HEALTHsuite®

Advanced Claims Processing Software

Get the Best Value for Your Investment with

Superior Claims Management Technology

HEALTHsuite is a fully integrated, enterprise claims processing software solution developed to streamline business processes for health care payers.   HEALTHsuite's flexible rules-based processing simplifies the administration of complex benefit offerings including Medicaid, Medicare, Commercial, HMO, PPO, 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 around the ANSI X12 standards - the same standards mandated for EDI by the Federal Government for 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.

Key benefits provided by the HEALTHsuite benefit administration and claims processing software:

• Designed from the ground up around the HIPAA ANSI X12 Standards

• Supports unlimited lines of business from a single instance of the application and repository

• Integrated Medical Management, Case Management, Overpayment Recovery and Subrogation capabilities

• Configurable Workflow

• Reporting Warehouse

• Integrated Web Portals

• Web based application suite - access via a standard Internet Browser

• No Desktop Administration

HEALTHsuite deploys on IBM System p servers utilizing WebSphere Application Server and DB2 Universal Relational Database Management System.