HEALTHsuite® Mercato

The Premier Solution For

Medicare Advantage, Medicaid & The Marketplace

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Claims Management Software

MLR: Making the Most of the Remaining 15%

 

With the passage of Health Care Reform medical loss ratios are rising, in some cases as high as 85%.  As a result health plans must find ways to tighten business processes and control administrative expense.  The HEALTHsuite® Mercato claims management software was developed to increase employee productivity and reduce costs.  HEALTHsuite Mercato is an enterprise solution with fully integrated modules to support a health plan's entire book of business.  HEALTHsuite Mercato's includes functionality for:

     

- Member Management / Group Administration

- Benefit Administration

- Provider Contracting and Reimbursement

- Utilization Management

- Premium Billing

- Case Management

- Claims Management / Adjudication

- Subrogation and Overpayment Recovery

- Customer Service / Contact Management

- Fulfillment

- Reporting Capabilities and Data Warehouse

- EDI

- and more

 

You can learn more about the HEALTHsuite Mercato claims management software through this web site or by clicking here to have a knowledgeable representative contact you.

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  Contact Us today to Schedule a Demonstration and see how HEALTHsuite Mercato will revolutionize the way you administer your business.  
   

All content ©2013, 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 RAM Technologies makes no guarantee and has no liability for incorrect or outdated information contained in this site.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 Claims Processing Software and Healthcare Benefit Administration 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 claims management systems.

                   

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