HEALTHsuite

by RAM Technologies

HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans and benefit administrators. HEALTHsuite is a rules-based auto adjudication software solution designed to administer complex benefit offerings including Medicare, Medicaid, Indemnity, HMO, Consumer-Driven and Federal Employee products.

  • Accounting Integration
  • ACH Payment Processing
  • Adjustor Management
  • Assign Claims
  • Case Management
  • Claim & Customer Account History
  • Claim File Documentation
  • Claim Resolution Tracking
  • Co-Pay & Deductible Management
  • COBRA Administration
  • Compliance Management
  • CRM Integration
  • Customer Service Integration
  • Customizable Fields
  • Customizable Functionality
  • Customizable Reporting
  • Data Import/Export
  • Data Warehousing
  • Electronic Submission
  • Forms Management
  • HIPAA Compliance
  • HMO Management
  • Legacy System Integration
  • Membership Management
  • Multi-Language
  • Multiple Benefit Programs Support
  • Paper-Based Claims
  • Payor Management
  • Policy Administration
  • PPO Management
  • Premium Billing
  • Provider Credentialing
  • Reporting
  • Self-Insured Management
  • Serves Dental Insurance
  • Serves Disability Insurance
  • Serves Health / Medical Insurance
  • Serves Life Insurance
  • Serves Long Term Care Insurance
  • TPA Management
  • Workflow Management
  • X12 EDI Translation

Available on the following platforms: Windows, Web Based, Open Source, Linux/Unix
Support available: 24/7, Online/Self Service

About RAM Technologies

Year Founded: 1981
Location: Pennsylvania - United States
Industries Served: Health Insurance Payers

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