HEALTHsuite®
Claims Administration Module
HEALTHsuite claims processing software includes complete claim support for medical, dental and pharmacy services. Claim dialogs are patterned from the leading industry forms including HCFA 1500, UB92, ADA, and NCPDP. The Claims Administration module is seamlessly integrated to Benefits, Eligibility, Provider, and Authorization/Utilization Management modules to ensure efficient, accurate claims management. HEALTHsuite automatically performs claims auditing for fraud detection, duplicate claim checking to prevent double payment, as well as eligibility checking for patient, date of service, place of service, primary care physician, attending physician, diagnoses, procedures, coordination of benefits and third party liability insurance coverage. Additional features include Quality Assurance, user-defined edits, integrated coordination of benefits, overpayment recovery, subrogation, seamless DRG /APC processing, and embedded workflow.
Return to Claims Processing Software - HEALTHsuite®
All contents ©2008, RAM Technologies, Inc. All rights reserved. Information in this web site is subject to change without notice. RAM Technologies makes no guarantee and has no liability for incorrect or outdated information contained in this site. HEALTHsuite is a registered trademark and eHealthsuite is a trademark of RAM Technologies, Inc. IBM is a registered trademark of International Business Machines Corporation. All other brand and product names are trademarks or registered trademarks of their respective companies. The Benefit Administration Software and Healthcare Claims Processing Solutions of RAM Technologies have been successfully implemented at health plans and benefit administration companies throughout North America and offer the best value among all health care payer / payor solutions available today.
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