Advanced Health Care Claims Processing for Payers
Software to Simplify and Streamline
Benefit Administration, Claims Adjudication and Provider Contracting
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 right software can streamline operational efficiencies, increase employee productivity and reduce costs in health care claims processing.
Our advanced health care claims processing
solution HEALTHsuite® is an enterprise wide application with fully integrated modules for eligibility / enrollment,
benefit administration, provider contracting and reimbursement, utilization management, premium billing, care management,
claims processing, subrogation, customer service, reporting and more.
HEALTHsuite is a rules based system with automated workflow capabilities
to make health care claims processing both paperless and human-less. Would your organization benefit
from auto adjudication rates in excess of 80%? This advanced performance creates a unique competitive
advantage for health care payers by allowing them to streamline business processes and reduce total cost of
ownership.
You can learn more about RAM Technologies and how our advanced health care claims processing
software provides the best return on your corporate investment. Check out the links above or to
receive a comprehensive brochure on the features and functions of the solution suite
