Medicaid Software Solutions for Health Plans

RAM Technologies provides claims management software solutions designed specifically to support the requirements of Medicaid.  Combined, RAM's solutions HEALTHsuite® and eHealthsuite™, provide a fully integrated suite of products that offer enterprise functionality for Medicaid administration.  

HEALTHsuite is the claims management and back office administration solution while eHealthsuite is the secure Internet gateway that provides real-time, self-service access to claim information for providers and beneficiaries.

In addition to meeting state requirements for Medicaid, the advanced software solutions from RAM Technologies possess functionality to support authorization / utilization management, provider contracting, provider reimbursement, care management and much more.  Furthermore, the rules based processing of the HEALTHsuite application also accommodates Medicaid / Medicare dual eligible processing.

HIPAA Compliance

The HEALTHsuite claims management solution was designed around the ANSI X12 data format, defined by HIPAA as the standard for electronic data interchange (EDI).  This advanced functionality allows health plans and benefit administrators to streamline business processes and reduce total cost of operations while meeting the needs of their Medicaid constituency.

Please take the time to peruse our web site to learn more about RAM Technologies and our Medicaid software solutions or click here to request a comprehensive brochure on the features and functions of the RAM solution suite.