Claims Management Processing Systems
Claims Processing Software

HEALTHsuite® - Claims Processing Software

Improve Return on Investment with Advanced Claims Management Technology

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, Commercial, Correctional and Federal Employee products. 

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 

Some of the key Benefits of the HEALTHsuite claims processing software:

  • Designed from the ground up from the HIPAA Regulations

  • Integrated Case Management

  • 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 FEBHP Benefit Administration

 

For more information on the advanced software solution HEALTHsuite® including detailed product capabilities and specifications “Contact Us”.

 

 

 

 

 

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 RAM Technologies makes no guarantee and has no liability for incorrect or outdated information contained in this site.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