HEALTHsuite^®

Enterprise Claims Processing Software

HEALTHsuite is a fully integrated, enterprise wide claims processing system and benefit administration software solution developed to streamline business processes for health plans and benefit administrators.  HEALTHsuite's rules-based processing simplifies the administration of complex benefit offerings including Medicare, Medicaid, Indemnity, HMO, PPO, Commercial, Correctional and Federal Employee products.  HEALTHsuite also supports the administration of non-health benefits including life, long term disability, short term disability and accidental death & dismemberment.

Designed from the ground up from the Health Insurance Portability and Accountability Act (HIPAA), and developed using the latest technological advances in Java Enterprise Edition (J2EE), HEALTHsuite offers un-paralleled functionality and scalability in a fully integrated, enterprise solution.

HEALTHsuite claims processing software includes the following fully integrated software modules. 

Click on any title for more information about the module functions.

• Membership Management

• Group Administration

• Marketing Association

• Customer Service

• Plans, Products, & Benefit Administration

• Provider

• Provider Contracting and Reimbursement

• Provider Credentialing  

• Subrogation / Overpayment Recovery

• Claims Administration

• Care Management

• Authorizations/Utilization Management

• Premium Billing

• Capitation 

• Management Reporting 

• Data Warehouse 

• Security

• EDI 

• General 

• Financial Interface 

• Public Sector Program Support 

Key benefits provided by the HEALTHsuite claims processing software:

• Designed from the ground up from the HIPAA Regulations

• Integrated Medical Management, Case Management and Subrogation

• Embedded Workflow

• Member/Provider Centric Customer Service

• Bundled Data Warehouse

• Integrated eHealth Internet component

• No desktop administration

• Supports Medicare Advantage, Medicaid, HMO, TPA, PPO, and FEHBP Benefit Administration

For a comprehensive brochure on the detailed functionality of HEALTHsuite® “Click Here”.

All content ©2009, 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 RAM Technologies makes no guarantee and has no liability for incorrect or outdated information contained in this site.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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