RAM Technologies, Inc. to Provide Clients with Support for Medicare Beneficiary Identifier (MBI) Well in Advance of Mandated Deadline
RAM Technologies, Inc., the perennial leader in the development of enterprise software for healthcare payers is pleased to announce their commitment to support the CMS mandated Medicare Beneficiary Identifier (MBI) in the HEALTHsuite® Mercato core administrative processing system. This functionality is scheduled to be released in December 2017, well in advance of the CMS requirement mandate. With this enhancement HEALTHsuite will allow health plans to utilize both the SSN-based HICN and the new MBI to locate a member during the transition period.
Medicare is replacing the current SSN-based HICN with a new Medicare Beneficiary Identifier (MBI) starting in 2018. By April 1, 2018 health plans will need to use the MBI in all cases where they currently use the HICN. The Medicare Access and CHIP Reauthorization Act (MACRA), requires all healthcare payers to remove SSNs from Medicare cards to address the risk of beneficiary medical identity theft. Per the legislative requirement, CMS will be mailing out all Medicare cards with the new identifier by April 2019.
“We work closely with our clients and CMS to understand their needs and requirements and to remain ahead of the curve in delivering IT solutions to simplify their administrative and compliance requirements,” stated Robert A. Tulio, President of RAM Technologies. “Delivering capabilities like this, in advance of the CMS requirement date is just another example of what makes HEALTHsuite Mercato and RAM Technologies the premier solution for Medicare Advantage health plans.”
RAM’s solutions HEALTHsuite® Mercato and eHealthsuite™ have proven to reduce the cost of administering Medicare Advantage, Managed Medicaid, the Financial Alignment Initiative (Duals) and the Federal Employee Health Benefit program.
HEALTHsuite Mercato is a highly adaptable, browser-based solution designed to streamline the administration of government sponsored healthcare programs. HEALTHsuite Mercato provides unparalleled automation across health plan operations including eligibility and enrollment, benefit administration, provider contracting and reimbursement, provider credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery, customer service, contact management, capitation, subrogation, fulfillment, EDI integration, management & operational reporting and more.
In addition to the enterprise capabilities provided by HEALTHsuite Mercato, RAM also offers a flexible and secure web portal, eHealthsuite. eHealthsuite enables members and providers to interact in real time with the health plan through a secure Internet connection. This 24 x 7 self-service functionality lowers administrative costs by reducing demands on a health plan’s customer service personnel.
About RAM Technologies:
RAM Technologies is a leading provider of enterprise software solutions for healthcare payers. For over 36 years RAM Technologies has led the way in the creation of superior software solutions for health plans serving government sponsored healthcare programs (Managed Medicaid, Medicare Advantage, Federal Employee Health Programs, etc.). RAM Technologies has merited a top spot in the Philadelphia Business Journal's "List of Top Tech Employers" for nine consecutive years, has been featured in Inc. Magazine’s List of Fastest Growing Private Companies for five years and has been named Most Promising Insurance Technology Solution Provider by CIO Review. To learn more about RAM Technologies call (877) 654-8810 or visit www.ramtechinc.com.