run, without vendor lock-in. Learn more at pendral.io.

About PLEXIS Healthcare Systems

PLEXIS Healthcare Systems delivers enterprise-grade core administration and claims processing solutions that power modern healthcare payers and delivery organizations. Recognized as a representative vendor in Gartner’s 2026 “Market Guide for U.S. Healthcare Payer Core Administration,” PLEXIS enables organizations to navigate evolving market demands around automation, integration, and benefit complexity. Through its flagship platform, Quantum Choice®, PLEXIS supports the full spectrum of core administrative functions including claims adjudication, enrollment, premium billing, provider data management, and benefit configuration. Built on a scalable, API-enabled architecture, the platform allows payers to streamline workflows, reduce manual intervention, and adapt to shifting regulatory and product requirements.

PLEXIS solutions are designed to align with the market’s shift toward composable, API-driven ecosystems and real-time data integration, empowering health plans to modernize at their own pace while maintaining operational continuity. With advanced automation, configurable rules-based processing, and API-based interoperability, PLEXIS helps organizations improve efficiency, reduce administrative friction, and deliver accurate outcomes across the claims lifecycle.

More than 100 organizations trust PLEXIS to manage complex benefit structures and process millions of covered lives across all lines of business. By combining deep domain expertise with flexible technology, PLEXIS enables payers to meet today’s operational challenges while building a foundation for future innovation.

Report this content

If you believe this article contains misleading, harmful, or spam content, please let us know.

Report this article

Recent Quotes

View More
Symbol Price Change (%)
AMZN  252.77
+3.68 (1.48%)
AAPL  346.18
+2.27 (0.66%)
AMD  559.85
+28.57 (5.38%)
BAC  50.64
+0.12 (0.24%)
GOOG  317.67
+3.48 (1.11%)
META  625.01
-5.55 (-0.88%)
MSFT  534.55
+1.95 (0.37%)
NVDA  218.87
+2.87 (1.33%)
ORCL  131.85
+5.79 (4.59%)
TSLA  405.90
+14.28 (3.65%)
Stock Quote API & Stock News API supplied by www.cloudquote.io
Quotes delayed at least 20 minutes.
By accessing this page, you agree to the Privacy Policy and Terms Of Service.